Calcification of the root canal system presents a significant clinical challenge, increasing the risk of procedural complications. This case report describes the management of a 26-year-old female patient who presented with a chief concern of discoloration in her maxillary central incisors. Radiographic examination revealed a periapical lesion and obliteration of the canal in the left maxillary central incisor. The case highlights the effective use of the PriciGuide® system in accurately locating the calcified canal while preserving the integrity of a healthy tooth structure. Following root canal treatment, aesthetic rehabilitation was performed, which included internal bleaching and the fabrication of direct composite veneers. This guided endodontic approach enabled safe negotiation of the calcified canal, ensuring thorough cleaning, shaping, and filling. By minimizing unnecessary dentin removal, the PriciGuide® system provided a conservative solution that contributed to the preservation of tooth integrity and the successful treatment of this challenging case.
Keywords: calcified canals; cone beam computed tomography; guided endodontics; minimally invasive; precision; root canal treatment.
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