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Clinical Case Reports
Article . 2024 . Peer-reviewed
License: CC BY
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PubMed Central
Article . 2024
License: CC BY
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Clinical Case Reports
Article . 2024
Data sources: DOAJ
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Innovative Endodontic Management of Pulp Canal Obliteration in Mandibular Incisors Using a Static Navigation System: A Case Report

Authors: Reza MahjourianQomi; Mohsen Aminsobhani; Hadi Assadian; Seyed Taha Adnaninia;

Innovative Endodontic Management of Pulp Canal Obliteration in Mandibular Incisors Using a Static Navigation System: A Case Report

Abstract

ABSTRACT The present case report aims to describe the successful management of pulp canal obliteration (PCO) in mandibular incisors using static‐guided endodontics. A healthy 74‐year‐old man was referred by a prosthodontist for root canal treatment on teeth #31, #32, and #41. Periapical radiographs revealed the presence of periapical lesions as well as PCOs in teeth #31 and #41. After cone‐beam computed tomography (CBCT) evaluation, guided endodontics was selected as the treatment approach. The intraoral scan of the lower jaw and CBCT datasets were aligned and processed through image processing software to design and create a 3D‐printed guide. A virtual drill was superimposed on the scans to ensure proper access to the identified root canals. Finally, the virtually designed guide was printed using a 3D printer and accurately positioned on the teeth. The access cavities were prepared using a Munce Discovery bur. After detecting the canals, the working length was determined. Root canal preparation was performed using rotary files up to F2, followed by obturation with gutta‐percha and a bioceramic sealer. After a six‐month follow‐up, the teeth remained completely asymptomatic and functional, and the periapical radiograph showed a normal periodontal ligament space, demonstrating the effectiveness of the treatment. These results indicate that static‐guided endodontics can be an effective and predictable approach for managing PCO in mandibular incisors with some consideration. Furthermore, these results highlight the clinical implications of this approach, particularly in elderly patients or teeth with severe obliterations.

Related Organizations
Keywords

Medicine (General), R, CBCT, Case Report, static‐guided endodontics, R5-920, mandibular incisors, PCO, Medicine, 3D‐printed guide

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
Green
gold