Hassan T Shawli*

Department of Restorative Dental Science, Faculty of Dentistry, Taif University, Taif, Saudi Arabia

*Corresponding Author: Hassan T Shawli, Department of Restorative Dental Science, Faculty of Dentistry, Taif University, Taif, Saudi Arabia.

Received: April 06, 2026; Published: April 15, 2026

Pulp canal obliteration (PCO) is a recognized sequela of traumatic dental injury and may complicate endodontic treatment by making canal location difficult and increasing the risk of excessive dentin removal and iatrogenic errors. Guided endodontics has been recognized as a conservative and predictable approach for managing such cases. This report describes the use of static guided endodontics for the treatment of an obliterated maxillary right central incisor. A 25-year-old female presented with pain on biting associated with maxillary right central incisor and reported a history of dental trauma. Clinical examination showed crown discoloration, a facial crack line, tenderness to percussion, negative palpation, and no cold or electric pulp testing response. Cone- beam computed tomography (CBCT) demonstrated complete canal obliteration with no visible canal lumen and no periradicular lesion. A diagnosis of pulp necrosis with symptomatic apical periodontitis was established. A static guided endodontic approach was planned by merging CBCT data with an intraoral scan in Blue Sky Plan software. A sleeveless guide was fabricated, and guided access was performed using a Munce bur to a planned depth of 15 mm. Canal negotiation, working length determination, chemomechanical preparation, and obturation were completed successfully. At the 1-month follow-up, the patient showed complete pain resolution, and clinical and radiographic findings were stable. Static-guided endodontics enabled safe, conservative management of a severely obliterated central incisor and may reduce the risk of clinical errors in similar cases.

Keywords: Guided Endodontics; Static Guided Endodontics; Pulp Canal Obliteration; Calcific Metamorphosis; Maxillary Central Incisor; Cone-Beam Computed Tomography; Traumatic Dental Injury; Case Report

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Citation

Citation: Hassan T Shawli. “Guided Root Canal Treatment of an Obliterated Maxillary Central Incisor: A Case Report". Acta Scientific Dental Sciences 10.5 (2026): 18-23.

Copyright

Copyright: © 2026 Hassan T Shawli. 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.