Abstract:
:The aim of this study was to describe a guided endodontic technique that facilitates access to root canals of molars presenting with pulp calcifications. A 61-year-old woman presented to our service with pain in the upper left molar region. The second and third left molars showed signs of apical periodontitis confirmed by the cone-beam computed tomographic (CBCT) scans brought to us by the patient at the initial appointment. Conventional endodontic treatment was discontinued given the difficulty in locating the root canals. Intraoral scanning and the CBCT scans were used to plan the access to the calcified canals by means of implant planning software. Guides were fabricated through rapid prototyping and allowed for the correct orientation of a cylindrical drill used to provide access through the calcifications. Second to that, the root canals were prepared with reciprocating endodontic instruments and rested for 2 weeks with intracanal medication. Subsequently, canals were packed with gutta-percha cones using the hydraulic compression technique. Permanent restorations of the access cavities were performed. By comparing the tomographic images, the authors observed a drastic reduction of the periapical lesions as well as the absence of pain symptoms after 3 months. This condition was maintained at the 1-year follow-up. The guided endodontic technique in maxillary molars was shown to be a fast, safe, and predictable therapy and can be regarded as an excellent option for the location of calcified root canals, avoiding failures in complex cases.
journal_name
J Endodjournal_title
Journal of endodonticsauthors
Lara-Mendes STO,Barbosa CFM,Santa-Rosa CC,Machado VCdoi
10.1016/j.joen.2018.02.009subject
Has Abstractpub_date
2018-05-01 00:00:00pages
875-879issue
5eissn
0099-2399issn
1878-3554pii
S0099-2399(18)30088-8journal_volume
44pub_type
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更新日期:2018-01-01 00:00:00
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更新日期:2009-09-01 00:00:00
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更新日期:1992-05-01 00:00:00
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更新日期:2017-11-01 00:00:00
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更新日期:2000-12-01 00:00:00
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更新日期:2013-05-01 00:00:00
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更新日期:2006-09-01 00:00:00
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更新日期:2007-03-01 00:00:00
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更新日期:2011-04-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2001-09-01 00:00:00