USE OF ENDOGUIDE IN A CALCIFED MANDIBULAR CANINE: CASE REPORT

Abstract

In cases where the treatment of calcified canal must be done, calm and patience are required, as the endodontic access in these situations can, inadvertently, facilitate the occurrence of accidents that can cause great loss of dental structure or perforations. Endoguide can be successfully used in these cases, when a more accurate access without excessive deviations is needed. This technique is also recommended for less experienced clinicians. 30-years old male patient, presented with an extreme calcification of the pulp chamber and root canal on tooth 43. Tomographic exams and scanning of the mandibula were requested so that the guiding device could be planned. An appointment was scheduled to verify the guide's adaptation. After that, a new attempt was made with Endoguide to locate the root canal. Even with the use of Endoguide, it was not possible to locate the root canal. This unsuccessful attempt was due to some distortion occurred during the tomographic exams or mandibula scanning. A new Endoguide was made, through new scanning and tomography. Even with Endoguide, the endodontist expertise was essential for the clinical case success. Endoguide can fail due to procedural errors in tomography and scanning execution, providing images that are not able to be correctly reconstructed in the planning software.