Guided Endodontics: Clinical Solution for the Challenges of Calcified Canal

Abstract Guided endodontics—a technique combining CBCT imaging, digital planning, and 3D‑printed/static or dynamic guides—is revolutionizing the management of calcified root canals. Compared to conventional free-hand methods, it improves precision, conserves tooth structure, reduces operative time, and lowers risk of iatrogenic errors. Studies report ≥ 95% success in locating obliterated canals with minimal accidents. However, factors such as apical calcification, prior treatments, and lower‑arch positioning may affect accuracy. Limitations include equipment costs, learning curves, limited mouth opening, or scanner incompatibilities. As evidence grows, guided endodontics is becoming a reliable, operator‑independent approach to complex canal cases.