Canal projection using gutta-percha points: A novel technique for pre-endodontic buildup of grossly destructed tooth

The use of Projector Endodontic Instrument Guidance System (PEIGS) during endodontic treatment of grossly mutilated tooth facilitates projection of canal orifices from the floor of the pulp chamber to the cavosurface, providing direct visualization and access to the projected canals. Alternatives, such as hypodermic needles as sleeves, were tried successfully with similar outcome. The aim of this case report is to describe a simpler, easily available, economical, yet an effective alternative technique to conventional PEIGS during the pre-endodontic management of grossly destructed tooth. These case reports demonstrate the use of greater tapered gutta-percha points that are easily available and more economical than PEIGS for the successful management of a badly destructed tooth.