SP-7 Clinical Management of Calcified Canals with Static Guided Endodontics

CE Hours: 1.0

Description: Pulp canal obliteration is a significant risk factor for endodontic insufficiency, and the clinical treatment approach is challenging even for specialists. Accessing root canals that may be calcified can present complications in locating, penetrating, and negotiating pulp spaces. Efforts to reduce the risk of technical errors and treatment time using new technologies, such as intraoral scanners and their software and 3D printers, have resulted in the development of a therapeutic approach to locate calcified root canals: endodontic guides or guided endodontics. During the present lecture, it will be described the therapeutic approach used in a series of cases of endodontic pathology requiring endodontic treatment of root canals, with different degrees of pulp canal obliteration. In all cases, virtually planned guided endodontics allowed access to obliterated pulp spaces. Once the canals were negotiated, endodontic treatment could be performed adequately. The present results showed static guided endodontics to be a safe accurate treatment approach in these clinical cases and a valuable tool to negotiate calcified root canals, reducing working time, risk of excessive removal of tooth structure, and iatrogenic damage to the root.

Learning Objectives:  

• Evaluate different treatment options for clinical management of calcified canals.
• Describe the steps to carry out the guided endodontics procedure, in cases of obliterated canals.
• Perform static guided endodontics as a safe and predictable procedure to manage calcified canals.