Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Science |
Texto Completo: | https://ojs.ict.unesp.br/index.php/cob/article/view/3145 |
Resumo: | Pulp tissue may suffer calcification because of trauma, operative procedures or carious lesions. This paper aimedto report and discuss the guided endodontic access as an alternative treatment. A 52 years old female patient hadsevere root canal calcification of tooth #11 associated with a radiolucent periapical lesion. Firstly, the crown andmetal post and core were removed. A digital impression and cone-beam computed tomography “CBCT” scanswere performed and imported to implant planning software (SimPlant Version 11; Materialise Dental, Leuven,Belgium).The guided endodontic access template was designed to allow the drill to reach a distance of 2 mmshort of the apical foramen, once printed, it was tested in the mouth to evaluate its insertion and stability in thedental arch. The calcified root canal was penetrated using the access drill rotating by a low-speed hand-piece(10,000 rpm) under saline solution irrigation through advancing movements. Then, the apical foramen wasnegotiated with C-Pilot files #10 and #15. The working length was measured using the iPex-II apex locator.The instrumentation was carried out with Reciproc R50 and 2.5% sodium hypochlorite. One week later, a fullceramiccrown preparation was performed, and polyvinyl siloxane impression was carried out. A total of threefollow-up sessions were performed after one week, one and twelve months. Bone neoformation was observed inthe site of the periapical lesion and the patient had no signs or symptoms of any discomfort. Therefore, guidedendodontics is indicated for severe calcified root canals.KEYWORDSGuided endodontics; Calcified root canals; Access cavity. |
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oai:ojs.pkp.sfu.ca:article/3145 |
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network_name_str |
Brazilian Dental Science |
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spelling |
Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access Pulp tissue may suffer calcification because of trauma, operative procedures or carious lesions. This paper aimedto report and discuss the guided endodontic access as an alternative treatment. A 52 years old female patient hadsevere root canal calcification of tooth #11 associated with a radiolucent periapical lesion. Firstly, the crown andmetal post and core were removed. A digital impression and cone-beam computed tomography “CBCT” scanswere performed and imported to implant planning software (SimPlant Version 11; Materialise Dental, Leuven,Belgium).The guided endodontic access template was designed to allow the drill to reach a distance of 2 mmshort of the apical foramen, once printed, it was tested in the mouth to evaluate its insertion and stability in thedental arch. The calcified root canal was penetrated using the access drill rotating by a low-speed hand-piece(10,000 rpm) under saline solution irrigation through advancing movements. Then, the apical foramen wasnegotiated with C-Pilot files #10 and #15. The working length was measured using the iPex-II apex locator.The instrumentation was carried out with Reciproc R50 and 2.5% sodium hypochlorite. One week later, a fullceramiccrown preparation was performed, and polyvinyl siloxane impression was carried out. A total of threefollow-up sessions were performed after one week, one and twelve months. Bone neoformation was observed inthe site of the periapical lesion and the patient had no signs or symptoms of any discomfort. Therefore, guidedendodontics is indicated for severe calcified root canals.KEYWORDSGuided endodontics; Calcified root canals; Access cavity.Institute of Science and Technology of São José dos Campos2022-06-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.ict.unesp.br/index.php/cob/article/view/314510.4322/bds.2022.e3145Brazilian Dental Science; Vol. 25 No. 3 (2022): Jul - Sep / 2022 - Published Jun 2022Brazilian Dental Science; v. 25 n. 3 (2022): Jul - Sep / 2022 - Published Jun 20222178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/3145/4526Copyright (c) 2022 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessFlores Orozco, Esteban IsaíAbu Hasna, AmjadSchmitt de Andrade, Guilhermede Carvalho Machado, Vinícius Coutinho Manhães Junior, Luiz Roberto de Siqueira Ferreira Anzaloni Saavedra, Guilherme 2022-08-22T14:11:41Zoai:ojs.pkp.sfu.ca:article/3145Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2022-11-08T16:30:42.953407Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)true |
dc.title.none.fl_str_mv |
Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access |
title |
Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access |
spellingShingle |
Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access Flores Orozco, Esteban Isaí |
title_short |
Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access |
title_full |
Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access |
title_fullStr |
Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access |
title_full_unstemmed |
Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access |
title_sort |
Guided endodontic access of severe calcified tooth without incisal edge – case report: Guided endodontic access |
author |
Flores Orozco, Esteban Isaí |
author_facet |
Flores Orozco, Esteban Isaí Abu Hasna, Amjad Schmitt de Andrade, Guilherme de Carvalho Machado, Vinícius Coutinho Manhães Junior, Luiz Roberto de Siqueira Ferreira Anzaloni Saavedra, Guilherme |
author_role |
author |
author2 |
Abu Hasna, Amjad Schmitt de Andrade, Guilherme de Carvalho Machado, Vinícius Coutinho Manhães Junior, Luiz Roberto de Siqueira Ferreira Anzaloni Saavedra, Guilherme |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Flores Orozco, Esteban Isaí Abu Hasna, Amjad Schmitt de Andrade, Guilherme de Carvalho Machado, Vinícius Coutinho Manhães Junior, Luiz Roberto de Siqueira Ferreira Anzaloni Saavedra, Guilherme |
description |
Pulp tissue may suffer calcification because of trauma, operative procedures or carious lesions. This paper aimedto report and discuss the guided endodontic access as an alternative treatment. A 52 years old female patient hadsevere root canal calcification of tooth #11 associated with a radiolucent periapical lesion. Firstly, the crown andmetal post and core were removed. A digital impression and cone-beam computed tomography “CBCT” scanswere performed and imported to implant planning software (SimPlant Version 11; Materialise Dental, Leuven,Belgium).The guided endodontic access template was designed to allow the drill to reach a distance of 2 mmshort of the apical foramen, once printed, it was tested in the mouth to evaluate its insertion and stability in thedental arch. The calcified root canal was penetrated using the access drill rotating by a low-speed hand-piece(10,000 rpm) under saline solution irrigation through advancing movements. Then, the apical foramen wasnegotiated with C-Pilot files #10 and #15. The working length was measured using the iPex-II apex locator.The instrumentation was carried out with Reciproc R50 and 2.5% sodium hypochlorite. One week later, a fullceramiccrown preparation was performed, and polyvinyl siloxane impression was carried out. A total of threefollow-up sessions were performed after one week, one and twelve months. Bone neoformation was observed inthe site of the periapical lesion and the patient had no signs or symptoms of any discomfort. Therefore, guidedendodontics is indicated for severe calcified root canals.KEYWORDSGuided endodontics; Calcified root canals; Access cavity. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-21 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/3145 10.4322/bds.2022.e3145 |
url |
https://ojs.ict.unesp.br/index.php/cob/article/view/3145 |
identifier_str_mv |
10.4322/bds.2022.e3145 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/3145/4526 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Brazilian Dental Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Brazilian Dental Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
dc.source.none.fl_str_mv |
Brazilian Dental Science; Vol. 25 No. 3 (2022): Jul - Sep / 2022 - Published Jun 2022 Brazilian Dental Science; v. 25 n. 3 (2022): Jul - Sep / 2022 - Published Jun 2022 2178-6011 reponame:Brazilian Dental Science instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Brazilian Dental Science |
collection |
Brazilian Dental Science |
repository.name.fl_str_mv |
Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
repository.mail.fl_str_mv |
sergio@fosjc.unesp.br||sergio@fosjc.unesp.br |
_version_ |
1788346902477012992 |