Guided endodontics in complex scenarios of calcified molars

• Autor(a) principal: Warley Luciano Fonseca Tavares
• Data de Publicação: 2020
• Outros Autores: Francielen Oliveira Fonseca, Vinícius Machado, Betânia de Lourdes Canal Vasconcellos, Luiza Cruz Guimarães, Ana Cecília Diniz Viana, Luiz Carlos Feitosa Henriques
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.22037/iej.v15i1.26709; http://hdl.handle.net/1843/46477
• topic: Apical periodontitis; Cone beam computed tomography; Dental pulp Calcification; Dental trauma; Guided endodontics; Periapical periodontitis; Cone-beam computed tomography; Endodontics; Dental pulp calcification

This study aimed to report a case series and describe the use of guided endodontics in complex symptomatic cases of mandibular and maxillary molars; presenting calcification of all three root canals. The arches of the referred patients were scanned, and high-resolution cone-beam computed tomography (CBCT) imaging was performed. Then, the taken CBCT and tooth scans were aligned and processed using software. A virtual copy of a drill was superimposed onto the scans and evaluated in 3 dimensions. Subsequently, a 3-dimensional (3D) template was designed and printed. Drilling was performed and a radiograph was taken to confirm its position. The canals were reached and endodontic treatment was performed. At the 12-month follow-up, the teeth were completely asymptomatic. The use of guided endodontics in cases of calcification in molars was demonstrated to be a viable and reliable alternative treatment. The technique was based on 3D planning.