Microguided endodontics: Accuracy evaluation for access through intraroot fibre‐post

Perez, Cyril; Sayeh, Amira; Étienne, Olivier; Gros, C; Mark, A. Hindell; Couvrechel, Cauris; Meyer, Florent

doi:10.1111/aej.12524

Cited by 20 publications

(25 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The re-treatment of teeth that require fiberglass posts’ removal was the third most common treatment performed with GE [ 43 , 56 ]. The studies by Perez C et al [ 81 ] and Janabi A et al [ 30 ] cover this topic using SGE and DGE, respectively. The removal of fiberglass posts is mainly carried out after a previously failed treatment [ 81 ] and it can be performed with the help of ultrasound tips [ 89 ].…”

Section: Discussionmentioning

confidence: 99%

“…The studies by Perez C et al [ 81 ] and Janabi A et al [ 30 ] cover this topic using SGE and DGE, respectively. The removal of fiberglass posts is mainly carried out after a previously failed treatment [ 81 ] and it can be performed with the help of ultrasound tips [ 89 ]. Still, it involves a risk of the perforation of the tooth [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the study by Perez C et al [ 81 ], which was carried out with SGE, the apical gutta-percha could be accessed in 87.5% of the treated teeth, and those that could not be fully accessed were due to root curvature. Furthermore, this study is interesting because it simulates artifacts in the CBCT images, which makes access design and guidance difficult, as they are not as accurate.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Guided Endodontics: A Literature Review

Kulinkovych-Levchuk

Pecci-Lloret

Rodríguez‐Lozano

et al. 2022

IJERPH

View full text Add to dashboard Cite

The main objective of this paper is to perform an updated literature review of guided endodontics based on the available up-to-date scientific literature to identify and describe the technique, its benefits, and its limitations. Four electronic databases (PubMed, Scopus, Science Direct, and Web of Science) were used to perform a literature search from 1 January 2017 to 13 May 2022. After discarding duplicates, out of 1047 results, a total of 29 articles were eligible for review. Guided endodontics is a novel technique that is currently evolving. It is applied in multiple treatments, especially in accessing and locating root canals in teeth with pulp canal obliteration, microsurgical endodontics, and removing glass fiber posts in endodontic retreatments. In addition, it is independent of an operator’s experience, requires less treatment time for the patient, and is more accurate and safer than conventional endodontics.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Guided Endodontics: A Literature Review

Kulinkovych-Levchuk

Pecci-Lloret

Rodríguez‐Lozano

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…The main disadvantage of guided endodontics may be the additional cost of procedures and materials such as CBCT, 3D printers, and resin. The guided technique can also be used when removing fiberglass posts [ 25 , 27 , 28 ] or during the treatment of teeth with developmental anomalies, e.g., dens invaginatus [ 29 , 30 ] or dentin dysplasia [ 31 ]. In the four presented cases, all calcified root canals were properly treated using endodontic guides.…”

Section: Discussionmentioning

confidence: 99%

Guided Endodontics as a Personalized Tool for Complicated Clinical Cases

Dąbrowski

Puchalska²,

Ziemlewski³

et al. 2022

IJERPH

View full text Add to dashboard Cite

The aim of this paper is to present a technique to individualize root canal localization in teeth with calcified root canals using a digitally planned, 3D-printed endodontic guide. Root canal calcification is characterized by the apposition of tertiary dentin along the canal wall. The endodontic treatment of teeth with calcified canals is often challenging. However, digital dentistry meets these challenges. Merging CBCT images with an intraoral scan allows a clinician to prepare an endodontic guide. This article describes the clinical and digital workflow of the guided endodontic access approach in teeth with difficulties in terms of root canal localization due to post-traumatic pulp canal obliteration (PCO) and canal calcification in elderly patients. The path of entry into the root canal system was planned using cone-beam computed tomography (CBCT). The template was printed on a 3D printer using transparent resin. During root canal treatment (RCT), the endodontic tool was inserted through the sleeve until the desired location was reached. The use of an endodontic guide allowed for minimally invasive RCT, avoiding the excessive loss of tooth structures. Navigated endodontics enables clinicians to perform RCT in a more predictable manner and allows clinicians to avoid iatrogenic complications, which improves the treatment prognosis.

show abstract

“…In recent literature, cone beam computed tomography and 3D-printed guiding templates have enabled the location of calcified canals, facilitating endodontic treatment of those teeth and preserving hard tissue during access cavity preparation [32]. Equally, guided endodontics may be applied during endodontic retreatment as an efficient method to access a root canal through a fiber post [33]. Nevertheless, further studies are needed to validate clinical benefits.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of different fiber post removal techniques and their influence on dentinal microcrack formation

et al. 2021

View full text Add to dashboard Cite

Objectives The aim of this study was to evaluate the effectiveness of different fiber post removal techniques and to correlate dentinal loss with microcrack formation. Materials and methods Forty-five extracted single-rooted teeth were root canal treated and fiber posts were adhesively luted. Specimens were divided into three groups (n = 15) according to the removal technique: long-shaft round bur (EndoTracer #08, Komet, Lemgo, Germany), SonicFlex Endo (KaVo, Biberach, Germany), DT Post Removal Kit (VDW, Munich, Germany). Roots were scanned before post cementation and after post removal using micro-computed tomography. Dentin loss, residual luting material, working time, and the induction of microcracks were assessed. Statistical analysis was performed by using multiple contrast tests (max-t tests, α = 0.05). Correlations between parameters dentin loss/new microcracks and dentin loss/residual material were calculated using Kendall’s tau. Results Post removal with SonicFlex Endo resulted in the highest amount of removed dentin with significant differences to the round bur and the DT Post Removal Kit. No technique was found to completely remove the post and luting material. All techniques induced microcracks with the DT Post Removal Kit presenting the highest number of new defects. No correlation between dentin loss and new microcracks was observed. Deviations from the original root canal occurred in all groups, but no perforation was observed. Conclusions All techniques resulted in dentin loss, residual luting material, and the formation of microcracks. However, no correlation between dentin loss and the induction of microcracks was observed. Clinical relevance As all techniques resulted in microcrack formation and dentin loss, this study emphasizes the risk of iatrogenic damage due to post removal procedures.

show abstract

Microguided endodontics: Accuracy evaluation for access through intraroot fibre‐post

Cited by 20 publications

References 29 publications

Guided Endodontics: A Literature Review

Guided Endodontics: A Literature Review

Guided Endodontics as a Personalized Tool for Complicated Clinical Cases

Effectiveness of different fiber post removal techniques and their influence on dentinal microcrack formation

Contact Info

Product

Resources

About