Augmented reality-guided endodontics: Minimally invasive access through the prosthesis using AReneto® system – A case series

Q1 Medicine
Varun Prabhuji , Pucha Sai Manaswini , Srirekha A , Champa C , Veena Pai
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引用次数: 0

Abstract

Introduction

Vital tooth preparation for dental prosthesis can lead to apical periodontitis due to factors such as exposed dentinal tubules, poor prosthesis fit, and inadequate oral hygiene. These issues often necessitate root canal treatment. However, removing prosthesis is challenging, particularly when patients hesitate due to cost, complicating treatment decisions. This case series explores the use of the AReneto® system, an augmented reality (AR)-guided approach, for minimally invasive access through existing prosthesis.

Methods

Two patients with porcelain-fused-to-metal (PFM) bridge prosthesis presented with pain and periapical pathology. Preoperative virtual planning of the access cavity was performed. The planned access was projected into the clinician's field of view via AReneto® system with the help of the AR glasses to provide guidance during the treatment procedure.

Results

The AReneto® system enabled accurate access through the existing prosthesis. The root canals were cleaned, shaped, and obturated successfully. Follow-up appointments showed resolution of symptoms and healing of periapical pathology, confirming the effectiveness of this minimally invasive approach.

Conclusions

The AReneto® system allows for precise and minimally invasive endodontic access through existing prosthesis, eliminating the need for prosthesis removal. This reduces the complexity of treatment, enhances efficiency, and ensures successful clinical outcomes.

Statement of clinical relevance

The AReneto® system provides an innovative approach that enhances the precision and efficiency of minimally invasive endodontic procedures.
增强现实引导的牙髓学:使用AReneto®系统通过假体进行微创访问-一个案例系列
由于牙小管外露、假体不合适和口腔卫生不充分等因素,人工牙的重要牙齿准备可导致根尖牙周炎。这些问题通常需要进行根管治疗。然而,移除假体是具有挑战性的,特别是当患者因成本而犹豫不决时,使治疗决策复杂化。本病例系列探讨了AReneto®系统的使用,这是一种增强现实(AR)引导的方法,通过现有的假体进行微创访问。方法2例全金属烤瓷(PFM)假体术后出现疼痛和根尖周病变。术前对通道腔进行虚拟规划。在AR眼镜的帮助下,通过AReneto®系统将计划的通道投射到临床医生的视野中,以在治疗过程中提供指导。结果AReneto®系统可以通过现有的假体进行准确的访问。根管被清洁、塑形并成功封闭。随访显示症状消退和根尖周围病理愈合,证实了这种微创入路的有效性。结论:AReneto®系统可以通过现有的假体进行精确和微创的根管修复,从而消除了移除假体的需要。这降低了治疗的复杂性,提高了效率,并确保了成功的临床结果。临床相关性声明:AReneto®系统提供了一种创新的方法,提高了微创牙髓治疗的精度和效率。
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来源期刊
CiteScore
4.90
自引率
0.00%
发文量
133
审稿时长
167 days
期刊介绍: Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.
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