Determinacion de la exactitud del acceso a dientes con conductos calcificados, realizado a traves de endoguias basadas en tomografias (reporte de caso)

Vista sencilla de ítem
dc.contributor.advisorTorres Celeita, Julian
dc.contributor.authorSandoval Echavarria, Juan David
dc.contributor.authorMartinez Araque, Sergio Andres
dc.contributor.authorReyes Lopez, Rafael Ricardo
dc.contributor.corporatenameUniversidad Santo Tomás
dc.date.accessioned2025-12-10T13:27:57Z
dc.date.available2025-12-10T13:27:57Z
dc.date.issued2025-12-08
dc.descriptionIntroducción: el tratamiento endodóntico en dientes con conductos calcificados puede dificultar para localización del sistema de conductos radiculares. La endodoncia guiada surge como una alternativa precisa para facilitar el acceso. Objetivo: determinar la precisión y el volumen de tejido removido durante el acceso a un conducto calcificado mediante una endoguía basada en tomografía, así como las maniobras adicionales requeridas. Materiales y métodos: se realizó un reporte de caso con un diente con calcificación severa del conducto radicular. Se diseñó una endoguía digital en el software Blue Sky Plan® e impresa en resina biocompatible. Se compararon imágenes tomográficas preoperatorias y posoperatorias para determinar la desviación angular y el volumen de dentina removido. Resultados: el acceso se realizó con una desviación angular de 5,06° y una pérdida volumétrica de 0,015 ml de dentina. Se requirió ultrasonido como maniobra complementaria para rectificar el trayecto, lográndose la permeabilización exitosa del conducto. Conclusión: la Tomografía de Volumen Parcial o Segmentada no es la ideal para diseñar una endoguía, ya que aumenta el riesgo clínico en zonas críticas de calcificación. Se recomienda ampliar la muestra y unificar protocolos para establecer comparaciones significativas frente a métodos convencionales.
dc.description.abstractIntroduction: endodontic treatment in teeth with calcified canals can make the localization of the root canal system difficult, increasing the risk of perforations, instrument fracture, and treatment failure. Guided endodontics has emerged as a precise alternative that uses cone-beam computed tomography (CBCT) and 3D-printed guides to facilitate access. Objective: to determine the accuracy and the volume of tissue removed during access to a calcified root canal using a CBCT-based endodontic guide, as well as the additional maneuvers required. Materials and Methods: a case report was conducted on a tooth with severe root canal calcification. A digital endodontic guide was designed in Blue Sky Plan® software and printed in biocompatible resin. Preoperative and postoperative CBCT images were compared to determine angular deviation and the volume of dentin removed. Results: access was performed with an angular deviation of 5.06° and a dentin loss of 0.015 ml. Ultrasonics was required as a complementary maneuver to correct the trajectory, achieving successful canal negotiation. Conclusion: partial or Segmented Volume CBCT is not ideal for designing an endodontic guide, as it increases clinical risk in critical areas of calcification. However, an expanded sample size and standardized protocols are recommended to allow meaningful comparisons with conventional methods
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Endodonciaspa
dc.description.domainhttps://www.ustabuca.edu.co/
dc.format.mimetypeapplication/pdf
dc.identifier.citationSandoval Echavarria, J. D., Martinez Araque S. A. y Reyes Lopez, R. R. (2025). Determinacion de la exactitud del acceso a dientes con conductos calcificados, realizado a traves de endoguias basadas en tomografias (reporte de caso) [Tesis de posgrado]. Universidad Santo Tomás, Bucaramanga, Colombia
dc.identifier.instnameinstname:Universidad Santo Tomásspa
dc.identifier.reponamereponame:Repositorio Institucional Universidad Santo Tomásspa
dc.identifier.repourlrepourl:https://repository.usta.edu.cospa
dc.identifier.urihttp://hdl.handle.net/11634/70615
dc.language.isospa
dc.publisherUniversidad Santo Tomásspa
dc.publisher.branchCRAI-USTA Bucaramanga
dc.publisher.facultyFacultad de Odontologíaspa
dc.publisher.programEspecialización Endodonciaspa
dc.relation.referencesAlattas M. H. (2025). The Role of 3D Printing in Endodontic Treatment Planning: A Comprehensive Review. European journal of dentistry, 19(2), 298–304. https://doi.org/10.1055/s-0044-1791242
dc.relation.referencesAmerican Association of Endodontists & American Academy of Oral and Maxillofacial Radiology. (2015). Use of cone-beam computed tomography in endodontics: Joint position statement (2015 update). *Journal of Endodontics, 41*(9), 1393–1396. https://doi.org/10.1016/j.joen.2015.07.013
dc.relation.referencesBansal, R. K., Bansal, M., Garg, R., & Bansal, D. (2025). Comparison of tooth substance loss and angle desviation in access cavity preparation using guided endodontics and conventional method in calcified canals – An in vitro study. Journal of Conservative Dentistry and Endodontics, 28(1), 90-95. https://doi.org/10.4103/JCDE.JCDE_533_24
dc.relation.referencesBraga Diniz, J. M., Diniz Oliveira, H. F., Pinto Coelho, R. C., Manzi, F., Silva, F. E., Carvalho Machado, V., Ribeiro Sobrinho, A. P., & Fonseca Tavares, W. L. (2022). Guided Endodontic Approach in Teeth with Pulp Canal Obliteration and Previous Iatrogenic Deviation: A Case Series. Iranian endodontic journal, 17(2), 78–84. https://doi.org/10.22037/iej.v17i2.36830
dc.relation.referencesBuchgreitz, J., Buchgreitz, M., Mortensen, D., & Bjørndal, L. (2016). Guided access cavity preparation using cone-beam computed tomography and optical surface scans - an ex vivo study. International endodontic journal, 49(8), 790–795. https://doi.org/10.1111/iej.12516
dc.relation.referencesBuchgreitz, J., Buchgreitz, M., & Bjørndal, L. (2019). Guided root canal preparation using cone beam computed tomography and optical surface scans - an observational study of pulp space obliteration and drill path depth in 50 patients. International endodontic journal, 52(5), 559–568. https://doi.org/10.1111/iej.13038
dc.relation.referencesChavez de Paz L. E. (2007). Redefining the persistent infection in root canals: possible role of biofilm communities. Journal of endodontics, 33(6), 652–662. https://doi.org/10.1016/j.joen.2006.11.004
dc.relation.referencesConnert, T., Krug, R., Eggmann, F., Emsermann, I., ElAyouti, A., Weiger, R., Kühl, S., & Krastl, G. (2018). Guided endodontics versus conventional access cavity preparation: A comparative study on substance loss using 3-dimensional-printed teeth. *Journal of Endodontics, 45*(3), 327–331. https://doi.org/10.1016/j.joen.2018.11.006
dc.relation.referencesConnert, T. K. (2021). Influence of clinical experience on guided endodontics: A study on the learning curve and accuracy in a preclinical setting. Journal of Endodontics, 47(3), 405-410. doi:doi.org/10.1016/j.joen.2020.11.004
dc.relation.referencesCuellar Tovar, L. V., Palomino Contreras, Y. K. y Pulecio Castro, M. A. (2025). Comparación de la planificación digital en el diseño de endoguías para la localización de conductos calcificados usando tomografía de volumen completo versus tomografía de alta resolución de volumen parcial [Tesis de posgrado]. Universidad Santo Tomás, Bucaramanga, Colombia
dc.relation.referencesDecurcio, D. A., Bueno, M. R., Silva, J. A., Loureiro, M. A. Z., Damião Sousa-Neto, M., & Estrela, C. (2021). Digital Planning on Guided Endodontics Technology. Brazilian dental journal, 32(5), 23–33. https://doi.org/10.1590/0103-6440202104740
dc.relation.referencesFreire, B. B., Vianna, S., Leandro Nascimento, E. H., Freire, M., & Chilvarquer, I. (2021). Guided Endodontic Access in a Calcified Central Incisor: A Conservative Alternative for Endodontic Therapy. Iranian endodontic journal, 16(1), 56–59. https://doi.org/10.22037/iej.v16i1.27427
dc.relation.referencesGeorges, I., Rita, G., & Zogheib, C. (2023). Guided endodontics in the management of severely calcified teeth: A review. Endodoncia, 35(3), 195–201. https://doi.org/10.4103/endo.endo_16_23
dc.relation.referencesGrossman, L. I. (1991). Endodontic Practice. Lea & Febiger, 10th edition
dc.relation.referencesGonçalves, W. F., Garcia, L. D. F. R., Vieira-Schuldt, D. P., Bortoluzzi, E. A., Dias-Júnior, L. C. L., & Teixeira, C. D. S. (2021). Guided Endodontics in Root Canals with Complex Access: Two Case Reports. Brazilian dental journal, 32(6), 115–123. https://doi.org/10.1590/0103-6440202104537
dc.relation.referencesHargreaves, K. M., & Berman, L. H. (2016). Cohen’s pathways of the pulp (11th ed.). St. Louis, MO: Elsevier
dc.relation.referencesHegde, V., Mandke, L., Memon, K., Ansari, M., Srilatha, S., & Mujawar, A. (2024). Dynamic navigation in endodontics: A comprehensive literature review. Journal of conservative dentistry and endodontics, 27(12), 1202–1210. https://doi.org/10.4103/JCDE.JCDE_551_24
dc.relation.referencesHirschberg, C. S. (2019). Management of calcified root canals. British Dental Journal, 227(8), 633-639. doi:doi.org/10.1038/s41415-019-0834-6
dc.relation.referencesHildebrand, H., Krug, R., Leontiev, W. et al. Real-time guided endodontics versus conventional freehand access cavity preparation by a specialist– an ex vivo comparative study. Clin Oral Invest 29, 232 (2025). https://doi.org/10.1007/s00784-025-06310-8
dc.relation.referencesHsieh, C. Y., Wu, Y. C., Su, C. C., Chung, M. P., Huang, R. Y., Ting, P. Y., Lai, C. K., Chang, K. S., Tsai, Y. C., & Shieh, Y. S. (2018). The prevalence and distribution of radiopaque, calcified pulp stones: A cone-beam computed tomography study in a northern Taiwanese population. Journal of dental sciences, 13(2), 138–144
dc.relation.referencesHübscher, U., et al. (2020). Dynamic navigation for minimally invasive endodontic access. Journal of Endodontics, 46(3), 446-453
dc.relation.referencesIngle, J. I. (1985). Endodontics. WB Saunders, 3rd edition
dc.relation.referencesJahanbakhsh, A. (2020). Accessing calcified teeth using dynamic guidance system (Tesis). Medical University of South Carolina. https://medica-musc.researchcommons.org/theses/522/
dc.relation.referencesJanner, S. F., Jeger, F. B., Lussi, A., & Bornstein, M. M. (2011). Precision of endodontic working length measurements: a pilot investigation comparing cone-beam computed tomography scanning with standard measurement techniques. Journal of endodontics, 37(8), 1046–1051. https://doi.org/10.1016/j.joen.2011.05.005
dc.relation.referencesJanner, S. F., Jeger, F. B., Lussi, A., & Bornstein, M. M. (2015). Endodontic Working Length Measurement with CBCT: A Comparison with Apex Locators and Conventional Radiography. International Endodontic Journal, 48(6), 547–554. https://doi.org/10.1111/iej.12358
dc.relation.referencesJung, R. E., Schneider, D., Ganeles, J., Wismeijer, D., Zwahlen, M., & Hammerle, C. H. (2020). Computer Technology Applications in Surgical Implant Dentistry: A Systematic Review. International Journal of Oral & Maxillofacial Implants, 24(1), 92–109
dc.relation.referencesKiarudi, A. H., Eghbal, M. J., Safi, Y., Aghdasi, M. M., & Fazlyab, M. (2015). The applications of cone-beam computed tomography in endodontics: a review of literature. Iranian endodontic journal, 10(1), 16–25
dc.relation.referencesKrastl, G., Zehnder, M. S., Connert, T., Weiger, R., & Kühl, S. (2016). Guided Endodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology. Dental traumatology : official publication of International Association for Dental Traumatology, 32(3), 240–246. https://doi.org/10.1111/edt.12235
dc.relation.referencesKulinkovych-Levchuk, K., Pecci-Lloret, M. P., Castelo-Baz, P., Pecci-Lloret, M. R., & Oñate-Sánchez, R. E. (2022). Guided Endodontics: A Literature Review. International journal of environmental research and public health, 19(21), 13900. https://doi.org/10.3390/ijerph192113900
dc.relation.referencesLi, J., Hu, Y., Ma, Z., Liu, H., Cao, L., & Wei, X. (2025). Accuracy of static-guided endodontics for access cavity preparation with pulp canal obliteration: A randomized controlled clinical trial. BMC Oral Health, 25, 933. https://doi.org/10.1186/s12903-025-06275-w
dc.relation.referencesLoureiro, M. A. Z., Elias, M. R. A., Capeletti, L. R., Silva, J., Siqueira, P. C., Chaves, G. S., & Decurcio, D. A. (2020). Guided endodontics: Volume of dental tissue removed by guided access cavity preparation—An ex vivo study. *Journal of Endodontics, 46*(12), 1907–1912. https://doi.org/10.1016/j.joen.2020.09.008
dc.relation.referencesMichetti, J., Maret, D., Mallet, J. P., & Diemer, F. (2010). Validation of cone beam computed tomography as a tool to explore root canal anatomy. Journal of endodontics, 36(7), 1187–1190. https://doi.org/10.1016/j.joen.2010.03.029
dc.relation.referencesMoreno-Rabié, C., Torres, A., Lambrechts, P., & Jacobs, R. (2020). Clinical applications, accuracy and limitations of guided endodontics: a systematic review. International endodontic journal, 53(2), 214–231. https://doi.org/10.1111/iej.13216
dc.relation.referencesMuryani, A., Aripin, D., Dharsono, H. D. A., Rajion, Z. A., & Wicaksono, S. (2025). A systematic review of research on guided access cavity preparation endodontic treatment: Dentin preservation perspectives. Clinical, Cosmetic and Investigational Dentistry, 17, 49-63. https://doi.org/10.2147/CCIDE.S491632
dc.relation.referencesLopes, N., et al. (2020). 3D Printing and Endodontic Guides: A Review. European Endodontic Journal, 5(1), 2–11. https://doi.org/10.14744/eej.2019.41040
dc.relation.referencesNasiri, K., & Wrbas, K. T. (2023). Management of calcified root canal during root canal therapy. Journal of dental sciences, 18(4), 1931–1932. https://doi.org/10.1016/j.jds.2023.06.018
dc.relation.referencesPatel, S., Dawood, A., Ford, T. P., & Whaites, E. (2007). The potential applications of cone beam computed tomography in the management of endodontic problems. International endodontic journal, 40(10), 818–830. https://doi.org/10.1111/j.1365-2591.2007.01299.x
dc.relation.referencesPatel, S., Brown, J., Pimentel, T., Kelly, R. D., Abella, F., & Durack, C. (2019). Cone beam computed tomography in Endodontics - a review of the literature. International endodontic journal, 52(8), 1138–1152. https://doi.org/10.1111/iej.13115
dc.relation.referencesPatel, S. F. (2020). Root canal calcifications: Understanding their etiology and management. British Dental Journal, 229(3), 159-166. doi: https://doi.org/10.1038/s41415-020-1743-z
dc.relation.referencesPuri, A., Abraham, D., & Gupta, A. (2024). Impact of Guided Endodontics on the Success of Endodontic Treatment: An Umbrella Review of Systematic Reviews and Meta-Analyses. Cureus, 16(9), e68853. https://doi.org/10.7759/cureus.68853
dc.relation.referencesRibeiro, D., Reis, E., Marques, J. A., Falacho, R. I., & Palma, P. J. (2022). Guided Endodontics: Static vs. Dynamic Computer-Aided Techniques-A Literature Review. Journal of personalized medicine, 12(9), 1516. https://doi.org/10.3390/jpm12091516
dc.relation.referencesSanz, J. L., Callado, L., Mantale, S., Nicolás, J., Ghilotti, J., & Llena, C. (2025). Cone-Beam Computed Tomography Assessment of the Prevalence and Association of Pulp Calcification with Dental and Periodontal Pathology: A Descriptive Study. Journal of Clinical Medicine, 14(4), 1373. https://doi.org/10.3390/jcm14041373
dc.relation.referencesSchröder, M., Kropp, P., Kuhl, S., Filippi, A., & Weiger, R. (2019). Serie de casos: Endodoncia guiada en la práctica clínica. Journal of Endodontics, 45 (1), 95-102.
dc.relation.referencesStrbac, G. D., Schnappauf, A., Giannis, K., Moritz, A., & Ulm, C. (2017). Guided Endodontics: Accuracy and Efficiency of a Novel Method for Guided Access Cavity Preparation in Teeth with Calcified Root Canals. Journal of Endodontics, 43(6), 987–990. https://doi.org/10.1016/j.joen.2017.01.034
dc.relation.referencesSu, Y., Chen, C., Lin, C., Lee, H., Chen, K., Lin, Y., & Chuang, F. (2021). Guided endodontics: Accuracy of access cavity preparation and discrimination of angular and linear deviation on canal accessing ability—An ex vivo study. *BMC Oral Health, 21*(1), 606. https://doi.org/10.1186/s12903-021-01936-y
dc.relation.referencesTeerawanitsan, S., Chotvorrarak, K., & Jirathanyanatt, T. (2025). Effects of Procedural Errors on Root Canal Treatment Outcomes: A Retrospective Cohort Study of Cases Treated by Sixth-year Dental Students. European endodontic journal, 10(5), 432–440. https://doi.org/10.14744/eej.2025.36025
dc.relation.referencesVan der Meer, W. J., Vissink, A., Ng, Y. L., & Gulabivala, K. (2016). 3D computer aided treatment planning in endodontics. Journal of Dentistry, 45, 67-72. https://doi.org/10.1016/j.jdent.2015.10.018
dc.relation.referencesVan der Meer, W. J., et al. (2019). 3D Planning and the Use of a Static Computer-Guided Surgical Guide in Endodontic Surgery. Journal of Endodontics, 45(6), 730–735. https://doi.org/10.1016/j.joen.2019.03.004
dc.relation.referencesVasudevan, A., Santosh, S. S., Selvakumar, R. J., Sampath, D. T., & Natanasabapathy, V. (2022). Dynamic Navigation in Guided Endodontics - A Systematic Review. European endodontic journal, 7(2), 81–91. https://doi.org/10.14744/eej.2022.96168
dc.relation.referencesWu, D., Shi, W., Wu, J., Wu, Y., Liu, W., & Zhu, Q. (2011). The clinical treatment of complicated root canal therapy with the aid of a dental operating microscope. International Dental Journal, 61(5), 261–266. PMID: 21995374
dc.relation.referencesYang, Y.-M., Guo, B., Guo, L.-Y., Yang, Y., Hong, X., Pan, H.-Y., Zou, W.-L., & Hu, T. (2016). CBCT-aided microscopic and ultrasonic treatment for upper or middle thirds calcified root canals. BioMed Research International, 2016, Article ID 4793146. https://doi.org/10.1155/2016/4793146
dc.relation.referencesZhang, C., Zhao, X., Chen, C., Wang, J., Gu, P., Ma, J., Wu, D., & Li, J. (2022). The accuracy of using guided endodontics in access cavity preparation and the temperature changes of root surface: An in vitro study. BMC oral health, 22(1), 504. https://doi.org/10.1186/s12903-022-02548-w
dc.relation.referencesZehnder MS, Connert T, Weiger R, Krastl G, Kühl S. Guided endodontics: accuracy of a novel method for guided access cavity preparation and root canal location. Int Endod J. 2016 Oct;49(10):966-72. doi: 10.1111/iej.12544. Epub 2015 Oct 3. PMID: 26353942
dc.relation.referencesZubizarreta-Macho, Á., et al. (2021). Accuracy of Endodontic Guided Access with Static Computer-Aided Techniques. Journal of Clinical Medicine, 10(1), 94. https://doi.org/10.3390/jcm10010094
dc.rightsAttribution 2.5 Colombiaen
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by/2.5/co/
dc.subject.keywordCone-Beam Computed Tomography
dc.subject.keywordImaging, three-dimensional
dc.subject.keywordEndodontics
dc.subject.keywordRoot canal Preparation
dc.subject.keywordRoot canal therapy
dc.subject.keywordTherapy, computer-assisted
dc.subject.keywordDental pulp calcification
dc.subject.keywordGuided endodontics
dc.subject.lembOdontología especializada
dc.subject.lembConsulta odontológica especializada
dc.subject.lembEnfermedades de los dientes
dc.subject.lembImágenes diagnósticas en odontología
dc.subject.lembAnálisis de información
dc.subject.proposalTomografia computarizada de haz cónico
dc.subject.proposalImagen tridimensional
dc.subject.proposalEndodoncia
dc.subject.proposalPreparación del conducto radicular
dc.subject.proposalTratamiento de conducto radicular
dc.subject.proposalTerapia asistida por computador
dc.subject.proposalCalcificaciones de la pulpa dental
dc.subject.proposalEndodoncia guiada
dc.titleDeterminacion de la exactitud del acceso a dientes con conductos calcificados, realizado a traves de endoguias basadas en tomografias (reporte de caso)
dc.typebachelor thesis
dc.type.categoryFormación de Recurso Humano para la Ctel: Trabajo de grado de Especialización
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driveinfo:eu-repo/semantics/bachelorThesis
dc.type.localTrabajo de gradospa
dc.type.versioninfo:eu-repo/semantics/acceptedVersion

Archivos

Bloque original

Mostrando 1 - 3 de 3
Miniatura
Nombre:
2025SandovalJuan1.pdf
Tamaño:
124.29 KB
Formato:
Adobe Portable Document Format
Descripción:
Carta de facultad
Descargar
Miniatura
Nombre:
2025SandovalJuan2.pdf
Tamaño:
149.19 KB
Formato:
Adobe Portable Document Format
Descripción:
Acuerdo de publicación
Descargar
Miniatura
Nombre:
2025SandovalJuanD.pdf
Tamaño:
445.65 KB
Formato:
Adobe Portable Document Format
Descripción:
Trabajo de grado
Descargar

Bloque de licencias

Mostrando 1 - 1 de 1
Miniatura
Nombre:
license.txt
Tamaño:
807 B
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar

Colecciones

Especialización Endodoncia