Técnica endoguide no tratamento de dentes com calcificação radicular: relato de caso

Abstract

Guided Endodontics or Endoguide emerged with the aim of performing an endodontic treatment of teeth with pulp calcification, which arises as a result of the deposition of calcified tissue in the root cavity, along its walls and can occur in the pulp, with a degree of total or partial obliteration, localized or generalized. It usually has no symptoms. Through Cone Beam Computed Tomography exams and intraoral scanning together with the use of specialized software, a three-dimensional endodontic guide is printed. This technique allows, by means of acrylic guides fixed in the mouth, a drill for cavity access to be guided inside the canal, preventing possible deviations, perforations and unnecessary removal of dentin, ensuring quality access. Endodontic access guides allow high precision for treatments of teeth with extremely calcified canals, because through the technique it is possible to resolve cases in less time, with greater predictability, efficiency and safety, allowing conservation of the dental structure. Guided endodontics also has limitations, such as the need for high-tech equipment to manufacture acrylic guides, which can increase the cost of treatment. This work aims to present a clinical case about a minimally invasive access of a dental element that presents a calcified canal, in a safe way and with a favorable prognosis, through the Endoguide technique.