Management of Traumatized Teeth With Severely Calcified Canals and Minimally Invasive Access Cavity Using the...

Traumatic injuries to anterior teeth often lead to complications such as calcification and periapical lesions, which frequently necessitate root canal treatment. Traditional methods of preparing access cavities in these cases can compromise the tooth's structural integrity, impacting long-term outcomes. With the advancements in minimally invasive techniques, guided endodontics has emerged as a critical innovation in modern dentistry. This article introduces the AReneto® system, developed by Roots to Cusps® Private Limited, which integrates augmented reality (AR) into endodontic procedures, enabling clinicians to enhance precision and preserve tooth structure. A 24-year-old male presented to the Department of Conservative Dentistry and Endodontics with discolored upper front teeth, reporting a history of trauma four years earlier. Clinical and radiographic evaluation revealed canal calcification in tooth 21 and a periapical lesion in tooth 11. Both teeth were tender upon percussion, and the cold test elicited no response. Consequently, a diagnosis of pulpal necrosis with a periapical abscess was made for tooth 11, while tooth 21 was diagnosed with pulp canal obliteration and symptomatic apical periodontitis, necessitating root canal treatment for both teeth. Minimally invasive root canal treatment was performed using the AReneto® system for access opening. The canals were then cleaned, shaped, and subsequently obturated. The AReneto® system represents a significant advancement in guided endodontics, integrating the latest technologies to improve patient outcomes and enhance the long-term prognosis of treated teeth by assisting in performing minimally invasive access openings.