Digitally planned root end surgery with static guide and custom trephine burs: A case report.
3D printing
apicoectomy
static surgical guide
targeted endodontic microsurgery
Journal
The international journal of medical robotics + computer assisted surgery : MRCAS
ISSN: 1478-596X
Titre abrégé: Int J Med Robot
Pays: England
ID NLM: 101250764
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
26
01
2020
revised:
13
04
2020
accepted:
14
04
2020
pubmed:
19
4
2020
medline:
19
8
2021
entrez:
19
4
2020
Statut:
ppublish
Résumé
Apicoectomy is an endodontic surgical intervention that requires high precision. The computer-assisted static guided approach has proven to increase the precision of dental implantation in a significant manner. The authors sought to transfer this precision to root-end resection with the use of custom designed trephine burs manufactured specifically for use in targeted endodontic microsurgery. A set of custom bone trephines were designed and manufactured, then their digital models were integrated into an already existing implant surgical planning software, in cooperation with the software developer. Apicoectomy was performed in an actual case with the help of the new system. It has become possible to plan root end removal in the virtual space and to manufacture 3D printed static surgical guides to help the execution of the surgery. A patient with persistent periapical lesion was successfully treated without complication. The 6-month follow-up found uneventful healing. The presented system is a step toward a standardized digital system and workflow dedicated to guided endodontic surgery.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2115Informations de copyright
© 2020 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd.
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