Alessandra Rosa de Sá1, José Flávio Gabrich Giovannini1, Henrique Trindade de Magalhães1, Victor Couto Figueiredo2, Tiago Braga3 and Rodrigo Rodrigues Amaral*2,3
1Department of Dentistry, Centro Universitário Newton Paiva, Faculdade de Odontologia,
Belo Horizonte, Minas Gerais, Brazil
2Department of Dentistry, Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
3School of Dentistry and Oral Health Griffith University, Gold Coast, Queensland, Australia
*Corresponding Author: Rodrigo Rodrigues Amaral, School of Dentistry and Oral Health, Griffith University, Gold Coast Campus, Queensland, Australia.
Received: June 29, 2020; Published: July 28, 2020
Pulp canal obliteration (PCO) is characterized by the deposition of calcified tissue within the root canal space, which may partially or totally involve the canal. The endodontic treatment of calcified teeth is considered a challenging task depending on the severity of pulp calcification. Recently, guided endodontics has become an alternative approach for those cases. This case report describes the use of guided endodontic access for the maxillary left lateral incisor of a 73-year-old male patient that required restorative treatment. The tooth had an extensive coronary fracture and demanded endodontic treatment for prosthetic purposes. Periapical radiography showed that pulp calcification was severe at the cervical and middle thirds of the root. A cone beam computed tomography (CBCT) was requested in order to assess the level of calcification. A three-dimensional (3D) template was planned with the CBCT's images along with intraoral scanning. A prototyped guide for guided endodontic access was performed, and the dental procedures were concluded safely. Guided endodontic access was paramount to overcome the pulp calcification and ensured the endodontic treatment, and prosthetic rehabilitation could be performed.
Keywords: Contracted Access Cavity; Endodontics; Guided Endodontics; Pulp Canal Obliteration; Root Canal Treatment
Citation: Rodrigo Rodrigues Amaral., et al. “Contracted Endodontic Cavity in a Severely Calcified Anterior Tooth Using Guided Endodontics Technique: Case Report". Acta Scientific Dental Sciences 4.8 (2020): 104-108.
Copyright: © 2020 Rodrigo Rodrigues Amaral., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.