Comparative evaluation between guided endodontics and conventional technique: A prospective clinical study

Calcified root canals challenge endodontic success through procedural errors, excessive dentin loss and treatment failure when managed conventionally. Therefore, it is of interest to compare guided endodontics versus freehand technique in 60 teeth (48 patients) with pulp canal obliteration (n=30/group). Guided endodontics achieved superior canal location (96.7% versus 73.3%), reduced negotiation time, minimized dentin removal and lowered procedural complications (perforation/ledge/instrument separation). Patient-reported outcomes favored guided endodontics at 1 week and 3 months, with less post-operative pain and higher satisfaction. This data helps to guide endodontics for precise, minimally invasive standard in treating calcified canals, thereby transforming the management of historically problematic cases.