Minimally invasive guided endodontic microsurgery with Zekrya bur: A 48-month follow-up case report.

IF 1.3 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Australian Endodontic Journal Pub Date : 2024-08-20 DOI:10.1111/aej.12884

Lucas Moreira Maia, Gil Moreira Júnior, Nelson Renato França Alves Silva, Vinícius de Carvalho Machado, Larissa Fassarela Marquiore, Emmanuel João Nogueira Leal Silva, Antônio Paulino Ribeiro Sobrinho, Warley Luciano Fonseca Tavares

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引用次数: 0

Abstract

Endodontic microsurgery guided by navigation systems represents a precise and minimally invasive approach for retreatment of apical periodontitis following failed conventional endodontic therapy. Accurate localization and minimal access to the root apex are paramount for successful outcomes and preservation of anatomical structures. Workflow considerations, such as three-dimensional (3D) virtual planning and endodontic guidance represent new crucial aspects for addressing complex cases. This clinical case report presents the successful reintervention of a complex case using a Zekrya bur, operative microscopy, cone beam computed tomography and biocompatible materials. After a 48-month follow-up, complete healing of the treated area was observed. This minimally invasive technique, employing a simple instrument widely available globally, underscores the potential for efficient and predictable outcomes in complex endodontic microsurgical retreatment.

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使用 Zekrya bur 进行微创引导牙髓显微手术：48 个月的随访病例报告。

导航系统引导下的根管显微手术是一种精确、微创的方法，用于传统根管治疗失败后根尖牙周炎的再治疗。精确定位和尽量少地进入根尖是取得成功结果和保留解剖结构的关键。工作流程方面的考虑因素，如三维（3D）虚拟规划和牙髓引导，是解决复杂病例的新的关键环节。本临床病例报告介绍了使用 Zekrya 钻头、手术显微镜、锥形束计算机断层扫描和生物相容性材料对复杂病例进行再干预的成功案例。经过 48 个月的随访，观察到治疗区域完全愈合。这种微创技术采用了全球广泛使用的简单器械，强调了在复杂牙髓病显微外科再治疗中实现高效和可预测结果的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.50

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Australian Endodontic Journal provides a forum for communication in the different fields that encompass endodontics for all specialists and dentists with an interest in the morphology, physiology, and pathology of the human tooth, in particular the dental pulp, root and peri-radicular tissues. The Journal features regular clinical updates, research reports and case reports from authors worldwide, and also publishes meeting abstracts, society news and historical endodontic glimpses. The Australian Endodontic Journal is a publication for dentists in general and specialist practice devoted solely to endodontics. It aims to promote communication in the different fields that encompass endodontics for those dentists who have a special interest in endodontics.