Access to original canal trajectory after deviation and perforation with guided endodontic assistance

Autor: Vinícius de Carvalho Machado, Camila de Freitas M. Barbosa, Sônia T de O. Lara-Mendes, Bruna de Athayde Casadei, Caroline Christine Santa-Rosa, Cristina Almeida de Freitas, Christiane Valente Araújo
Rok vydání: 2019
Předmět:
Zdroj: Australian Endodontic Journal. 46:101-106
ISSN: 1747-4477
1329-1947
Popis: Procedural accidents are eventualities that may occur during endodontic treatment because of lack of attention to detail or even unforeseeable situations. Knowledge of the root canal anatomy and its variations is a prerequisite for successful endodontic treatment. This case report describes an endodontic treatment where there was an intercurrence, generating deviation and perforation, which was solved with the aid of guided endodontics. A 37 years old, ASA1, was referred to the clinic for localisation and treatment of a calcified canal of the second right upper premolar. The tomographic images revealed the presence of only one canal and deviation with apical perforation. With the help of CBCT and CAD/CAM, it was possible to perform the guided access technique even after deviation and root perforation. Once again, this technique proved to be safe and predictable, allowing for a favourable prognosis in the long term.
Databáze: OpenAIRE