Guided endodontic treatment of the upper premolar with calcification in the cervical third: A case report

Authors

DOI:

https://doi.org/10.33448/rsd-v13i6.45470

Keywords:

Cone beam computed tomography; Guided endodontics; Pulp canal calcification; Treatment planning.

Abstract

Endodontic treatment in teeth with calcification can be a challenge, which can cause risks to the treatment such as perforations or deviations. The objective of this research was to describe, through a case report, the use of guided endodontics as a complement to access in a tooth with calcification in the cervical third. A 42-year-old female patient, she was referred for endodontic treatment of the right upper premolar. An attempt at conventional endodontic treatment was made, but without success in both canals, and thus an endodontic guide was proposed. This guide was planned and created, followed by access using a 1.3mm diameter cylindrical drill. After the canals were accessed, endodontic treatment was followed with a rotary system and completed in two sessions. The use of the surgical guide proved to be safe for accessing canals with calcification in the cervical third of upper premolars, preventing treatment failures.

References

Andreasen, F. M., & Kahler, B. (2015). Pulpal response after acute dental injury in the permanent dentition: clinical implications—a review. Journal of endodontics, 41(3), 299-308.

Kiefner, P., Connert, T., ElAyouti, A., & Weiger, R. (2017). Treatment of calcified root canals in elderly people: a clinical study about the accessibility, the time needed and the outcome with a three‐year follow‐up. Gerodontology, 34(2), 164-170.

Vinagre, A., Castanheira, C., Messias, A., Palma, P. J., & Ramos, J. C. (2021). Management of pulp canal obliteration—systematic review of case reports. Medicina, 57(11), 1237.

de Cunha, F. M., de Souza, I. M., & Monnerat, J. (2009). Pulp canal obliteration subsequent to trauma: perforation management with MTA followed by canal localization and obturation. Braz J Dent Traumatol, 1(2), 64-68.

Siddiqui, S. H. (2014). Management of pulp canal obliteration using the Modified-Tip instrument technique. International Journal of Health Sciences, 8(4), 426.

Bueno, M. R., & Estrela, C. (2019). Impacto de um novo software de tomografia computadorizada de feixe cônico nas tomadas de decisões clínicas em Endodontia. Dent. press endod, 20-28.

Ali, A., Arslan, H., & Jethani, B. (2019). Conservative management of Type II dens invaginatus with guided endodontic approach: A case series. Journal of Conservative Dentistry and Endodontics, 22(5), 503-508.

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, 17(4), 216.

Alghamdi, F., & Shakir, M. (2020). The influence of Enterococcus faecalis as a dental root canal pathogen on endodontic treatment: A systematic review. Cureus, 12(3).

Alan, S., & Law, J. C. W. (2005). Endodontic case difficulty assessment and referral. Endodontics: colleagues for excellence.

Tay, K. X., Lim, L. Z., Goh, B. K. C., & Yu, V. S. H. (2022). Influence of cone beam computed tomography on endodontic treatment planning: A systematic review. Journal of Dentistry, 127, 104353.

Bueno, M. R., Estrela, C., Granjeiro, J. M., Estrela, M. R. D. A., Azevedo, B. C., & Diogenes, A. (2021). Cone-beam computed tomography cinematic rendering: clinical, teaching and research applications. Brazilian oral research, 35, e024.

Kihara, H., Hatakeyama, W., Komine, F., Takafuji, K., Takahashi, T., Yokota, J., ... & Kondo, H. (2020). Accuracy and practicality of intraoral scanner in dentistry: A literature review. Journal of prosthodontic research, 64(2), 109-113.

Patel, S., Brown, J., Pimentel, T., Kelly, R. D., Abella, F., & Durack, C. (2019). Cone beam computed tomography in Endodontics–a review of the literature. International endodontic journal, 52(8), 1138-1152.

Connert, T., Krug, R., Eggmann, F., Emsermann, I., ElAyouti, A., Weiger, R., ... & Krastl, G. (2019). Guided endodontics versus conventional access cavity preparation: a comparative study on substance loss using 3-dimensional–printed teeth. Journal of endodontics, 45(3), 327-331.

Koch, G. K., Gharib, H., Liao, P., & Liu, H. (2022). Guided access cavity preparation using cost-effective 3D printers. Journal of endodontics, 48(7), 909-913.

Connert, T., Zehnder, M. S., Amato, M., Weiger, R., Kühl, S., & Krastl, G. (2018). Microguided Endodontics: a method to achieve minimally invasive access cavity preparation and root canal location in mandibular incisors using a novel computer‐guided technique. International endodontic journal, 51(2), 247-255.

Nagendrababu, V., Chong, B. S., McCabe, P., Shah, P. K., Priya, E., Jayaraman, J., & Dummer, P. M. H. (2020). PRICE 2020 guidelines for reporting case reports in Endodontics: a consensus‐based development. International Endodontic Journal, 53(5), 619-626.

Pereira, A. S., Shitsuk, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica.

Estrela, C. (2018). Metodologia científica: ciência, ensino, pesquisa. Artes médicas.

Yin, R. K. (2015). Estudo de Caso-: Planejamento e métodos. Bookman editora.

Toassi, R. F. C., & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde.

Downloads

Published

11/06/2024

How to Cite

MAEDA, W.; GASPARINI, C. H. .; BORTOLOTO, A. L. .; DECURCIO, D. de A. .; RIBEIRO, R. G. . Guided endodontic treatment of the upper premolar with calcification in the cervical third: A case report. Research, Society and Development, [S. l.], v. 13, n. 6, p. e6513645470, 2024. DOI: 10.33448/rsd-v13i6.45470. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45470. Acesso em: 8 nov. 2024.

Issue

Section

Health Sciences