Shetty Ashwija, Sultana Hajira A, V Keerthan B, Prabhuji Varun
Department of Conservative Dentistry and Endodontics, The Oxford Dental College, Bengaluru, IND.
Cureus. 2024 Oct 30;16(10):e72743. doi: 10.7759/cureus.72743. eCollection 2024 Oct.
Calcification of the root canal system presents a significant clinical challenge, increasing the risk of procedural complications. This case report describes the management of a 26-year-old female patient who presented with a chief concern of discoloration in her maxillary central incisors. Radiographic examination revealed a periapical lesion and obliteration of the canal in the left maxillary central incisor. The case highlights the effective use of the PriciGuide® system in accurately locating the calcified canal while preserving the integrity of a healthy tooth structure. Following root canal treatment, aesthetic rehabilitation was performed, which included internal bleaching and the fabrication of direct composite veneers. This guided endodontic approach enabled safe negotiation of the calcified canal, ensuring thorough cleaning, shaping, and filling. By minimizing unnecessary dentin removal, the PriciGuide® system provided a conservative solution that contributed to the preservation of tooth integrity and the successful treatment of this challenging case.
根管系统钙化带来了重大的临床挑战，增加了操作并发症的风险。本病例报告描述了一名26岁女性患者的治疗情况，该患者主要关注上颌中切牙变色问题。影像学检查显示左上颌中切牙根尖周病变及根管闭塞。该病例突出了PriciGuide®系统在准确定位钙化根管同时保留健康牙体结构完整性方面的有效应用。根管治疗后，进行了美学修复，包括内漂白和直接复合贴面制作。这种引导式牙髓治疗方法能够安全地疏通钙化根管，确保彻底清洁、预备和充填。通过尽量减少不必要的牙本质去除，PriciGuide®系统提供了一种保守的解决方案，有助于保留牙齿完整性并成功治疗这一具有挑战性的病例。
