ACCESS IN TEETH WITH PULP CALCIFICATION THROUGH ENDODONTIC GUIDE – LITERATURE REVIEW

Abstract

Introduction: Pulp calcification is a  results in the face of an injury that may have threatened pulp vitality, which results in a deposition of mineralized tissue inside the chamber and/or root canals.In the meantime, it is understood that the access of these structures during conventional endodontics may be limited due to anatomical change, which makes complete and adequate disinfection difficult.The endodontic guide is an excellent ally in the treatment of calcified teeth. Its preparation occurs through a Cone Beam Computed Tomography (CBCT), with its image read by software that in turn creates a 3D guidein order to generate a path for the drill in the calcified root canal, which reduces unnecessary wear, risk of trepanation and clinical time. Objectives: To review the scientific literature, using articles, to understand the use of guided endodontics, highlighting its advantages, such as the reduction of iatrogenic damage and optimized access to the root canal. Methodology: This article is a literature review carried out through searches in the Pubmed and Google Scholar databases with the descriptors: "Endoguide" and "Calcified Channels". The articles were searched in English and Portuguese, and from this analysis, four articles were selected for the elaboration of this production. Discussion and Results: Guided endodontics for calcified teeth highlights the relevance personalization of treatment since each case must be evaluated individually, considering the specific characteristics of calcification and dental anatomy. The precision provided by surgical guides not only protects adjacent structures, but also protects adjacent structures but it also minimizes the risk of iatrogenic complications that can occur in conventional access attempts. Allows accurate location and access to the root canal in obliterated teeth in addition to facilitating the professional's work time. Furthermore, as Cone Beam Computed Tomography presents a perfect demonstration of the limitations found in the root canal system, and an exact copy for the preparation of the guide for precise access. It is imperative that professionals are properly trained to use these advanced technologies and interpret the data obtained, ensuring that the planning and execution of the treatment is carried out in a timely right manner. Conclusion: For use, complexity and access to the necessary technology must be taken into account. It is a highly viable intervention, with greater predictability, enabling a safe procedure with a high success rate.

Keywords: endoguide, calcified canals, endodontic guide.