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Access to original canal trajectory after deviation and perforation with guided endodontic assistance
Author(s) -
Casadei Bruna de Athayde,
LaraMendes Sônia T.de O.,
Barbosa Camila de Freitas M.,
Araújo Christiane Valente,
Freitas Cristina Almeida,
Machado Vinícius C.,
SantaRosa Caroline C.
Publication year - 2020
Publication title -
australian endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.703
H-Index - 34
eISSN - 1747-4477
pISSN - 1329-1947
DOI - 10.1111/aej.12360
Subject(s) - root canal , perforation , endodontics , medicine , dentistry , endodontic therapy , computed tomographic , orthodontics , computed tomography , surgery , engineering , mechanical engineering , punching
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, ASA 1, 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.