A simplified and cost-effective targeted endodontic guide for calcified canal negotiation and surgical management

Abstract

Management of pulp canal obliteration and apicoectomy procedures with an endodontic guide is presented in multiple cases. This case report series highlights a cost-effective guide construction approach using an open-source cone-beam computed tomography software, ITK-snap. A simple soft template was used as a guide for successful access of calcified canals and osteotomy preparation with reduction of unwarranted adjacent tissue damage.

Keywords

• access preparation
• apicoectomy
• cone-beam computed tomography
• endodontic guide
• itk-snap
• pulp canal obliteration