Limitations and Management of Static-guided Endodontics Failure

被引:27
作者
Fonseca Tavares, Warley Luciano [1 ]
Murta Pedrosa, Natalia de Oliveira [1 ]
Moreira, Raphael Alves [1 ]
Braga, Tiago [2 ]
Machado, Vinicius de Carvalho [1 ]
Ribeiro Sobrinho, Antonio Paulino [1 ]
Amaral, Rodrigo Rodrigues [2 ]
机构
[1] Univ Fed Minas Gerais, Fac Dent, Dept Restorat Dent, Belo Horizonte, MG, Brazil
[2] Griffith Univ, Sch Med & Dent, Gold Coast, Qld, Australia
关键词
Dental trauma; endodontic microsurgery; endodontics; guided endodontics; pulp canal obliteration;
D O I
10.1016/j.joen.2021.11.004
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
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.
引用
收藏
页码:273 / 279
页数:7
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