Limitations and Management of Static-Guided Endodontics Failure

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Fonseca Tavares, Warley Luciano
de Oliveira Murta Pedrosa, Natália
Moreira, Raphael Alves
Braga, Tiago
de Carvalho Machado, Vinícius
Ribeiro Sobrinho, Antônio Paulino
Amaral, Rodrigo Rodrigues
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2021
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https://creativecommons.org/licenses/by-nc-nd/4.0/
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 tomography, 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 where guided endodontics cannot be employed safely or when it fails.

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Journal of Endodontics
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© 2021 American Association of Endodontists. Published by Elsevier Ltd. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
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Subject
Dentistry
Dental trauma
endodontic microsurgery
endodontics
guided endodontics
pulp canal obliteration
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Fonseca Tavares, WL; de Oliveira Murta Pedrosa, N; Moreira, RA; Braga, T; de Carvalho Machado, V; Ribeiro Sobrinho, AP; Amaral, RR, Limitations and Management of Static-Guided Endodontics Failure, Journal of Endodontics, 2021
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