Alternativa à endodontia guiada: tratamento convencional de canal calcificado com magnificação – relato de caso

Abstract

INTRODUCTION: Pulp canal calcification is one of the major challenges in endodontics, particularly due to the difficulty in locating and accessing the root canal system. Guided endodontics has emerged as a precise and minimally invasive alternative; however, its cost and the need for specific technological resources may limit its clinical applicability. OBJECTIVES: This study reports the clinical case of a maxillary incisor with pulp obliteration treated using conventional technique, with magnification as a viable alternative to the guided approach. CASE REPORT: The patient had previously been indicated for guided endodontics, but clinical limitations prevented the use of the fabricated guide. Therefore, the conventional approach was chosen, supported by magnification, ultrasound, XP-Endo Finisher, irrigant activation, and laser. This strategy enabled safe localization of the calcified canal, adequate preparation, and effective disinfection, resulting in significant regression of the periapical lesion after six months. FINAL CONSIDERATIONS: This case demonstrates that the conventional technique, when combined with complementary technological resources, can provide predictable and satisfactory outcomes even in calcified canals, representing an effective and economically accessible alternative to guided endodontics.