Endodontic Microsurgery with the Aid of Dynamic Navigation System Using Minimally Invasive Incision Approach in Anatomically Complex Scenarios: A Case Series

IF 3.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of endodontics Pub Date : 2024-12-01 DOI:10.1016/j.joen.2024.10.001

Xiaoxing Li MM, Lishan Huang MM, Siyu Li BM, Siying Lao BM, Ningxin Yan BM, Haitong Wu BM, Xuechao Yang DDS, PhD

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引用次数: 0

Abstract

Endodontic microsurgery (EMS) is an alternative treatment option for previously treated teeth with persistent periapical disease, offering a favorable prognosis. However, it can be particularly challenging in anatomically complex cases, risking unintentional damage to adjacent critical structures. Dynamic navigation (DN), a computer-aided technique, facilitates precise presurgical planning and provides real-time guidance during operation. Integrating the DN technique into EMS procedures can enhance treatment accuracy and effectiveness. This report presents 4 cases involving a minimally invasive incision approach for DN-aided EMS in anatomically complex regions, all of which were completed without complications. After 3–12 months, patients presented asymptomatic, and radiographic examinations revealed complete healing or the periapical radiolucent area decreased in size. The DN technique contributed to reliably mitigating the risk of iatrogenic damage in complicated EMS scenarios. The minimally invasive incision approach not only provided sufficient visibility but also promoted favorable soft tissue healing, making it a valuable addition to surgical endodontics.

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在动态导航系统的辅助下，利用微创切口法在解剖复杂的情况下进行牙髓显微手术：病例系列。

牙髓显微外科手术（EMS）是治疗以前治疗过的根尖周炎顽固性牙齿的另一种治疗方法，预后良好。然而，在解剖结构复杂的病例中，这种方法尤其具有挑战性，有可能无意中损伤邻近的重要结构。动态导航（Dynamic Navigation，DN）是一种计算机辅助技术，有助于进行精确的术前规划，并在手术过程中提供实时指导。将 DN 技术融入急救医疗程序可提高治疗的准确性和有效性。本报告介绍了 4 例在解剖结构复杂的区域采用微创切口方法进行 DN 辅助 EMS 的病例，所有病例均顺利完成，未出现并发症。3-12 个月后，患者均无症状，影像学检查显示完全愈合或根尖周围放射性区域缩小。DN 技术有助于可靠地降低复杂 EMS 情况下的先天性损伤风险。微创切口方法不仅提供了足够的可视性，还促进了软组织的良好愈合，使其成为牙髓外科手术的重要补充。

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

Journal of endodontics 医学-牙科与口腔外科

CiteScore

8.80

自引率

9.50%

发文量

224

审稿时长

42 days

期刊介绍： The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.