Limitations and Management of Static-guided Endodontics Failure
Fonseca Tavares, Warley Luciano, de Oliveira Murta Pedrosa, Natália, Moreira, Raphael Alves, Braga, Tiago, de Carvalho Machado, Vinícius, Ribeiro Sobrinho, Antônio Paulino, and Rodrigues Amaral, Rodrigo (2022) Limitations and Management of Static-guided Endodontics Failure. Journal of Endodontics, 48 (2). pp. 273-279.
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Abstract
Endodontic treatment in severely calcified canals is always a challenging task because it can result in accidents such as deviations or perforations. Recently, guided endodontics has become an alternative approach for pulp canal calcification, facilitating the location of root canals more predictably through the combined use of cone-beam computed tomographic imaging, oral scanning, and endodontic access guides. Although several reports have shown that guided endodontics is safer, faster and can be performed without an operating microscope and by less experienced operators, the technique has limitations, and iatrogenesis may occur. This article describes the limitations of static-guided endodontics and possible causes of failures. In the present case, not fixing the guide to the bone and inaccuracies generated by manually performing mesh merger software led to root perforation. Endodontic microsurgery was effective in resolving this case and should be considered the treatment of choice when guided endodontics cannot be used safely or when it fails.
Item ID: | 76135 |
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Item Type: | Article (Research - C1) |
ISSN: | 1878-3554 |
Keywords: | Dental trauma, endodontic microsurgery, endodontics, guided endodontics, pulp canal obliteration |
Copyright Information: | Copyright © 2021 American Association of Endodontists. |
Date Deposited: | 23 May 2023 01:40 |
FoR Codes: | 32 BIOMEDICAL AND CLINICAL SCIENCES > 3203 Dentistry > 320302 Dental materials and equipment @ 50% 32 BIOMEDICAL AND CLINICAL SCIENCES > 3203 Dentistry > 320304 Endodontics @ 50% |
SEO Codes: | 20 HEALTH > 2001 Clinical health > 200199 Clinical health not elsewhere classified @ 100% |
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