Effective Management of Calcified Root Canals Using Static-guided Access: A Case Series

Area of Science:

• Dentistry
• Endodontics
• Surgical Technology

Background:

• Root canal calcification presents significant challenges in endodontic treatment, often complicating canal access and negotiation.
• Treatment failure can result from the inability to effectively manage calcified root canals.

Purpose of the Study:

• To evaluate the efficacy and safety of static-guided endodontics in treating calcified root canals.
• To demonstrate a conservative approach for locating and accessing obliterated root canals.

Main Methods:

• Eleven cases of calcified root canals were treated using static-guided endodontics, employing 3D printed templates based on CBCT and intraoral scans.
• Virtual planning, template fabrication, guided low-speed drilling, and canal negotiation with K-files and Wave One Gold system were utilized.

Main Results:

• Static-guided endodontics successfully enabled canal location in all treated cases of calcified root canals.
• The procedure allowed for a conservative access approach without accidents, effectively navigating obliterated pulp spaces.
• Key benefits included reduced working time and minimized removal of tooth structure.

Conclusions:

• Static-guided endodontics is a safe and accurate method for accessing calcified root canals.
• This technique minimizes the risk of iatrogenic damage and improves treatment efficiency in challenging endodontic cases.