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Guided endodontics: The impact of new technologies on complex case solution
Marco Antônio Z Loureiro1, Julio A Silva1, Gustavo S Chaves1
1School of Dentistry, Federal University of Goiás, Goiânia, Brazil.
Summary
New diagnostic technologies successfully treated a complex endodontic case involving tooth perforation and calcification. Guided endodontics precisely located the root canal, leading to a satisfactory clinical outcome.
Area of Science:
- Endodontics
- Dental Diagnostics
- Biomaterials
Background:
- Complex endodontic cases present significant diagnostic and treatment challenges.
- Previous endodontic access failed to locate the root canal in a central incisor.
- The tooth exhibited lateral perforation, root canal calcification, and apical periodontitis.
Observation:
- A 44-year-old female patient presented with a discolored anterior tooth.
- Cone Beam Computed Tomography (CBCT) revealed excessive wear, mid-root perforation, and apical pulp canal obliteration.
- The patient reported prior unsuccessful endodontic treatments by two clinicians.
Findings:
- A novel treatment protocol was implemented, utilizing advanced diagnostic and planning technologies.
- Guided endodontics enabled precise localization of the calcified root canal.
- The root perforation was successfully managed with a biomaterial.
- The endodontic treatment, including calcium hydroxide medication and obturation, yielded satisfactory results at 6-month follow-up.
Implications:
- New technologies like CBCT and guided endodontics significantly improve the resolution of complex endodontic cases.
- Biomaterials offer effective solutions for managing root perforations.
- This case highlights the potential of integrated advanced technologies in achieving predictable endodontic outcomes.
