Minimally Invasive Vertical Incision Subperiosteal Tunnelling Technique for Targeted Endodontic Surgery: Technical Overview and a Case Report.

IF 7.1 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International endodontic journal Pub Date : 2025-08-07 DOI:10.1111/iej.70014

Francesc Abella Sans, Jaime Barragán Montes, Tomasz Zbozen, Nandini Suresh, Lalli Dharmarajan, Paul M H Dummer, Venkateshbabu Nagendrababu

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引用次数: 0

Abstract

Aim: This technical review and case report describes the Minimally Invasive Vertical Incision Subperiosteal Technique (MIVIST) for use in specific targeted endodontic surgical cases.

Summary: The proposed MIVIST technique includes a vertical incision along with auxiliary vertical release incisions to enhance soft tissue healing during targeted endodontic surgery for teeth with small periapical lesions. The technique is described in a case report where a patient presented with persistent periapical periodontitis associated with a previously root canal treated tooth (#15). Based on the preoperative intraoral scan and cone beam computed tomography (CBCT) three-dimensional surgical guides were printed. A vertical main incision and additional release incisions were placed in the buccal mucosa of tooth 15 over healthy bone, with subperiosteal tunnelling then being performed to provide adequate access to the lesion and root apex. A guided osteotomy was carried out using the surgical template, followed by root-end cavity preparation and filling. The patient was followed up over 24 months, when excellent soft tissue healing as well as radiographic healing was apparent.

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微创垂直切口骨膜下隧道技术用于牙髓手术：技术综述和病例报告。

目的：本技术综述和病例报告描述了微创垂直切口骨膜下技术（MIVIST）在特定靶向牙髓手术病例中的应用。摘要：提出的MIVIST技术包括一个垂直切口以及辅助的垂直释放切口，以促进有小根尖周病变的牙齿在靶向根管手术中的软组织愈合。一份病例报告描述了该技术，该病例报告中有一名患者出现了持续性根尖周炎，并与先前接受过根管治疗的牙齿有关（#15）。基于术前口内扫描和锥形束计算机断层扫描（CBCT）打印三维手术指南。在15号牙健康骨上的颊黏膜上放置一个垂直的主切口和额外的释放切口，然后在骨膜下建立隧道，以提供足够的接触病变和根尖的通道。使用手术模板进行引导截骨，然后进行根端腔准备和填充。患者随访超过24个月，软组织愈合良好，影像学愈合明显。

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

International endodontic journal 医学-牙科与口腔外科

CiteScore

10.20

自引率

28.00%

发文量

195

审稿时长

4-8 weeks

期刊介绍： The International Endodontic Journal is published monthly and strives to publish original articles of the highest quality to disseminate scientific and clinical knowledge; all manuscripts are subjected to peer review. Original scientific articles are published in the areas of biomedical science, applied materials science, bioengineering, epidemiology and social science relevant to endodontic disease and its management, and to the restoration of root-treated teeth. In addition, review articles, reports of clinical cases, book reviews, summaries and abstracts of scientific meetings and news items are accepted. The International Endodontic Journal is essential reading for general dental practitioners, specialist endodontists, research, scientists and dental teachers.