Efficacy of guided endodontics in treating teeth with radicular calcification: integrative review
DOI:
https://doi.org/10.33448/rsd-v9i8.6066Keywords:
Dental pulp calcifications; Endodontics; Root canal preparation; Cone beam computed tomography.Abstract
Pulp calcification is commonly found in anterior teeth and in dental elements of older people, being considered a pathological response given by the pulp to injuries suffered by these teeth. Calcifications are associated with trauma, caries and age of the individual, where the root canal is totally or partially obliterated by deposition of mineral tissue. The objective of this work was to carry out an integrative review of the current literature on Guided Endodontics (EG) in teeth with root calcification, highlighting its performance technique, indications, limitations, advantages and disadvantages. An integrative literature review was carried out by searching scientific articles in the electronic database PubMed using the descriptors: guided endodontics, access, root calcification, indexed in the period from 2014 to 2019 that dealt with case reports, in vitro study and ex vivo. After the eligibility criteria, 11 articles published in English were analyzed. Studies have shown that the technique brings more safety to endodontic intervention in teeth with calcification, decreasing the chances of iatrogenesis, such as perforations. The guided access for the endodontic treatment of teeth with root calcification demonstrated high reliability, allowing a more predictable and quick root canal location, in addition to providing a conservative access, with relatively minor dentinal damage, optimizing the treatment.
References
American Association of Endodontics. AAE glossary [Internet]; 2016; Disponível em: <https://www.aae.org/specialty/clinical-resources/glossary-endodontic-terms/>. Acesso em: 18 jul. 2019.
Andreasen, F. M., Kahler, B. (2015) Pulpal response after acute dental injury in the permanente dentition: clinical implications - a review. Journal of Endodontics, 41(3), 299-308
Buchgreitz, J., Buchgreitz, M., Mortensen, D., Bjørndal, L. (2015) Guided access cavi-ty preparation using cone-beam computed tomography and optical surface scans - an ex vivo study. International Endodontic Journal, 49(8), 790-5.
Connert, T., Krug, R., Eggmann, F., Emsermann, I., ElAyouti, A., Weiger, R., Kühl, S., 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.
Connert, T., Zehnder, M. S., Amato, M., Weiger, R., Kühl, S., Krastl, G. (2018) Mi-croguided Endodontics: a method to achieve minimally invasive access cavity prepara-tion and root canal location in mandibular incisors using a novel computer-guided tech-nique. International Endodontic Journal, 51(2), 247-255.
Connert, T., Zehnder, M. S., Weiger, R., Kühl, S., Krastl, G. (2017) Microguided en-dodontics: accuracy of a miniaturized technique for apically extended access cavity preparation in anterior teeth. Journal of Endodontics, 43(5), 787-790.
Holan, G. (1998) Tube-like mineralization in the dental pulp of traumatized primary incisors. Endodontics & dental traumatology, 14(6), 279-84.
Krastl, G., Zehnder, M. S., Connert, T., Weiger, R., Kühl, S. (2016) Guided Endodon-tics: a novel treatment approach for teeth with pulp canal calcification and apical pa-thology. Dental Traumatology, 32(3), 240-246.
Lara-Mendes, S. T. O., Barbosa, C. F. M., Machado, V. C., Santa-Rosa, C. C. (2018) A new approach for minimally invasive access to severely calcified anterior teeth using the guided endodontics technique. Journal of Endodontics, 44(10), 1578-1582.
Lara-Mendes, S. T. O., Barbosa, C. F. M., Santa-Rosa, C. C., Machado, V. C. (2018) Guided Endodontic Access in Maxillary Molars Using Cone-beam Computed Tomog-raphy and Computer-aided Design/Computer-aided Manufacturing System: A Case Report. Journal of Endodontics, 44(5), 875-879.
Maia, L. M., de Carvalho Machado, V., da Silva, N. R. F. A., Brito Júnior, M., da Sil-veira, R. R., Moreira Júnior, G., Ribeiro Sobrinho, A. P. (2019) Case Reports in
Maxillary Posterior Teeth by Guided Endodontic Access. Journal of Endodontics, 45(2), 214-218.
McCabe, P. S., Dummer, P. M. (2012) Pulp canal obliteration: an endodontic diagnosis and treatment challenge. International Endodontic Journal, 45(2), 177-97.
Robertson, A., Andreasen, F. M., Bergenholtz, G., Andreasen, J. O., Norén, J. G. (1996) Incidence of pulp necrosis subsequent to pulp canal obliteration from trauma of permanent incisors. Journal of endodontics, 22(10), 557-60.
Schneider, D., Marquardt, P., Zwahlen, M., Jung, R. E. (2009) A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant den-tistry. Clinical Oral Implants Research, 20(4):73-86.
Tavares, W. L. F., Diniz Viana, A. C., de Carvalho Machado, V., Feitosa Henriques, L. C., Ribeiro Sobrinho, A. P. (2018) Guided Endodontic Access of Calcified Anterior Teeth. Journal of endodontics, 44(7), 1195-1199.
Tavares, W. L. F., Lopes, R. C. P., Menezes, G. B., Henriques, L. C. F., Ribeiro Sobri-nho, A. P. (2012) Non-surgical treatment of pulp canal obliteration using contemporary endodontic techniques: case series. Dental Press Endodontics, 2(1), 52-8.
Van der Meer, W. J., Vissink, A., Ng, Y. L., Gulabivala, K. (2016) 3D Computer aided treatment planning in endodontics. Journal of Dentistry, 45, 67-72.
Wu, D., Shi, W., Wu, J., Wu, Y., Liu, W., Zhu, Q. (2011) The clinical treatment of complicated root canal therapy with the aid of a dental operating microscope. Interna-tional Dental Journal, 61(5), 261-6.
Zehnder, M. S., Connert, T., Weiger, R., Krastl, G., Kühl. S. (2015) Guided endodon-tics: accuracy of a novel method for guided access cavity preparation and root canal lo-cation. International Endodontic Journal, 49(10), 966-72.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Esdras Gabriel Alves-Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
