Guided Endodontics in Calcified Root Canals
DOI:
https://doi.org/10.12974/2311-8695.2022.10.04Keywords:
Calcified canal, Endodontic guide, Endodontic access, Endoguide, Endodontic complications, Guided surgery, Minimally invasive trepanation, Pulp obliteration, Endodontic planningAbstract
Introduction: Endoguide is a device that has significantly aids the treatment of calcified root canals. This device involves modern technologies as 3D printing and computed tomography, which increase the accuracy of dental work. Guided endodontics has currently been emphasized because it facilitates more complex endodontic treatments, such as partial or total obliteration of the root canals precluding the conventional endodontic treatment. This method has demonstrated high percentages of safety for both patient and dentist. It is a fast endodontic access system that prevents perforations, unnecessary removal of dentin and tooth structure. This treatment method is more effective than conventional methods for locating calcified root canals due to its accuracy, speed of time and precision of direction.
Objective: To review the current literature on Endoguide in calcified root canals, analyze its practice, advantages, disadvantages, indications and limitations.
Material and Methods: The study was conducted on 20 papers in Portuguese and English from the year 2016 to April 2022, and a classic article from year 1995, searched in the databases PubMed, Google Scholar and Bireme. The following keywords were used: Calcified canal, Guided endodontics, Endodontic access, Endoguide.
Results: This technique showed greater predictability in calcified canals, reducing the risk of perforations and allowing faster and more efficient access, with many advantages, except for its high cost.
Conclusion: Based on this literature review, it can be suggested that the Endoguide technique in calcified canals provides great benefits to both dentist and patient, such as reduction of clinical time, agility and confidence in treatment, reduced risk of accidents and complications such as perforations and unnecessary dentin removal.
References
AAE- American Association of Endodontics. AAE glossary 2016. Disponível em: https://www.academia.edu/4255164/AAE_Guide_to_Clinical_ Endodontics_5th_editioe Acesso 29 set. 2021.
Anderson J, Wealleans J, Ray J. Endodontic applications of 3D printing. Int Endod Journal 2018; 51(9): 1005. ACESSO em set, 2021. https://doi.org/10.1111/iej.12917
Buchgreitz J, Buchgreitz M, Mortensen D, Bjørndal L. Guided access cavity preparation using cone-beam computed tomography and optical surface scans - an ex vivo study, Int Endod J 2016; 49(8): 790. https://doi.org/10.1111/iej.12516
Chaves HGS, Assis ST, Macedo IFA et al. O uso da endodontia guiada para remoção de pino de fibra de vidro: relato de caso clínico. Research, Society and Development. 2022; 11(5): e39411528418. https://doi.org/10.33448/rsd-v11i5.28418
Connert T, Krug R, Eggmann F. et al. Guided Endodontics versus Conventional Access Cavity Preparation: A Comparative Study on Substance Loss Using 3-dimensional- printed Teeth. J Endod; 45(3): 327-31. https://doi.org/10.1016/j.joen.2018.11.006
Connert T, Zehnder MS, Amato M et al. Mi Croguided Endodontics: a method to achieve minimally invasive access cavity prepara-tion and root canal location in mandibular incisors using a novel computer-guided tech-nique. Int Endod J 2018; 51(2): 247-255. https://doi.org/10.1111/iej.12809
Connert T, Zehnder MS, Weiger R, Kuhl S, Krastl G. Microguided endodontics: accuracy of a miniaturized technique for apically extended access cavity preparation in anterior teeth. Int Endod J 2017; 50(5): 787-90. https://doi.org/10.1016/j.joen.2016.12.016
Debabeche D. Em que casos pode estar indicado a utilização da endodontia guiada? Dissertação de mestrado (Mestrado Integrado em Medicina Dentária), Instituto Universitário Egas Moniz, Almada, Portugal, fev., 2020, 71p.
Krastl G, Zehnder MS, Connert T, Weiger R, Kühl S. Guided Endodontics: A novel treatment approach for teeth with pulp canal calcification and apical pathology. Dent Traumatol 2022; 32(3): 240-46. https://doi.org/10.1111/edt.12235
Lara-Mendes STO, Barbosa CFM, Machado VC.et al. Guided endodontics as an alternative for the treatment of severely calcified root canals. Dental Press Endod 219; 9(1): 15-20 https://docs.bvsalud. org/biblioref/2019/10/1022687/lara-mendes.pdf. https://doi.org/10.14436/2358-2545.9.1.015-020.oar
Lara-Mendes STO, Barbosa CFM, Machado VC et al. A new approach for minimally invasive access to severely calcified anterior teeth using the guided endodontics technique. Journal of Endod 2018; 44(10): 1578-1582. https://doi.org/10.1016/j.joen.2018.07.006
Lara-Mendes STO, Barbosa CFM, Santa-Rosa CC, Machado VC. Guided Endodontic Access in Maxillary Molars Using Cone-beam Computed Tomography and Computer-aided Design/Computer-aided Manufacturing System: A Case Report. Journal of Endodontics 2022; 44(5): 875-79. https://doi.org/10.1016/j.joen.2018.02.009
Maia LM, Carvalho Machado, V, DA Silva NRFA et al. Case Reports in Maxillary Posterior Teeth by Guided Endodontic Access. J of Endod 2019; 45(2): 214-18. https://doi.org/10.1016/j.joen.2018.11.008
Miranda J et al. Tomografia computadorizada em endodontia: revisão de literatura. Rev. Eletrônica Acervo Saúde / Electronic Journal Collection Health 2022; sup (50): 1-8.
Ramalho CLG et al. O uso do endoguide no planejamento e tratamento de dentes permanentes calcificados. Brazilian Journal of Health Review 2021; 4(3): 12835-12852. https://doi.org/10.34119/bjhrv4n3-244
Ribeiro, FHB et al. Aspectos atuais da Endodontia guiada. HU Rev Minas Gerais 2022; 46: 1-7. https://doi.org/10.34019/1982-8047.2020.v46.29153
Stewart GG. Gaining access to calcified canals. Oral Surg Oral Med Oral Pathol 2021; 79(6): 764-768. https://doi.org/10.1016/S1079-2104(05)80314-2
Tavares WLF, Diniz Viana AC, Carvalho Machado V et al. Guided Endodontic Access of Calcified Anterior Teeth. J of endod 2018; 44(7): 1195-1199. https://doi.org/10.1016/j.joen.2018.04.014
Todd R, Resnick S, Zicarelli T et al. Template-guided endodontic access, JADA 2021; 152(1): 65-70. https://doi.org/10.1016/j.adaj.2020.07.025
Torres A, Shaheen E, Lambrechts P et al. Microguided endodontics: A case report of a maxilary lateral incisor with pulp canal obliteration and apical periodontitis. Int Endod J 2019; 52(4): 540-549. https://doi.org/10.1111/iej.13031
Zehnder MS, Connert T, Weiger R et al. Guided endodon- tics: accuracy of a novel method for guided access cavity preparation and root canal lo-cation. Int Endod J 2015; 49(10): 966-72. https://doi.org/10.1111/iej.12544