A New Approach for Minimally Invasive Access to Severely Calcified Anterior Teeth Using the Guided Endodontics Technique

Journal of Endodontics
Sônia T O Lara-MendesCaroline C Santa-Rosa

Abstract

This article describes an endodontic treatment technique performed through a new minimally invasive approach that leads to no tooth damage at the incisal edge and uses cone-beam computed tomographic (CBCT) imaging and 3-dimensional guides. A 26-year-old patient presented with pain in the anterior region of the maxilla and reported having suffered dental trauma 13 years prior. Radiographic examination exhibited no visible root canal on tooth # 9 with a slight thickening in the apical periodontal ligament space. Pulp sensitivity tests produced no response, whereas the percussion test responded positively. CBCT imaging revealed a visible canal space limited to the apical 2-mm section of the root. Guided endodontic access was planned after intraoral scanning of the tooth surface to be used with the CBCT scan. A virtual model was created with the aid of virtual implant software for the surgical access planning in such a way as not to damage the incisal edge of the tooth. The resulting guides were printed. With guides in position over the rubber dam, a mechanical-chemical preparation was performed in the root as soon as the canal was located. Intracanal medication was left for 14 days, after which the root canal was filled gutta-perc...Continue Reading

Citations

Jul 4, 2019·Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc·Bruna de Athayde CasadeiCaroline C Santa-Rosa
May 21, 2019·Journal of Prosthodontic Research·Franz Sebastian SchwindlingAndreas Zenthöfer
Jul 12, 2020·Dentistry Journal·Georges IshakCarla Zogheib
Sep 15, 2019·International Endodontic Journal·C Moreno-RabiéR Jacobs
Mar 5, 2021·Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc·Marco Antônio Z LoureiroDaniel A Decurcio
Mar 23, 2021·Journal of Endodontics·Jonathan Bardales-AlcocerJorgeraul Ramírez-Wong
Jan 26, 2022·International Endodontic Journal·Thomas ConnertGabriel Krastl

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