Authors : Dr. D.G. Chole; Dr. Shubhangi Kadam; Dr. Sriniwas Bakale; Dr. Neha Gandhi; Dr. Nikhil Hatte

Volume/Issue : Volume 9 - 2024, Issue 9 - September

Google Scholar : https://tinyurl.com/48ds5zyr

Scribd : https://tinyurl.com/u7k5bcwm

DOI : https://doi.org/10.38124/ijisrt/IJISRT24SEP171

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : In recent decades, significant technological advances have deeply influenced our daily lives. Notably, innovations such as 3D printers and 3D cone-beam computed tomography have become valuable tools in clinical dentistry. Diagnosing and treating teeth with pulp canal obliteration presents unique challenge in endodontic procedures. These challenges include the risk of breaking root canal instruments during treatment, preparing overly extended access cavities, and misaligning the access cavity, which could potentially lead to root perforation. Recently, guided endodontics has gained popularity as a method to address these issues. This case report explores the use of guided endodontics in treating a maxillary central incisor with pulp canal obliteration. This approach is advantageous as it reduces the time patients spend undergoing treatment and, more critically, minimizes the risk of inadvertent damage to the tooth structure.

Keywords : Pulp Canal Obliteration, 3D Printers, 3D Cone Beam Computed Tomography, Guided Endodontics.

References :

1. Maia LM, de Carvalho Machado V, da Silva NR, Júnior MB, da Silveira RR, Júnior GM, Sobrinho AP. Case reports in maxillary posterior teeth by guided endodontic access. Journal of endodontics. 2019 Feb 1;45(2):214-8.
2. Dąbrowski W, Puchalska W, Ziemlewski A, Ordyniec-Kwaśnica I. Guided endodontics as a personalized tool for complicated clinical cases. International Journal of Environmental Research and Public Health. 2022 Aug 12;19(16):9958.
3. Krastl G, Zehnder MS, Connert T, Weiger R, Kühl S. Guided endodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology. Dental traumatology. 2016 Jun;32(3):240-6.
4. Leontiev W, Connert T, Weiger R, Dagassan-Berndt D, Krastl G, Magni E. Guided Endodontics: Three-dimensional Planning and Template-aided Preparation of Endodontic Access Cavities. JoVE (Journal of Visualized Experiments). 2022 May 24(183):e63781.
5. Diniz JM, Oliveira HF, Coelho RC, Manzi F, Silva FE, Machado VC, Sobrinho AP, Tavares WL. Guided endodontic approach in teeth with pulp canal obliteration and previous iatrogenic deviation: a case series. Iranian Endodontic Journal. 2022;17(2):78.
6. Freire BB, Vianna S, Nascimento EH, Freire M, Chilvarquer I. Guided endodontic access in a calcified central incisor: a conservative alternative for endodontic therapy. Iranian Endodontic Journal. 2021;16(1):56.
7. Sharma S, Sharma V, Grover S, Mittal M. CBCT diagnosis and endodontic management of a maxillary first molar with unusual anatomy of two palatal canals: A case report. Journal of Conservative Dentistry. 2014 Jul 1;17(4):396-9.
8. Shaban A, Elsewify TM, Hassaneina EE. Multiple endodontic guides for root canal localization and preparation in furcation perforations: A report of two cases. Iranian Endodontic Journal. 2023;18(1):65.
9. Farajollahi M, Dianat O, Gholami S, Saber Tahan S. Application of an endodontic static guide in fiber post removal from a compromised tooth. Case Reports in Dentistry. 2023;2023(1):7982368.
10. Vasudevan A, Sundar S, Surendran S, Natanasabapathy V. Tooth substance loss after incisal endodontic access and novel single-tooth template-guided endodontic access in three-dimensional printed resin incisors with simulated pulp canal calcification: A comparative: in vitro: study. Journal of Conservative Dentistry and Endodontics. 2023 May 1;26(3):258-64.
11. Zehnder MS, Connert T, Weiger R, et al. Guided endodontics: accuracy of a novel method for guided access cavity preparation and root canal location. Int Endod J. 2016;49:966–72.
12. Connert T, Zehnder MS, Weiger R.  Microguided endodontics: accuracy of a miniaturized technique for apically extended access cavity preparation in anterior teeth. J Endod. 2017;43:787–90.
13. Pontoriero DI, Ferrari Cagidiaco E, Maccagnola V, Manfredini D, Ferrari M. Outcomes of endodontic-treated Teeth obturated with Bioceramic Sealers in combination with warm gutta-percha obturation techniques: a prospective clinical study. Journal of clinical medicine. 2023 Apr 14;12(8):2867.
14. Dong X, Xu X. Bioceramics in endodontics: updates and future perspectives. Bioengineering. 2023 Mar 13;10(3):354.