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Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
Published on: May 24, 2022
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3D Computer aided treatment planning in endodontics
Wicher J van der Meer1, Arjan Vissink2, Yuan Ling Ng3
1Unit of Endodontology, UCL Eastman Dental Institute, University College London, London, UK; Department of Orthodontics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Journal of Dentistry
|December 3, 2015
Summary
Navigating obliterated root canals is challenging. 3D digital mapping and custom endodontic guides enable predictable root canal treatment, preventing iatrogenic damage.
Area of Science:
- Dentistry
- Endodontics
- Digital Imaging
Background:
- Obliterated root canal systems, caused by accelerated dentinogenesis and dystrophic calcification, pose significant challenges in achieving successful root canal treatment outcomes.
- Traditional methods for navigating these calcified canals can lead to iatrogenic damage, compromising treatment efficacy.
Purpose of the Study:
- To describe the application of 3D digital mapping technology for predictable navigation of obliterated root canal systems.
- To demonstrate how this technology aids in avoiding iatrogenic damage during root canal treatment.
Main Methods:
- Digital endodontic treatment planning was performed using computer software integrated with cone beam computed tomography (CBCT) and intra-oral scans.
- Customized endodontic guides were designed and fabricated using digital designing and rapid prototyping based on the acquired scan data.
Main Results:
- The use of custom-made endodontic guides facilitated uncomplicated and predictable localization and management of obliterated root canals.
- This approach ensured accurate access to the root canal system, minimizing procedural errors.
Conclusions:
- Digital designing and rapid prototyping of endodontic guides offer a reliable and predictable method for locating root canals in calcified systems.
- This technique enhances the predictability of difficult endodontic treatments with minimal additional cost, improving clinical outcomes.
