Aspectos atuais da endodontia guiada

Abstract

Endodontics is a widely covered by technological and scientific innovations area, aiming to increase root canal treatment efficacy. The endodontic procedure, however, may involve challenges in its execution and completion, such as in cases of severe calcifications of unsatisfactory canals and fiberglass posts that require removal. In this context, guided endodontics emerged. This technology, through endoguide, associates tomography and three-dimensional (3D) printing with endodontic treatment. This technique allows, by means of acrylic guides fixed in the mouth, a cavity access drill to be guided inside the canal, preventing any deviations and unnecessary removal of dentin, ensuring excellent access. The aim of this study was to perform a literature review on the use of endoguide nowadays, evaluating its advantages, disadvantages and the procedure for its performance. A bibliographic review of English-language scientific papers obtained from the Pubmed database, from 2013 onwards, was performed. Endoguide was very effective, allowing access to teeth with obliterated canals, with minimal dentin wear, avoiding deviations and ensuring success. It was concluded that endoguide represented one of the most important advances in current Endodontics, allowing the treatment of complex cases.