Limitations and Management of Static-guided Endodontics Failure

Tavares, Warley Luciano Fonseca; Pedrosa, Natália de Oliveira Murta; Moreira, Raphael Alves; Braga, Tiago Pinheiro; Machado, Vinícius de Carvalho; Sobrinho, Antônio Paulino Ribeiro; Amaral, Rodrigo Rodrigues

doi:10.1016/j.joen.2021.11.004

Cited by 21 publications

(19 citation statements)

References 23 publications

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“…Limitations inherent to guided endodontics techniques include the time and skills necessary for design planning and printing and equipment cost [35]. Even though the processing of the guides can be delegated to supporting staff, it remains impractical in urgency and of little value in emergency cases and to experienced operators preparing traditional access cavities in normal teeth.…”

Section: Discussionmentioning

confidence: 99%

Three‐dimensional accuracy of endodontic access preparations using novel nonrestrictive static guides: A laboratory study

Elhakim,

Hwang,

Kim

et al. 2023

Aust Endodontic J

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This study compared the accuracy of traditional endodontic access to conservative access cavities prepared with or without novel nonrestrictive endodontic access guides by operators with different levels of clinical experience without visual aids, using a three‐dimensional volumetric accuracy analysis method. The accuracy of the preparations was analysed using a novel 3D volumetric analysis by calculating the intersection and volume of the actual cavities to the planned model cavities. The experienced operator significantly outperformed the inexperienced operator in the free hand groups, while accuracy of conservative access cavities prepared using the novel guides were comparable and significantly higher than the other groups (p < 0.05). The results demonstrated clinical experience enhanced endodontic preparations accuracy and that nonrestrictive guides achieve accurate conservative access cavities which are independent of the operator skill level. Additionally, the three‐dimensional volumetric analysis is a consistent and objective method to judge the accuracy of guided endodontic techniques.

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Section: Discussionmentioning

confidence: 99%

Three‐dimensional accuracy of endodontic access preparations using novel nonrestrictive static guides: A laboratory study

Elhakim,

Hwang,

Kim

et al. 2023

Aust Endodontic J

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“…Although some articles present promising results for the guided endodontics technique [22,23], it is possible that clinicians may encounter challenges and errors by using this technique [14]. There is one report of root perforation when performing guided endodontic access in a severely calcified root canal [3]. The use of this technique is not recommended in patients with limited mouth opening [3], but a sleeveless guide system was described that can be used in these patients [24].…”

Section: Discussionmentioning

confidence: 99%

“…The process of bonding fiber posts inside the root canal involves the use of adhesives like composite resins or glass ionomers, which are known for being challenging to remove [2]. Root canal retreatment in such complex endodontic cases can lead to deviation from the original anatomy of the root canal, perforation, and even irreparable errors [3]. Currently, guided endodontics has become popular for the treatment of calcified root canals [4], dental anomalies such as dens invagination [5,6], the removal of root canal barriers like glass fiber posts [7] and mineral trioxide aggregate [8], and microsurgical endodontic procedures [9,10].…”

Section: Introductionmentioning

confidence: 99%

Application of an Endodontic Static Guide in Fiber Post Removal from a Compromised Tooth

Farajollahi,

Dianat,

Gholami

et al. 2023

Case Reports in Dentistry

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Removing a fiber post from a root canal that requires endodontic retreatment is often very challenging. Conventional freehand techniques for removing fiber posts are time-consuming, sometimes result in iatrogenic errors, and heavily rely on the practitioner’s experience. The endodontic static guide can be an alternative method. While the use of an endodontic 3D-printed static guide for fiber post removal has been reported as highly successful, it can also cause complications. Skipping any critical steps during the guide construction or its clinical application can lead to errors. This case report presents the saving of a compromised tooth with a fractured fiber post and a periapical lesion around the apex through the use of an endodontic static guide for fiber post removal. This study describes possible sources of error that may happen during construction and clinical use of the guide.

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“…If preparation of the access cavity using GE leads to a perforation of the root, subsequent apicoectomy can still enable tooth preservation, as shown in a recent case report (Fonseca Tavares et al, 2021 ).…”

Section: Present Status Of Static/template Guided Endodonticsmentioning

confidence: 92%

Present status and future directions – Guided endodontics

2022

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Luxation injuries and other stimuli may lead to a pulp canal obliteration (PCO).Even though the apposition of tertiary dentine is a sign of a vital pulp, in some cases root canal treatment is indicated in the long term due to apical periodontitis or pulpitis. Depending on the extent of PCO, root canal treatment may be challenging even for experienced and well-equipped endodontic specialists. The 'guided endodontics' (GE) technique was introduced 6 years ago as an alternative to conventional access cavity preparation for teeth with PCO and apical pathosis or irreversible pulpitis.Using three-dimensional radiological imaging such as cone-beam computed tomography and a digital surface scan, an optimal access to the orifice of the calcified root canal can be planned virtually with appropriate software. GE is

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Limitations and Management of Static-guided Endodontics Failure

Cited by 21 publications

References 23 publications

Three‐dimensional accuracy of endodontic access preparations using novel nonrestrictive static guides: A laboratory study

Three‐dimensional accuracy of endodontic access preparations using novel nonrestrictive static guides: A laboratory study

Application of an Endodontic Static Guide in Fiber Post Removal from a Compromised Tooth

Present status and future directions – Guided endodontics

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