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Guided Endodontic Management of Orthodontic-Induced Canal Calcification Using Static Guide: A Case Report
Ihtisam Alam1, Aravind R Kudva1, S Vidhyadhara Shetty1
1Department of Conservative Dentistry and Endodontics, Yenepoya (Deemed to Be University) Dental College, Mangaluru, Karnataka, India.
Case Reports in Dentistry
|August 14, 2026
Summary
Orthodontic treatment can cause tooth canal obliteration. Guided endodontics using static guides offers a less complex solution, preserving tooth structure and minimizing patient discomfort.
Area of Science:
- Dentistry
- Endodontics
- Orthodontics
Background:
- Orthodontic treatment can lead to pulpal calcific changes like pulp stones and canal obliteration.
- These changes can complicate endodontic treatment and affect tooth structure.
Purpose of the Study:
- To demonstrate the successful management of orthodontic-induced canal obliteration using guided endodontics.
- To evaluate the efficacy of static guide navigation in preserving pericervical dentin.
Main Methods:
- A case report detailing the endodontic treatment of a maxillary central incisor with a completely obliterated canal.
- Utilized a static guide navigation system for precise access and treatment.
- Completed treatment in two visits with minimal patient discomfort.
Main Results:
- Successful management of a completely obliterated root canal using a static guide.
- Preservation of pericervical dentin was achieved.
- Treatment was completed efficiently with minimal patient discomfort.
Conclusions:
- Static guide navigation systems are effective for treating orthodontic-induced canal obliteration.
- This method aids in preserving critical tooth structures.
- Guided endodontics offers a less time-consuming and more comfortable treatment option.
