Related Experiment Video
Updated: Sep 21, 2025
Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
Published on: May 24, 2022
Endodontic management of pulp canal obliteration using a new single-tooth template: A case series
Natanasabapathy Velmurugan1, Sathish Sundar1, Parashar Saumya-Rajesh1
1Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, Tamil Nadu, India.
Background:
Guided Endodontics is suggested as a reliable method for management of teeth with pulp canal obliteration (PCO). The guide used for this usually involves multiple teeth to gain stability but is bulky. It is therefore suboptimal to be used along with rubber dam.
Aim:
To describe the use of a minimized single-tooth guide template in three patients with radiographic evidence of PCO.
Design:
The template was designed and fabricated using the cone-beam computed tomography (CBCT) scan and a surface scan image of the involved teeth. In all three patients, the root canals were successfully negotiated within 15 minutes, with the template involving only the tooth in focus or with neighboring half of the teeth. The operator stabilized the template if required.
Conclusions:
This case series shows clinically that successful outcome can be obtained during guided endodontics with the use of a single-tooth template in previously traumatized anterior teeth with PCO.
