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Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities

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Published on: May 24, 2022

Precision in endodontic therapy by novel-guided approach.

Md Shabnam¹, Sujatha Irodi¹, K B Jayalakshmi¹

¹Department of Conservative Dentistry and Endodontics, Krishnadevaraya College of Dental Sciences and Hospital, Bengaluru, Karnataka, India.

Journal of Conservative Dentistry and Endodontics

|November 25, 2024

Summary

A novel sleeveless 3D-printed guide effectively treats pulp canal obliteration (PCO) in limited vertical spaces. This minimally invasive technique enhances visibility and irrigation during endodontic access.

Keywords:

Cone-beam computed tomography dental pulp calcification guided endodontics periapical periodontitis root canal therapy three-dimensional printing

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Area of Science:

Endodontics
Dental Technology
3D Printing in Dentistry

Background:

Pulp canal obliteration (PCO) presents treatment challenges, especially with limited vertical space.
Conventional guided endodontics may require long burs and guides, complicating access in narrow anatomical situations.

Observation:

A case report details a 22-year-old male patient with symptomatic apical periodontitis and pulp necrosis in tooth #21.
The patient presented with limited vertical space, posing difficulties for standard endodontic access procedures.

Findings:

A sleeveless, three-dimensional (3D)-printed guide was utilized with a long neck carbide bur.
This innovative approach enabled a minimally invasive access cavity preparation directly to the root canal, overcoming vertical space limitations.

Implications:

The sleeveless 3D-printed guide offers a viable alternative for guided endodontics in challenging PCO cases.
This technique improves surgical precision, visibility, and irrigation, potentially enhancing treatment outcomes for PCO.