Computer-aided design-CAM-guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molar
Three-dimensional (3D) imaging devices used for the visualization of anatomic structures not only allow for a more accurate diagnosis but also facilitate precise planning of surgical treatments, such as in guided surgery for instrument retrieval using templates. The innovative template-based treatme...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Endodontology |
| Subjects: | |
| Online Access: | http://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2021;volume=33;issue=2;spage=112;epage=117;aulast=Langaliya |
| _version_ | 1818676988006629376 |
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| author | Akshayraj Langaliya Ekta Chaudhari Axita Patel Jinali Shah |
| author_facet | Akshayraj Langaliya Ekta Chaudhari Axita Patel Jinali Shah |
| author_sort | Akshayraj Langaliya |
| collection | DOAJ |
| description | Three-dimensional (3D) imaging devices used for the visualization of anatomic structures not only allow for a more accurate diagnosis but also facilitate precise planning of surgical treatments, such as in guided surgery for instrument retrieval using templates. The innovative template-based treatment methods could also play a crucial role in future modern surgical endodontic treatments, enabling exact preplanning and precision-guided surgical interventions, and resulting in greater accuracy and success rates. We present here a case of a patient with a periapical lesion below a right mandibular second molar, with a fractured file segment extruding beyond the apex in the distal canal, and another instrument half-way extruded from the mesial canal, with radiolucencies evident at the mesial and distal root apices. The patient was treated by employing a 3D-guided microsurgical approach. First, 3D optical scans were imported into a guided surgery program. Periapical lesions and extruded fractured instruments were marked within the software. The osteotomy size, apical resection level, and bevel angle were defined pretreatment. This case introduces a novel-guided microsurgical endodontic technique, incorporating recommended guidelines of modern surgical endodontic treatment with the aid of 3D-printed surgical templates, by which minimally invasive surgical treatment was ensured with preservation of tooth, bone, and surrounding anatomical structures. |
| first_indexed | 2024-12-17T08:52:13Z |
| format | Article |
| id | doaj.art-e1677ba4a0f847ec929cd5c149cc55a3 |
| institution | Directory Open Access Journal |
| issn | 0970-7212 |
| language | English |
| last_indexed | 2024-12-17T08:52:13Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Endodontology |
| spelling | doaj.art-e1677ba4a0f847ec929cd5c149cc55a32022-12-21T21:56:03ZengWolters Kluwer Medknow PublicationsEndodontology0970-72122021-01-0133211211710.4103/endo.endo_60_20Computer-aided design-CAM-guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molarAkshayraj LangaliyaEkta ChaudhariAxita PatelJinali ShahThree-dimensional (3D) imaging devices used for the visualization of anatomic structures not only allow for a more accurate diagnosis but also facilitate precise planning of surgical treatments, such as in guided surgery for instrument retrieval using templates. The innovative template-based treatment methods could also play a crucial role in future modern surgical endodontic treatments, enabling exact preplanning and precision-guided surgical interventions, and resulting in greater accuracy and success rates. We present here a case of a patient with a periapical lesion below a right mandibular second molar, with a fractured file segment extruding beyond the apex in the distal canal, and another instrument half-way extruded from the mesial canal, with radiolucencies evident at the mesial and distal root apices. The patient was treated by employing a 3D-guided microsurgical approach. First, 3D optical scans were imported into a guided surgery program. Periapical lesions and extruded fractured instruments were marked within the software. The osteotomy size, apical resection level, and bevel angle were defined pretreatment. This case introduces a novel-guided microsurgical endodontic technique, incorporating recommended guidelines of modern surgical endodontic treatment with the aid of 3D-printed surgical templates, by which minimally invasive surgical treatment was ensured with preservation of tooth, bone, and surrounding anatomical structures.http://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2021;volume=33;issue=2;spage=112;epage=117;aulast=Langaliyaendodontic microsurgeryguided microsurgerythree-dimensional printing |
| spellingShingle | Akshayraj Langaliya Ekta Chaudhari Axita Patel Jinali Shah Computer-aided design-CAM-guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molar Endodontology endodontic microsurgery guided microsurgery three-dimensional printing |
| title | Computer-aided design-CAM-guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molar |
| title_full | Computer-aided design-CAM-guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molar |
| title_fullStr | Computer-aided design-CAM-guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molar |
| title_full_unstemmed | Computer-aided design-CAM-guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molar |
| title_short | Computer-aided design-CAM-guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molar |
| title_sort | computer aided design cam guided endodontic microsurgical localization and retrieval of two separated instruments from the periapical area of a mandibular second molar |
| topic | endodontic microsurgery guided microsurgery three-dimensional printing |
| url | http://www.endodontologyonweb.org/article.asp?issn=0970-7212;year=2021;volume=33;issue=2;spage=112;epage=117;aulast=Langaliya |
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