Novel navigation technique for the endodontic treatment of a molar with pulp canal calcification and apical pathology

Aust Endod J. 2018 Apr;44(1):66-70. doi: 10.1111/aej.12207. Epub 2017 Jun 23.

Abstract

Apical periodontitis, the inflammation of periapical tissue, commonly requires root canal treatment to achieve apical healing. However, if it is accompanied by pulp canal calcification, the treatment becomes complicated, and locating the root canal can be challenging. This case report describes a novel approach for treating a molar with pulp canal calcification and apical pathology. Due to the risk of perforation during treatment, a digitally printed template was used to assist in accurately locating the root canal. After six months, the patient was asymptomatic and the periradicular radiolucency was gradually reducing in size.

Keywords: 3D printed template; apical periodontitis; calcification; digital dentistry; perforation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Calcinosis / diagnostic imaging
  • Calcinosis / therapy
  • Cone-Beam Computed Tomography / methods
  • Dental Pulp Cavity / diagnostic imaging*
  • Dental Pulp Cavity / pathology*
  • Dental Pulp Necrosis / diagnostic imaging
  • Dental Pulp Necrosis / pathology
  • Dental Pulp Necrosis / therapy*
  • Female
  • Humans
  • Molar
  • Periapical Periodontitis / diagnostic imaging
  • Periapical Periodontitis / therapy
  • Root Canal Irrigants / therapeutic use
  • Root Canal Therapy / methods*
  • Treatment Outcome

Substances

  • Root Canal Irrigants