Central Incisor with Pulp Canal Obliteration and Apical Periodontitis Managed with a 3D Printed-Guided Endodontic Therapy: A Case Report

This case report discusses a case of a maxillary central incisor with pulp canal obliteration (PCO), managed by guided endodontic access. A preoperative periapical (PA) radiograph and cone beam computed tomography (CBCT) displayed an incidental finding of a periapical radiolucency (PARL), indicating...

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Main Author: Abdulaziz Abdulwahed
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_1166_24
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author Abdulaziz Abdulwahed
author_facet Abdulaziz Abdulwahed
author_sort Abdulaziz Abdulwahed
collection DOAJ
description This case report discusses a case of a maxillary central incisor with pulp canal obliteration (PCO), managed by guided endodontic access. A preoperative periapical (PA) radiograph and cone beam computed tomography (CBCT) displayed an incidental finding of a periapical radiolucency (PARL), indicating a PA lesion of endodontic origin on tooth #11. An intraoral three-dimensional (3D) scan was obtained, and its data and CBCT images were processed using planning software. A digital model of the guide was designed and 3D printed. The guide was placed on the tooth surface, and the tooth was accessed until the desired length was reached and the canal was located. Non-surgical root canal treatment was conducted, and the canal was obturated with gutta-percha and bioceramic sealer. A final restoration was placed with flowable composite along with the placement of a full ceramic crown. A 1-year recall showed complete healing of the apical area.
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institution Kabale University
issn 0976-4879
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publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Pharmacy and Bioallied Sciences
spelling doaj-art-a4bc6b33f5e143d7836e1992f27deb6e2025-01-14T05:31:34ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S4161S416510.4103/jpbs.jpbs_1166_24Central Incisor with Pulp Canal Obliteration and Apical Periodontitis Managed with a 3D Printed-Guided Endodontic Therapy: A Case ReportAbdulaziz AbdulwahedThis case report discusses a case of a maxillary central incisor with pulp canal obliteration (PCO), managed by guided endodontic access. A preoperative periapical (PA) radiograph and cone beam computed tomography (CBCT) displayed an incidental finding of a periapical radiolucency (PARL), indicating a PA lesion of endodontic origin on tooth #11. An intraoral three-dimensional (3D) scan was obtained, and its data and CBCT images were processed using planning software. A digital model of the guide was designed and 3D printed. The guide was placed on the tooth surface, and the tooth was accessed until the desired length was reached and the canal was located. Non-surgical root canal treatment was conducted, and the canal was obturated with gutta-percha and bioceramic sealer. A final restoration was placed with flowable composite along with the placement of a full ceramic crown. A 1-year recall showed complete healing of the apical area.https://journals.lww.com/10.4103/jpbs.jpbs_1166_24cad/camendodontic therapyguided endodontic accessintraoral 3d scanmaxillary central incisorpulp canal obliteration
spellingShingle Abdulaziz Abdulwahed
Central Incisor with Pulp Canal Obliteration and Apical Periodontitis Managed with a 3D Printed-Guided Endodontic Therapy: A Case Report
Journal of Pharmacy and Bioallied Sciences
cad/cam
endodontic therapy
guided endodontic access
intraoral 3d scan
maxillary central incisor
pulp canal obliteration
title Central Incisor with Pulp Canal Obliteration and Apical Periodontitis Managed with a 3D Printed-Guided Endodontic Therapy: A Case Report
title_full Central Incisor with Pulp Canal Obliteration and Apical Periodontitis Managed with a 3D Printed-Guided Endodontic Therapy: A Case Report
title_fullStr Central Incisor with Pulp Canal Obliteration and Apical Periodontitis Managed with a 3D Printed-Guided Endodontic Therapy: A Case Report
title_full_unstemmed Central Incisor with Pulp Canal Obliteration and Apical Periodontitis Managed with a 3D Printed-Guided Endodontic Therapy: A Case Report
title_short Central Incisor with Pulp Canal Obliteration and Apical Periodontitis Managed with a 3D Printed-Guided Endodontic Therapy: A Case Report
title_sort central incisor with pulp canal obliteration and apical periodontitis managed with a 3d printed guided endodontic therapy a case report
topic cad/cam
endodontic therapy
guided endodontic access
intraoral 3d scan
maxillary central incisor
pulp canal obliteration
url https://journals.lww.com/10.4103/jpbs.jpbs_1166_24
work_keys_str_mv AT abdulazizabdulwahed centralincisorwithpulpcanalobliterationandapicalperiodontitismanagedwitha3dprintedguidedendodontictherapyacasereport