Prabhuji Varun, Srirekha A, Pai Veena, Srinivasan Archana, Laxmikanth S M, Shanbhag Shwetha
Department of Conservative Dentistry and Endodontics, The Oxford Dental College, Bengaluru, Karnataka, India.
Department of Orthodontics and Dentofacial Orthopedics, The Oxford Dental College, Bengaluru, Karnataka, India.
J Conserv Dent Endod. 2024 Aug;27(8):884-888. doi: 10.4103/JCDE.JCDE_330_24. Epub 2024 Aug 7.
Traumatic injuries to maxillary central incisors often necessitate root canal treatment (RCT). However, traditional access cavity preparation can remove significant dentin, compromising tooth strength and long-term prognosis. This article explores the use of the PriciGuide™ system for minimally invasive access cavity preparation in such cases. PriciGuide™ system is a novel, patented system that utilizes a sleeveless guide technique to enhance accuracy and control during access procedures. This article presents a clinical case demonstrating the application of PriciGuide™ system for access cavity preparation in traumatized necrotic maxillary central incisors. The focus is on preserving dentin while achieving optimal access for successful RCT. By showcasing the effectiveness of PriciGuide™ system in this case, this article contributes to the growing body of evidence supporting its role in minimally invasive endodontics. The approach presented has the potential to improve long-term outcomes for patients with not only traumatized necrotic maxillary central incisors but also in teeth having prosthesis that requires RCT and in teeth with calcifications.
上颌中切牙的创伤性损伤通常需要进行根管治疗（RCT）。然而，传统的开髓洞形制备会去除大量牙本质，损害牙齿强度和长期预后。本文探讨了在这类病例中使用PriciGuide™系统进行微创开髓洞形制备。PriciGuide™系统是一种新颖的、获得专利的系统，它采用无套筒引导技术，以提高开髓过程中的准确性和可控性。本文介绍了一个临床病例，展示了PriciGuide™系统在创伤性坏死上颌中切牙开髓洞形制备中的应用。重点是在实现成功进行根管治疗的最佳开髓的同时保留牙本质。通过在该病例中展示PriciGuide™系统的有效性，本文为支持其在微创牙髓病学中作用的越来越多的证据做出了贡献。所提出的方法不仅有可能改善创伤性坏死上颌中切牙患者的长期预后，对于需要进行根管治疗的有修复体的牙齿以及有钙化的牙齿的患者也有此潜力。
