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CASE REPORT
Year : 2021  |  Volume : 11  |  Issue : 2  |  Page : 266-270

Microguided endodontics: A case report of conservative approach for the management of calcified maxillary lateral incisors


Department of Conservative Dentistry and Endodontics, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Gurveen Kaur
House No. 3113, Sector 35-D, Chandigarh - 160 022
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sej.sej_102_20

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Pulp canal calcification due to dental trauma is described by hard-tissue deposition within the root canal space causing partial or complete obliteration and difficulty in locating canals. Endodontic treatment becomes difficult with increased risk for iatrogenic damage. Guided endodontics is a recent and an alternative solution in such cases. In this case report, a 28-year-old male patient reported with a chief complaint of pain in maxillary lateral incisors and a history of dental trauma that was diagnosed as pulpal necrosis with symptomatic apical periodontitis. The intraoral radiograph was taken, and apical radiolucency was confirmed with cone-beam computed tomography (CBCT) scan. A guided approach was decided for the location of the pulp canal with the use of microendodontic burs. A CBCT scan and an optical surface scan were performed and aligned using software for virtual template designing. The three-dimensional-printed template was positioned on to the tooth and with the help of microendodontic burs; the canal was located and biomechanically prepared using hand instruments. The root canal was obturated, and the cavity was sealed with a composite resin. This method demonstrated an ultraconservative, highly reliable, and successful treatment without the excessive removal of enamel and dentin.


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