Guided Modern Endodontic Surgery: A Novel Approach for Guided Osteotomy and Root Resection

Strbac, Georg D.; Schnappauf, Albrecht; Giannis, Katharina; Moritz, Andreas; Ulm, Christian

doi:10.1016/j.joen.2016.11.001

Cited by 109 publications

(74 citation statements)

References 17 publications

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“…Historically, 3D printed surgical guides (3DSG) have been used in endodontics with limited utility (Pinksy et al . , Byun et al , Buchgreitz et al , Strbac et al , Connert et al , Anderson et al ). Recently, targeted endodontic microsurgery (TEMS) was introduced (Giacomino et al .…”

Section: Introductionmentioning

confidence: 99%

Targeted endodontic microsurgery and endodontic microsurgery: a surgical simulation comparison

Hawkins¹,

Wealleans²,

Pratt³

et al. 2019

Int Endodontic J

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Hawkins TK, Wealleans JA, Pratt AM, Ray JJ. Targeted endodontic microsurgery and endodontic microsurgery: a surgical simulation comparison. International Endodontic Journal, 53, 715-722, 2020.Aim To compare surgical time, bevel angle and site volumetric profiles of osteotomy and resection accomplished by targeted endodontic microsurgery (TEMS) and traditional endodontic microsurgery (EMS) in a surgical simulation model. Methodology An 80x80-mm cone beam computed tomography (CBCT) file was imported into Mimics software where artificial periapical lesions were created encompassing twelve root apices. Maxillary and mandibular models were 3D-printed. TEMS surgical guides were designed and 3D-printed for each surgical site. Three board-certified endodontists used the original CBCT to plan and perform EMS on models of six maxillary and six mandibular teeth. Next, the same endodontists performed TEMS on duplicate 3D-printed models for the same teeth. All surgeries were timed. Postoperative CBCT images of experimental models were made and imported into Amira software for measurement of bevel angle and site volumetric profiles. Paired t-tests compared the mean differences between EMS and TEMS groups. A Bonferroni correction determined data to be significant at P < 0.004. Results TEMS significantly reduced surgical time (P < 0.00001), had bevel angles more closely approaching zero degrees (P < 0.01) and had significantly less volume of over-resection (P < 0.001) and length of root resection (P < 0.01).Conclusions In this surgical simulation scenario, TEMS provided more efficient completion of osteotomy and resection, with a more appropriate root-end resection volume and bevel angle.

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Section: Introductionmentioning

confidence: 99%

Targeted endodontic microsurgery and endodontic microsurgery: a surgical simulation comparison

Hawkins¹,

Wealleans²,

Pratt³

et al. 2019

Int Endodontic J

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“…When the root canal is severely calcified, as identified by radiographic examination, and associated with apical periodontitis and symptomatology, endodontic treatment is indicated, and the access and location of the remaining canal with the aid of guided endodontics have been shown to be safe and predictable . The combined use of cone beam computed tomography (CBCT) and intraoral optical scanning of the region of interest may potentiate the accuracy of guided drilling for the production of access guides .…”

Section: Introductionmentioning

confidence: 99%

Access to original canal trajectory after deviation and perforation with guided endodontic assistance

et al. 2019

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Procedural accidents are eventualities that may occur during endodontic treatment because of lack of attention to detail or even unforeseeable situations. Knowledge of the root canal anatomy and its variations is a prerequisite for successful endodontic treatment. This case report describes an endodontic treatment where there was an intercurrence, generating deviation and perforation, which was solved with the aid of guided endodontics. A 37 years old, ASA1, was referred to the clinic for localisation and treatment of a calcified canal of the second right upper premolar. The tomographic images revealed the presence of only one canal and deviation with apical perforation. With the help of CBCT and CAD/CAM, it was possible to perform the guided access technique even after deviation and root perforation. Once again, this technique proved to be safe and predictable, allowing for a favourable prognosis in the long term.

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“…3D printed guides, based on the design and fabrication principles for guided implant surgery, have been adapted for use in guided non-surgical and surgical endodontic procedures [58][59][60][61].…”

Section: D Printed Guidesmentioning

confidence: 99%

“…A recent case report by Strbac et al [61] described the treatment planning and application of 3D printed surgical guides to perform predefined osteotomies and root-end resections for root-filled posterior maxillary teeth (first molar and second premolar) with periapical lesions. Following flap elevation and retraction, osteotomies and root-end resections were performed using piezoelectric instruments directed by the teeth-and bone-supported 3D printed surgical guides.…”

Section: Guided Surgical Endodonticsmentioning

confidence: 99%

3D imaging, 3D printing and 3D virtual planning in endodontics

Shah

Chong

2018

Clin Oral Invest

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The adoption and adaptation of recent advances in digital technology, such as three-dimensional (3D) printed objects and haptic simulators, in dentistry have influenced teaching and/or management of cases involving implant, craniofacial, maxillofacial, orthognathic and periodontal treatments. 3D printed models and guides may help operators plan and tackle complicated non-surgical and surgical endodontic treatment and may aid skill acquisition. Haptic simulators may assist in the development of competency in endodontic procedures through the acquisition of psycho-motor skills. This review explores and discusses the potential applications of 3D printed models and guides, and haptic simulators in the teaching and management of endodontic procedures. An understanding of the pertinent technology related to the production of 3D printed objects and the operation of haptic simulators are also presented.

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Guided Modern Endodontic Surgery: A Novel Approach for Guided Osteotomy and Root Resection

Cited by 109 publications

References 17 publications

Targeted endodontic microsurgery and endodontic microsurgery: a surgical simulation comparison

Targeted endodontic microsurgery and endodontic microsurgery: a surgical simulation comparison

Access to original canal trajectory after deviation and perforation with guided endodontic assistance

3D imaging, 3D printing and 3D virtual planning in endodontics

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