Guided endodontics on calcified canals using computed tomography
Keywords:
Guided endodontics, canal calcification, computed tomography, root canal treatment, conventional endodontics.Abstract
Introduction: Guided endodontics, despite being an expensive treatment due to the novel technology used for its implementation, has encouraging results as a treatment, so it is imperative to inquire about previous results.
Objective: To synthesize scientific evidence to characterize scientific production on guided endodontics on calcified canals using computed tomography.
Material and Methods: A systematic review of scientific articles related to guided endodontics on calcified canals using computed tomography was carried out. The information sources consulted were: The PudMed, Science Direct, Europe PMC databases, as well as the academic search engine Google Scholar. The following descriptors were determined: “Guided endodontics”, “duct calcification”, “computed tomography”, as well as the key words or phrases root canal treatment and conventional endodontics.
Results: A total of 61 articles investigated in the review of this work were reported, of which 47 correspond to clinical cases in which a success rate of 96% of the total cases was verified without any complications. The PubMed database and publications in quartile 1 were the most frequent. The application areas with the highest ACC were Guided Endodontics with 29 articles, with an ACC of 12.58 on average and calcification with 15 articles with an average ACC of 10.78.
Conclusions: Most of the studies included in this research show positive results on the use of guided endodontics on calcified canals using computed tomography, which brings important advantages for the patient and orthodontists over the conventional endodontic technique.
Downloads
References
1. Asamblea de las Naciones Unidas. La Declaración Universal de los Derechos Humanos. New York, NY, USA; 1948 p. 14-25. Disponible en: https://www.un.org/es/about-us/universal-declaration-of-human-rights
2. Organización Mundial de la Salud. Promoción de la salud en un mundo globalizado: informe de la Secretaría [Internet]. Organización Mundial de la Salud; 2006. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/24441/A59_21-sp.pdf
3. Granada Bruges EC, Olaya Mahecha VS. Estrategias de enseñanza odontología digital en el currículum de pregrado. Revisión temática. Fase 2. UNIVERSIDAD EL BOSQUE. 2021.
4. Bucay Ati LK, Gavilanez Ledesma JF, León Calle PA, Cobos Parra DM. Identificación digital y tecnología de la endodoncia guiada. Recimundo [Internet], 2023; [Consultado: 15/01/2024],7(2).107-116. Disponible en: https://recimundo.com/index.php/es/article/view/2030
5. Casadei B de A, Lara-Mendes ST d. O, Barbosa C de FM, Araújo CV, de Freitas CA, Machado VC, et al. Access to original canal trajectory after deviation and perforation with guided endodontic assistance. Aust Endod J. 2019;(5):1–6.
6. Fernández Caiño KA, Espinoza Vásquez XE. Endodoncia guiada como alternativa para el manejo de dientes con conductos radiculares calcificados: Una revisión integrativa de la literatura. Research, Society and Development. 2021 [Internet] 10(9) e11010918039. Disponible en: http://dx.doi.org/10.33448/rsd-v10i9.18039
7. Mendes SL, Barbosa C de F, Machado V, Santa-Rosa C. Guided endodontics as an alternative for the treatment of severely calcified root canals. 2019;45(1):15–20.
8. Hernández-Vigueras S, Rosas MC, Aravena CP, Barría RE, Maldonado UJ. Endodoncia guiada estática, una opción para obliteración del canal pulpar. Serie de casos. Int. J. Morphol. 2022. [Internet],40(6):1504-1510. Disponible en:
9. Lara-Mendes ST, Camila de Freitas MB, Machado VC, Santa-Rosa CC. A new approach for minimally invasive access to severely calcified anterior teeth using the guided endodontics technique. Journal of endodontics. 2018 [Internet]44(10), 1578-1582.
10. Maia LM, de Carvalho Machado V, da Silva NRFA, Júnior MB, da Silveira RR, Júnior GM, Sobrinho APR. Case reports in maxillary posterior teeth by guided endodontic access. Journal of endodontics. 2019 [Internet] 45(2), 214-218.
11. Delfanti RL, Piccioni DE, Handwerker J, Bahrami N, Krishnan AP, Karunamuni R, et al. Prevalencia de las calcificaciones pulpares en incisivos centrales superiores. N Engl J Med. 2018;372(2):2499–508.
12. Vallejo Lara SV, Mazón Baldeón GM, Vallejo Lara JS, Badillo Conde BC, Caguana Yánez LR. Endodoncia guiada sobre conductos calcificados utilizando tomografía computarizada. Zenodo; 2024.
13. Camargo B, Navaes T, Alvarez AL, Consolaro A. Estudio electronmicroscópico de escaneado de la hipercementosis. J Appl Oral Sci. 2008;16(6):380–4.
14. Chong BS, Dhesi FM, Makdissi J. ENDODONCIA: Navegación dinámica asistida por ordenador : un método novedoso para la endodoncia guiada. J Endod. 2019;50(3):196–202.
15. Del Pozo J, Quiroga MI, Quiroga R. Endodoncia guiada : Un nuevo enfoque de tratamiento para dientes con canales parcialmente calcificados. Canal Abierto Rev Científica. 2020;22–6.
16. Buchgreitz J, Buchgreitz M, Bjørndal L, Mortensen D. Preparación de la cavidad de acceso guiada mediante tomografía computarizada de haz iconico y escaneos de superficies ópticas: un estudio ex vivo. Int Endod J. 2015;1–6.
17. Connert T, Zehnder MS, Amato M, Weiger R, Kühl S, Krastl G. Microguided Endodontics: a method to achieve minimally invasive access cavity preparation and root canal location in mandibular incisors using a novel computer-guided technique. Int Endod J. 2018;51(2):247–55.
18. Dudeja PG, Dudeja KK, Garg A, Srivastava D, Grover S. Management of a Previously Treated, Calcified, and Dilacerated Maxillary Lateral Incisor: A Combined Nonsurgical/Surgical Approach Assisted by Cone-beam Computed Tomography. J Endod [Internet]. 2016;42(6):984–8. Available from: http://dx.doi.org/10.1016/j.joen.2016.03.020
19. Noffke C, Raubenheimer E, Chabikuli N. Radiopacities in soft tissue on dental radiographs: Diagnostic considerations. South African Dent J. 2015;70(2):53–7.
20. Tavares WLF, Ferreira MVL, de Carvalho Machado V, Braga T, Amaral RR, Cohen S. Antimicrobial photodynamic therapy and guided endodontics: A case report. Photodiagnosis Photodyn Ther. 2020;31.
21. Mena- Alvarez J, Lobo-Galindo AB, Rico- Romano C, Zubizarreta- Macho Á. Tratamiento endodóntico de dens evaginatus mediante la realización de una cavidad de acceso guiada con férula. Wiley Period. 2017;1–7.
22. Krug R, Thomas C, Reich S, Kühl S, Weiger R, Krastl G. Guided Endodontics: Therapy of obliterated root canals for apical periodontitis. Dent Trauma. 2018;27(3):239–245.
23. Bueno MR, Estrela C, Azevedo BC, Cintra Junqueira JL. Root Canal Shape of Human Permanent Teeth Determined by New Cone-Beam Computed Tomographic Software. J Endod. 2020;46(11):1662–74.
24. Hawkins TK, Waelleans JA, Pratt AM, Ray J. Directed Endodontic Microsurgery and Endodontic Microsurgery: A Surgical Simulation Comparison. Int Endod J. 2020;715–722.
25. Perez C, Finelle G, Couvrechel C. Optimisation of a guided endodontics protocol for removal of fibre-reinforced posts. Aust Endod J. 2020;46(1):107–114.
26. Ye S, Zhao S, Wang W, Jiang Q, Yang X. Un método novedoso de microcirugía periapical con la ayuda de tecnología 3D : reporte de un caso. BMC Oral Health. 2018;18(85):2–7.
Download PDF
