Guided endodontics: The impact of new technologies on complex case solution

• Published in: Australian endodontic journal Vol. 47; no. 3; pp. 664 - 671
• Main Authors: Loureiro, Marco Antônio Z., Silva, Julio A., Chaves, Gustavo S., Capeletti, Lucas R., Estrela, Carlos, Decurcio, Daniel A.
• Format: Journal Article
• Language: English
• Published: Australia Wiley Subscription Services, Inc 01-12-2021
• Subjects: Adult; Biomaterials; Calcification; Calcium hydroxide; Computed tomography; Cone-Beam Computed Tomography; Dental Care; Dental pulp; Dental Pulp Cavity - diagnostic imaging; Endodontics; guided endodontics; Humans; Periodontitis; pulp canal calcification; Root Canal Therapy; Root canals; root perforation; Teeth; guided endodontics; root perforation; pulp canal calcification; cone beam computed tomography
• ISSN: 1329-1947; 1747-4477
• DOI: 10.1111/aej.12498

Discuss the impact of new diagnostic and planning technologies on the resolution of a clinical case of an upper central incisor with lateral perforation, root canal calcification and apical periodontitis. A 44‐year‐old woman sought treatment because of a colour change in an anterior tooth. The tooth had already been endodontically accessed, and she reported that two different clinicians had failed to locate the root canal. A Cone Beam Computed Tomography scan showed excessive wear and root perforation in the middle third, as well as pulp canal obliteration in the apical third. The perforation was treated using a biomaterial, and the root canal was located using guided endodontics. This treatment protocol was used to access, prepare, medicate with calcium hydroxide for 21 days and fill the root canal. Treatment results were satisfactory at 6‐month follow‐up.