Banca de QUALIFICAÇÃO: Caroline Piske de Azevedo Barbosa

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : Caroline Piske de Azevedo Barbosa
DATE: 09/08/2023
TIME: 13:00
LOCAL: Plataforma Teams
TITLE:

"Guided Endodontics: The state of the art and case reports."

KEY WORDS:

"Computer-Assisted; Fiberglass post removal; Guided endodontics; Template, Dystrophic calcification; Root canal treatment; Template"

PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Odontologia
SUMMARY:

"Guided endodontics is a cutting-edge approach that incorporates technological advancements such as digital planning, cone beam computed tomography, intraoral scanning, and three-dimensional printing. This technique offers greater precision and predictability in the manipulation of dental and bony tissues, particularly benefiting patients with complex endodontic treatments. By providing accurate visualization and navigation of intricate anatomical structures, guided endodontics facilitates challenging procedures, including pin removal, negotiation of calcifications, and management of extensive periapical lesions. These interventions require extreme precision, especially in lower molars with intact cortex and lesions located close to vital anatomical structures, where minimal deviations of surgical instruments are crucial. A comprehensive understanding of guided techniques, indications, careful planning, considerations for 3D printing, and the challenges that need to be addressed are essential for their widespread use. This study aims to present a literature review and two case reports in which guided endodontics played a key role in achieving successful outcomes. These cases highlight an innovative approach through guided microsurgical endodontics, presenting strategies to streamline complex interventions using a single open 3D guide. In the first case, a calcification was found in the mesial root of a lower right molar. The guided technique facilitated the removal of the pin by guiding a longnecked drill through an aperture that maintained the digitally planned pathway, enabling the negotiation of the calcification and ensuring effective treatment. The second case involved the retreatment of a lower first molar with a fiber post cemented in the distal root. The guide with apertures guided a long-necked drill for the removal of the fiber post. Additionally, a substantial lesion was observed in the apical region extending into the mandibular and mental canals. Osteotomy of the bone cortex and root apicectomy were performed as a single block with the assistance of a guide and trephine, both cases followed up for one year indicating success. These cases exemplify the effectiveness and utility of guided endodontics in managing complex scenarios involving calcifications, pin removal, and extensive periapical lesions. With the use of guided techniques and appropriate tools, endodontists can improve treatment outcomes and successfully navigate challenging anatomical variations."

COMMITTEE MEMBERS:
Externa à Instituição - ANA CRISTINA ANDRADA - VCUSD
Interna - 1380052 - CARLA MASSIGNAN
Interno - 4208835 - LAUDIMAR ALVES DE OLIVEIRA
Presidente - ***.490.971-** - LOISE PEDROSA SALLES - UnB