(TC50) Guided Access Using a Prefabricated Grid and CBCT

Abstract: Guided endodontic access is a topic that has recently expanded with the advent of virtual reality and advancements in technology. Endodontics is always moving forward, trying to find innovative ways of guiding clinicians toward canals in a more reliable manner, whether it is for primary non-surgical root canal treatment or non-surgical retreatment. The widespread use and accuracy of CBCT have also expanded this area of research by providing a foundation from which this guided technology can be used. Techniques such as computer-aided static navigation and dynamic navigation have emerged to aid clinicians, and although this research is very promising for the future, this technology comes with the cost of the equipment. The purpose of this table clinic is to show a novel product that uses a prefabricated grid in conjunction with CBCT to locate canals in extracted teeth, which have either a composite restoration or have been previously root canal treated. As the patient bites down on the platform during the CBCT, the scan will show where the clinician should access based on the superimposed image of the grid on the tooth. With the use of this product, our goal is to show how this technology and novel platform can be used for guided access in various cases ranging from missed canals in non-surgical retreatment to locating calcified canals during primary root canal therapy.