| CASE REPORT |
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| Year : 2023 | Volume
: 26
| Issue : 1 | Page : 113-117 |
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Real-time guided endodontics: A case report of maxillary central incisor with calcific metamorphosis
Durga Bhavani Panithini1, Girija S Sajjan1, Niraj Kinariwala2, Uma Devi Medicharla3, K Madhu Varma1, Meghana Kallepalli1
1 Department of Conservative Dentistry and Endodontics, Vishnu Dental College and Hospital, Bhimavaram, Andhra Pradesh, India
2 Department of Conservative Dentistry, Karnavati University, Gandhinagar, Gujarat, India
3 Department of Conservative Dentistry, Vishnu Dental College and Hospital, Bhimavaram, Andhra Pradesh, India
Correspondence Address:
Dr. Durga Bhavani Panithini
Department of Conservative Dentistry and Endodontics, Vishnu Dental College and Hospital, Bhimavaram - 534 202, Andhra Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jcd.jcd_506_22
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Dental trauma results in various complications and poses an enigma to the practitioner. Calcific metamorphosis is one of the sequelae of trauma. A female patient of 35 years visited the specialty clinic of endodontics for the management of a discolored tooth. Clinically, discolored 21 was observed with no pain on palpation and percussion. The pulp sensibility test revealed a negative response. Radiographic examination revealed pulp canal obliteration with an apical radiolucency of Peri Apical Index (PAI 4). The tooth was diagnosed as necrotic pulp with asymptomatic apical periodontitis. Attempt to negotiate the canal under a Dental Operating Microscope (LABOMED, Los Angeles, CA, USA) and ultrasonics (Satelec, Acteon, France) was futile. Cone-beam computed tomography image revealed a patent canal in the apical third. Using real-time guided endodontics with a dynamic navigation system (Navident, ClaroNav, Toronto, ON, Canada), the protocol of plan, trace, and place was followed, and successful canal negotiation was achieved. After radiographic confirmation, root canal treatment was completed.
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