Evidence map›Paper›PMID 41744201›Full record

ArticleActa odontologica latinoamericana : AOL2025

Retrospective analysis of guided access technique in calcified canals using cone beam tomography and digital scanning.

Bruna de Athayde Casadei, Alexandre Sigrist De Martin, Rina A Pelegrine, Wayne Martins Nascimento, Daniel Guimarães Pedro Rocha, Carlos E Fontana, Vinicius de Carvalho Machado, Carolina Pessoa Stringheta, Ana G Limoeiro, Michel Klymus and 4 more

Abstract read
In one paragraph

Article in Acta odontologica latinoamericana : AOL, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Bruna de Athayde CasadeiInstituto de Pesquisa São Leopoldo Mandic, Faculdade de Odontologia São Leopoldo Mandic, Campinas, SP, Brazil.ORCID 0000-0003-1974-2541
Alexandre Sigrist De MartinInstituto de Pesquisa São Leopoldo Mandic, Faculdade de Odontologia São Leopoldo Mandic, Campinas, SP, Brazil.ORCID 0000-0002-3320-9172
Rina A PelegrineInstituto de Pesquisa São Leopoldo Mandic, Faculdade de Odontologia São Leopoldo Mandic, Campinas, SP, Brazil.ORCID 0000-0003-4175-2121
Wayne Martins NascimentoInstituto de Pesquisa São Leopoldo Mandic, Faculdade de Odontologia São Leopoldo Mandic, Campinas, SP, Brazil.ORCID 0000-0003-4201-4710
Daniel Guimarães Pedro RochaPontificia Universidade Católica de Campinas, Departamento de Endodontia, Campinas, São Paulo, Brazil.ORCID 0000-0001-9792-2260
Carlos E FontanaPontificia Universidade Católica de Campinas, Programa de Pós-Graduação em Ciências da Saúde,Campinas, São Paulo, Brazil.ORCID 0000-0002-2868-6839
Vinicius de Carvalho MachadoInstituto de Pesquisa São Leopoldo Mandic, Faculdade de Odontologia São Leopoldo Mandic, Campinas, SP, Brazil.ORCID 0000-0002-3089-5138
Carolina Pessoa StringhetaInstituto de Pesquisa São Leopoldo Mandic, Faculdade de Odontologia São Leopoldo Mandic, Campinas, SP, Brazil.ORCID 0000-0002-0022-558X
Ana G LimoeiroUniversidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Dentários, Bauru, SP, Brazil. grasielalimoeiro@gmail.com.ORCID 0000-0003-4633-720X
Michel Klymus. Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Dentários, Bauru, SP, Brazil.ORCID 0000-0001-6429-7964
Thais Machado de Carvalho CoutinhoUniversidade Iguaçu, Programa de Pós-Graduação em Odontologia, Nova Iguaçu, Rio de Janeiro, Brasil.ORCID 0000-0003-1266-9679
Marilia Fagury Videira Marceliano-AlvesUniversidade Iguaçu, Programa de Pós-Graduação em Odontologia, Nova Iguaçu, Rio de Janeiro, Brasil.ORCID 0000-0002-2917-5934
Karoline de Oliveira Vieira ClementeUniversidade UNILAGOS, Araruama, Brazil.ORCID 0009-0008-7323-3928
Carlos E da Silveira BuenoInstituto de Pesquisa São Leopoldo Mandic, Faculdade de Odontologia São Leopoldo Mandic, Campinas, SP, Brazil.ORCID 0000-0002-2675-0884

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe endodontic treatment of teeth presenting with calcified pulp is associated with significant technical difficulties.

aimTo evaluate the success rate of the guided access technique for root canals using cone beam computed tomography (CBCT) between 2019 and 2021. MATERIAL AND

methodThe study selected cases of anterior and posterior teeth with severe pulp calcification, totaling 100 teeth including 59 incisors, 2 canines, 8 premolars, and 31 molars. CBCT scans were performed for all patients, and a virtual burr path was planned on a computer screen to guide the drill to the beginning of the root canal. The virtual drill path was delineated based on axial and cross-sectional tomographic data, and a template was fabricated using Computer Numerical Control (CNC) technology. Success was determined by reaching the canal lumen without deviation from the original path.

resultsThe success rate of the guided access technique was 99.1%, with calcification diagnosed in 48.7% of cases. Clinical history revealed deep restoration and necrosis in 34.8% of cases, and trauma in 34.8%. In 65.2% of cases, an attempt was made before referral for guided access.

conclusionThe guided access technique demonstrated high success rates, particularly when appropriately indicated. Clinical relevance: Guided access technique provides a reliable option for managing calcified root canals, thereby improving treatment outcomes.

Indexed as

cone beam tomographyguided endodonticsimage guided surgery

Identifiers

PMID41744201
PMCPMC12951467

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.