Restoring Original Canal Trajectory Post complete Obstruction: Guided Endodontics case report

Rosana Maria Coelho Travassos; Caio de Lima Pires; Pedro Guimarães Sampaio Trajano dos Santos; William Wale Rodrigues Martins; Lucas Godoy Martins; Gustavo Moreira de Almeida; Luciano Barreto Silva; Marleny Elizabeth Márquez de Matínez Gerbi

doi:10.54899/dcs.v22i79.84

Keywords:

Cone-beam Computed Tomography; Endodontics; Intraoral Scanning; Pulp Calcification; Root Canal Treatment.

Abstract

Guided Endodontics uses imaging technologies and computer-aided design to plan and perform procedures in challenging cases such as root canal calcification. This study describes the case of a 75-year-old female patient with pain in tooth 22. Radiographic analysis revealed calcification of the root canal. The procedure involves Cone Beam Computed Tomography and intraoral scanning for virtual planning of the endodontic guide, which was 3D printed and fixed in the patient's maxilla to access the canal using a specific drill. After instrumentation of the canal and removal of the smear layer, the canal was obturated with bioceramic cement. The patient returned three years after obturation of the root canal system, observing the success of endodontic therapy, concluding the effectiveness of Guided Endodontics in the treatment of root canal calcification, providing satisfactory and predictable clinical results.
References
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2. DECURCIO, D. A., Bueno, M. R., Silva, J. A., Loureiro, M. A. Z., Damião Sousa-Neto, M., & Estrela, C. (2021). Digital planning on guided endodontics technology. Brazilian Dental Journal, 32(5), 23–33. https://doi.org/10.1590/0103-644020210474
3. GOGA, R., Chandler, N. P., & Oginni, A. O. (2008). Pulp stones: A review. International Endodontic Journal, 41, 457–468. https://doi.org/10.1111/j.1365-2591.2008.01374.x
4. KULINKOVYCH-LEVCHUK, K., Pecci-Lloret, M. P., Castelo-Baz, P., Pecci-Lloret, M. R., & Oñate-Sánchez, R. E. (2022). Guided endodontics: A literature review. International Journal of Environmental Research and Public Health, 19(21), 13900. https://doi.org/10.3390/ijerph192113900
5. MORENO-RABIÉ, C., Torres, A., Lambrechts, P., & Jacobs, R. (2020). Clinical applications, accuracy and limitations of guided endodontics: A systematic review. International Endodontic Journal, 53, 214–231.
6. NABAVI, S., Navabi, S., & Mohammadi, S. M. (2022). Management of pulp canal obliteration in mandibular incisors with guided endodontic treatment: A case report. Iranian Endodontic Journal. https://journals.sbmu.ac.ir/iej/article/view/38381
7. PEÑA-BENGOA, F., Valenzuela, M., Flores, M. J., et al. (2023). Effectiveness of guided endodontics in locating calcified root canals: A systematic review. Clinical Oral Investigations, 27, 2359–2374. https://doi.org/10.1007/s00784-023-04863-0
8. SHABAN, A., Elsewify, T. M., & Hassanein, E. E. (2023). Multiple endodontic guides for root canal localization and preparation in furcation perforations: A report of two cases. Iranian Endodontic Journal, 18(1), 65–70. https://journals.sbmu.ac.ir/iej/article/view/39498
9. TAVARES, W. L. F., Machado, V. de C., Fonseca, F. O., Vasconcellos, B. C., Magalhães, L. C., Viana, A. C. D., & Henriques, L. C. F. (2020). Guided endodontics in complex scenarios of calcified molars. Iranian Endodontic Journal, 15(1), 50–56. https://journals.sbmu.ac.ir/iej/article/view/26709
10. YIN, R. K. (2001). Estudo de caso: Planejamento e métodos (2ª ed., M. Ballejo Canto, Trad.). Porto Alegre: Bookman.
11. ZARGAR, N., & Amiri, M. (2023). Guided endodontic treatment for calcified central incisor with discoloration, a conservative approach preserving incisal edge: A case report. Iranian Endodontic Journal, 18(4), 259–263.

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How to cite

Travassos, R. M. C., Pires, C. de L., Santos, P. G. S. T. dos, Martins, W. W. R., Martins, L. G., Almeida, G. M. de, … Gerbi, M. E. M. de M. (2025). Restoring Original Canal Trajectory Post complete Obstruction: Guided Endodontics case report. Derecho Y Cambio Social, 22(79), e84. https://doi.org/10.54899/dcs.v22i79.84

[1] CONNERT, T., Weiger, R., & Krastl, G. (2022). Present status and future directions - Guided endodontics. International Endodontic Journal, 55(Suppl 4), 995–1002. https://doi.org/10.1111/iej.13687

[2] DECURCIO, D. A., Bueno, M. R., Silva, J. A., Loureiro, M. A. Z., Damião Sousa-Neto, M., & Estrela, C. (2021). Digital planning on guided endodontics technology. Brazilian Dental Journal, 32(5), 23–33. https://doi.org/10.1590/0103-644020210474

[3] GOGA, R., Chandler, N. P., & Oginni, A. O. (2008). Pulp stones: A review. International Endodontic Journal, 41, 457–468. https://doi.org/10.1111/j.1365-2591.2008.01374.x

[4] KULINKOVYCH-LEVCHUK, K., Pecci-Lloret, M. P., Castelo-Baz, P., Pecci-Lloret, M. R., & Oñate-Sánchez, R. E. (2022). Guided endodontics: A literature review. International Journal of Environmental Research and Public Health, 19(21), 13900. https://doi.org/10.3390/ijerph192113900

[5] MORENO-RABIÉ, C., Torres, A., Lambrechts, P., & Jacobs, R. (2020). Clinical applications, accuracy and limitations of guided endodontics: A systematic review. International Endodontic Journal, 53, 214–231.

[6] NABAVI, S., Navabi, S., & Mohammadi, S. M. (2022). Management of pulp canal obliteration in mandibular incisors with guided endodontic treatment: A case report. Iranian Endodontic Journal. https://journals.sbmu.ac.ir/iej/article/view/38381

[7] PEÑA-BENGOA, F., Valenzuela, M., Flores, M. J., et al. (2023). Effectiveness of guided endodontics in locating calcified root canals: A systematic review. Clinical Oral Investigations, 27, 2359–2374. https://doi.org/10.1007/s00784-023-04863-0

[8] SHABAN, A., Elsewify, T. M., & Hassanein, E. E. (2023). Multiple endodontic guides for root canal localization and preparation in furcation perforations: A report of two cases. Iranian Endodontic Journal, 18(1), 65–70. https://journals.sbmu.ac.ir/iej/article/view/39498

[9] TAVARES, W. L. F., Machado, V. de C., Fonseca, F. O., Vasconcellos, B. C., Magalhães, L. C., Viana, A. C. D., & Henriques, L. C. F. (2020). Guided endodontics in complex scenarios of calcified molars. Iranian Endodontic Journal, 15(1), 50–56. https://journals.sbmu.ac.ir/iej/article/view/26709

[10] YIN, R. K. (2001). Estudo de caso: Planejamento e métodos (2ª ed., M. Ballejo Canto, Trad.). Porto Alegre: Bookman.

[11] ZARGAR, N., & Amiri, M. (2023). Guided endodontic treatment for calcified central incisor with discoloration, a conservative approach preserving incisal edge: A case report. Iranian Endodontic Journal, 18(4), 259–263.

Abstract

References

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