Germán Sánchez-Herrera, Matteo Facchera, Cristina Palma-Carrió, Martín Pérez-Leal
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引用次数: 0
Abstract
Introduction: Apicoectomy plays a crucial role in the clinical practice of dental professionals. High success rates in this treatment, along with increased precision, suggest that 3D-printed guided apical microsurgery may provide a significant improvement over conventional apical microsurgery. The objectives of this study were to evaluate healing rates in terms of medium- and long-term success percentages and to assess longitudinal deviation rates, measured in millimetres, for both techniques in the apical resection procedure.
Materials and methods: This systematic review followed PRISMA guidelines and searched three scientific databases-PubMed, Web of Science, and Scopus-using specific search algorithms focused on 3D-printed guided apical microsurgery and conventional microsurgery. Articles from 2013 onwards were considered, including randomized clinical trials, case series, observational studies, and cohort studies involving human subjects.
Results: The initial search yielded a total of 397 articles: PubMed (119), Scopus (137), and Web of Science (141). Of these, 25 were identified as potentially eligible through title and abstract screening. After detailed evaluation, 9 articles met the inclusion criteria and were included in the systematic review. The review found that the longitudinal deviation and healing rates were consistently higher for the guided microsurgery technique compared to conventional microsurgery.
Conclusions: Despite limitations within the studies, the 3D-printed guided microsurgery technique appears to offer greater precision and a reduced overall impact on the patient's soft tissues during root-end resection, making it a promising option for improving clinical outcomes in apicoectomy procedures.
前言：根尖切除术在牙科专业人员的临床实践中起着至关重要的作用。这种治疗的高成功率以及更高的精度表明，3d打印引导的根尖显微手术可能比传统的根尖显微手术提供显著的改进。本研究的目的是评估中期和长期成功率的愈合率，并评估两种技术在根尖切除手术中的纵向偏差率（以毫米为单位）。材料和方法：本系统综述遵循PRISMA指南，检索了三个科学数据库- pubmed， Web of Science和scopus -使用特定的搜索算法，重点关注3d打印引导的根尖显微手术和传统显微手术。从2013年开始的文章被纳入考虑，包括随机临床试验、病例系列、观察性研究和涉及人类受试者的队列研究。结果：最初的搜索总共产生了397篇文章：PubMed (119), Scopus（137）和Web of Science（141）。其中25项通过标题和摘要筛选被确定为潜在的合格。经详细评价，9篇文章符合纳入标准，纳入系统评价。回顾发现，与传统显微手术相比，引导显微手术技术的纵向偏差和愈合率始终较高。结论：尽管研究中存在局限性，但3d打印引导显微手术技术在根尖切除过程中似乎提供了更高的精度，并减少了对患者软组织的总体影响，使其成为改善根尖切除术临床结果的有希望的选择。
期刊介绍：
Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).
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