Author/Authors :
Moreira Maia, Lucas Department of Operative Dentistry - School of Dentistry - Federal University of Minas Gerais - Belo Horizonte - Minas Gerais, Brazil , Toubes, Kênia Maria Department of Dentistry - Pontifícial Catholic University of Minas Gerais - Belo Horizonte - Minas Gerais, Brazil , Júnior, Gil Moreira Dentistry Course of University of Itaúna - Itaúna - Minas Gerais, Brazil , Tonelli, Stephanie Quadros Department of Dentistry - Pontifícial Catholic University of Minas Gerais - Belo Horizonte - Minas Gerais, Brazil , de Carvalho Machado, Vinicius Department of Radiology - Faculty of Dentistry - Faculdade São Leopoldo Mandic de Belo Horizonte - Belo Horizonte - Minas Gerais, Brazil , Ferreira Silveira, Frank Department of Dentistry - Pontifícial Catholic University of Minas Gerais - Belo Horizonte - Minas Gerais, Brazil , Nunes, Eduardo Department of Dentistry - Pontifícial Catholic University of Minas Gerais - Belo Horizonte - Minas Gerais, Brazil
Abstract :
This case report describes the use of the guided endodontics for a non-surgical endodontic retreatment of the mandibular molar. A 38-year-old female reported apical swelling and localized pain on the tooth #30, exacerbated when chewing hard food. Periapical radiographic examination showed pulp canal obliteration in the apical third associated with extensive radiolucent area. Cone-beam computed tomography (CBCT) images were requested to support the diagnosis and enable preparation of a surgical guide, used to direct access to the canals that were obliterated and incompletely filled. The follow-up at 24 months radiographically showed completely healed apical area in the involved tooth. This non-surgical technique demonstrated efficacy in case resolution.
