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Guided Endodontic Access in a Maxillary Molar Using a Dynamic Navigation System.

Omid Dianat1, Swati Gupta1, Jeffery B Price2

  • 1Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, Maryland.

Journal of Endodontics
|October 12, 2020
PubMed
Summary
This summary is machine-generated.

Navigating calcified root canals is difficult. A dynamic navigation system successfully located a challenging canal in a patient with a history of head and neck radiation, enabling successful endodontic treatment.

Keywords:
CalcificationX-guidedynamic navigation systemguided endodonticspulp canal obliteration

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Area of Science:

  • Endodontics
  • Dental Technology

Background:

  • Calcified root canals present significant challenges in endodontic treatment.
  • Patients with a history of head and neck radiation require careful consideration due to osteoradionecrosis risk.

Observation:

  • A partially calcified distobuccal canal in tooth #3 was not locatable with conventional methods, including a dental operating microscope and cone-beam computed tomography.
  • A dynamic navigation system (X-Guide) was employed to precisely locate the calcified canal.

Findings:

  • The dynamic navigation system facilitated the successful identification and access of the previously unlocatable calcified root canal.
  • Standard endodontic procedures, including instrumentation, irrigation, and obturation, were successfully completed after canal location.

Implications:

  • Dynamic navigation systems offer a valuable solution for complex endodontic cases involving calcified canals.
  • This technology enhances treatment predictability and success rates in challenging endodontic scenarios.