GUIDED ENDODONTICS IN THE TREATMENT OF CALCIFIED ROOT CANALS: A LITERATURE REVIEW

Jader Oliva JORGE, Rafaela Regina LIMA, Kelly Oliva JORGE

Resumo


This study was developed through a literature review aiming to discuss the use of guided endodontics in calcified canals. Articles were retrieved from the databases Portal Capes, Medline, Lilacs, Embase, ISI, and PubMed between September 2019 and March 2020. In cases of pulp calcification, preparing an adequate access cavity and locating the canal orifice represents a clinical challenge and may lead to unnecessary loss of tooth structure. Furthermore, it often impairs instrumentation and the internal penetration of irrigating solutions into the root canal, hindering proper disinfection. A proposed technique for the treatment of calcified canals is guided endodontics, which uses a preplanned guide to direct drills along a specific path. Existing approaches to designing endodontic guides are based on visual analysis and cone-beam computed tomography (CBCT) scans of the teeth. It can be concluded that the guided endodontic technique is predictable, effective, and feasible for the treatment of teeth with pulp calcification. It represents a safe technological innovation for working in straight portions of root canals, reducing treatment time, radiation exposure, and the risk of iatrogenic damage.

Keywords: Guided endodontics. Calcification. Cone-beam computed tomography.


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Referências


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