Guided Endodontics for Root Canals with Pulp Canal Obliteration

Teeth with pulp canal obliteration leading to partial or complete occlusion of the root canal lumen can pose several technical challenges in location, negotiation and chemo-mechanical preparation. A guided endodontic technique can be an alternative approach to conventional methods. Three-dimensional data (CBCT and intra-oral surface scan) are aligned on a virtual planning software to position the appropriate endodontic drill within the root. A supporting guide is designed based the planned root canal access, which can be printed and used clinically to ensure the correct depth and angulation is maintained. This report provides an overview of static guided endodontics and discusses the implementation in managing teeth with pulp canal obliteration using clinical cases. CPD/Clinical Relevance: Management of pulp canal obliteration of teeth with a static guided endodontic approach is relevant for clinicians.