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Computer-aided design-CAM-guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molar
| Content Provider | Scilit |
|---|---|
| Author | Langaliya, Akshayraj Chaudhari, Ekta Patel, Axita Shah, Jinali |
| Copyright Year | 2021 |
| Abstract | Three-dimensional (3D) imaging devices used for the visualization of anatomic structures not only allow for a more accurate diagnosis but also facilitate precise planning of surgical treatments, such as in guided surgery for instrument retrieval using templates. The innovative template-based treatment methods could also play a crucial role in future modern surgical endodontic treatments, enabling exact preplanning and precision-guided surgical interventions, and resulting in greater accuracy and success rates. We present here a case of a patient with a periapical lesion below a right mandibular second molar, with a fractured file segment extruding beyond the apex in the distal canal, and another instrument half-way extruded from the mesial canal, with radiolucencies evident at the mesial and distal root apices. The patient was treated by employing a 3D-guided microsurgical approach. First, 3D optical scans were imported into a guided surgery program. Periapical lesions and extruded fractured instruments were marked within the software. The osteotomy size, apical resection level, and bevel angle were defined pretreatment. This case introduces a novel-guided microsurgical endodontic technique, incorporating recommended guidelines of modern surgical endodontic treatment with the aid of 3D-printed surgical templates, by which minimally invasive surgical treatment was ensured with preservation of tooth, bone, and surrounding anatomical structures. |
| Related Links | https://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2021;volume=33;issue=2;spage=112;epage=117;aulast=Langaliya;type=2 |
| File Format | XHTML |
| ISSN | 09707212 |
| DOI | 10.4103/endo.endo_60_20 |
| Journal | Endodontology |
| Issue Number | 2 |
| Volume Number | 33 |
| Language | English |
| Publisher | Medknow |
| Publisher Date | 2021-01-01 |
| Access Restriction | Open |
| Subject Keyword | Dentistry and Oral Surgery Endodontic Microsurgery Guided Microsurgery Three-dimensional Printing Endodontology, Volume 33, Issue 2 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anatomy Immunology and Microbiology Oral Surgery |
