Technologies in endodontic treatment of calcified channels: Case report
DOI:
https://doi.org/10.33448/rsd-v12i8.42596Keywords:
Endodontics; Cone Beam Computed Tomography; Operatory microscopy; Pulp chamber; Root canal treatment; Ultrasonics.Abstract
Root canals calcification can be caused by several factors such as dental trauma, physiological aging, circulatory disorders in the pulp and genetic predisposition. Given the great variability and unpredictability of endodontic treatments in calcified root canals, the level of difficulty of these therapies becomes high. In clinical practice and supported by the literature, it is possible to describe two endodontic techniques and their specificities, one in which the technology called “microsonics” is used, which involves the use of an operating microscope associated with the use of ultrasonic inserts, and the second one with the use of another technology called endoguide, which consists in using a guided access via tomography to overcome the calcification and locate the root canal. Objective: To report a clinical case in which a specific technique was used to negotiate a calcified root canal. Case description: Patient T.P.C., 50 years old, was referred for endodontic treatment of element 12, who presented clinically painful symptoms and radiographically calcification of the root canal. Computed tomography was requested, and endodontic treatment was performed in two appointments, making it necessary to use an operating microscope, ultrasonic equipment and its inserts. Conclusions: The use and association of new technological resources in endodontics, such as ultrasonic tips under magnification and guided endodontics, provides professionals with greater operational ease and safety in complex cases, thus increasing their chance of success.
References
Anderson, J., Wealleans, J. & Ray, J. (2018). Endodontic applications of 3D printing. International Endodontic Journal. 51(9), 1005-18.
Caiño, K. A. F. & Vásquez, X. E. E. (2021). Guided endodontics as an alternative for the management of teeth with calcified root canals: An integrative review of the literature. Research, Society and Development.10(9)e11010918039. https://doi.org/10.33448/rsd-v10i9.18039.
Chu, T., Ni, X. & Zhu, Y. (2022). Edta combined with c-pilot files and microultrasound for root canal calcification: dredging effect and safetyanalysis. Computational and mathematical methods in medicine. 2022(2022) https://doi.org/10.1155/2022/1911448.
Connert, T., Weiger, R. & Krastl. G. (2022). Present status and future directions- Guided endodontics. International Endodontic Journal. 55(4), 995-1002. https://doi.org/10.1111/iej.13687
Dianat, O., Nosrat, A., Tordik, P. A., Aldahmash, S. A., Romberg, E., Price, J. B. & Mostoufi, B. (2020). Accuracy and Efficiency of a Dynamic Navigation System for Locating Calcified Canals. Journal Of Endodontics. 46(11), 1719-25. http://dx.doi.org/10.1016/j.joen.2020.07.014.
Diniz, J. M. B., Oliveira, H. F. D., Coelho, R. C. P., Manzi, F., Silva, F. E., Sobrinho, A. P. R., Machado, V. C. & Tavares, W. L. F. (2022). Guided Endodontic Approach in Teeth with Pulp Canal Obliteration and Previous Iatrogenic Deviation: A Case Series Iranian Endodontic Journal,17 (2), 78-84. https://doi.org/10.22037/iej.v17i2.36830
Fabbro, M. D., Taschieri, S., Lodi, G., Banfi, G. & Weinstein, R. L. (2015). Magnification devices for endodontic therapy. Cochrane Database of Ssystemati . Reviews 2015(12). https://doi.org/10.1002/14651858.cd005969.pub3
Freire, B. B., Vianna, S. Nascimento, E. H. L., Freire, M. & Chilvarquer, I. (2021). Guided Endodontic Access in a Calcified Central Incisor: A Conservative Alternative for Endodontic Therapy. Iran Endodontic Journal. 16(1),56-59.
Geo, T. D., Saxena, P. & Gupta. S.(2022). Static vs. Dynamic navigation for endodontic microsurgery - a comparative review. Journal of Oral Biology and craniofacial Research.. 12(4), 410-12. https://doi.org/10.1016/j.jobcr.2022.04.010.
Lara-Mendes, S. T. O., Barbosa, C. F. M., Machado, V. C. & Santa-Rosa, C. C. (2019). Guided endodontics as an alternative for the treatment of severely calcified root canals. Dental Press Endodontics. 9(1),15-20.
Lima, O. T., Rocha, A. O., Dos Anjos, L. M., Santos, R. M.., Júnior, N. S. M., Melo, A. E. S. & Costa, M. D. (2021). Application of Guided Endodontics to locate the calcified root canal with periapical lesion: case report. Research, Society and Development. 10(16)e363101620948. https://doi.org/10.33448/rsd-v10i16.20948
Nabavi S., Navabi, S.& Mohammadi, S. M. (2022). Management of Pulp Canal Obliteration in Mandibular Inciors with Guided Enododontic Treatment: A Case report. Iran Endodontic Jourrnal. 17(4),216-19.
Ramalho, C. L. G. El al. (2021). O uso do endoguide no planejamento e tratamento de dentes permanentes calfificados/ /The use of endoguide in the planning and treatment of calcified permanent teeth. Brazilian Journal Of Health Review.4(3), 12835-52. http://dx.doi.org/10.34119/bjhrv4n3-244.
Satheeshkumar, P. S., Mohan, M. P., Saji, S., Sadanandan, S. & George, G. (2013). Idiopathic dental pulp calcifications in a tertiary care setting in South India. Jounal Conserv Dent. 16(1),50-55.
Tavares, W. L. F., Viana, A. C. D., Machado, V. C., Henriques, L. C. F., & Sobrinho, A. P. R. (2018). Guided Endodontic Access of Calcified Anterior Teeth. Journal Of Endodontics. 44(7), 1195-99. http://dx.doi.org/10.1016/j.joen.2018.04.014.
Tavares, W. L. F., Ferreira, M. V. L., Machado, V. C., Amaral, R. R. & Cohen, S. (2020). Antimicrobial photodynamic therapy and guided endodontics: a case report. Photodiagnosis And PhotodynamicTtherapy. 31, 101935. https://doi.org/10.1016/j.pdpdt.2020.101935.
Tavares, W. L. F., Pedrosa, N. O. M., Moreira, R. A., Machado, V. C. M., Sobrinho, A. P. S. & Amaral, R. R. (2021). Limitations And Management of Statc-Guided Endodotis Failure. Journal of Endodontics. 48, 273-279. https://doi.org/10.1016/j.joen.2021.11.004
Valdivia, J., Pires, M., Beltran, H. & Machado, M. (2015). Importance of ultrasound use in endodontic access of teeth with pulp calcification. Dental Press Endodontics. 5(2), 67-73. http://dx.doi.org/10.14436/2358-2545.5.2.067-073.
Vandermeer, W. J., Vissink A., Ng, Y. L. & Gulabvala, K. (2016). 3D Computer aided treatment planning in endodontic. Journal of Dentistry. 45(4)67-72.
Vasudevan, A., Sundar, S., Surendran, S. & Natanasabapathy, V. (2023). Tooth substance lost after incisal endodontic access and novel single-tooth templte-guided endodontic Access in thee-dimensional printed resin incisors with simulated pulp canal calcification: A comparative in vitro study. Journal of Conservative Dentistry. 26(3)258-64.
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Copyright (c) 2023 Jaqueline Oliveira Neves Legatti; Maria Mariana Rodrigues Aguilar; Víctor Barbosa Coelho; Gustavo de Cristófaro Almeida; Luíza Cruz Guimarães
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