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A new minimally invasive guided endodontic microsurgery by cone beam computed tomography and 3-dimensional printing technology

Authors
 Jong-Eun Kim  ;  June-Sung Shim  ;  Yooseok Shin 
Citation
 Restorative Dentistry & Endodontics, Vol.44(3) : e29, 2019 
Journal Title
 Restorative Dentistry & Endodontics 
ISSN
 2234-7658 
Issue Date
2019
Keywords
Apicoectomy ; Cone-beam computed tomography ; Endodontic surgery ; Surgical guide ; Three-dimensional printing
Abstract
Endodontic microsurgery is defined as the treatment performed on the root apices of an infected tooth, which was unresolved with conventional root canal therapy. Recently, the advanced technology in 3-dimensional model reconstruction based on computed tomography such as cone beam computed tomography has opened a new avenue in application of personalized, accurate diagnosis and has been increasingly used in the field of dentistry. Nevertheless, direct intra-oral localization of root apex based on the 3-dimensional information is extremely difficult and significant amount of bone removal is inevitable when freehand surgical procedure was employed. Moreover, gingival flap and alveolar bone fenestration are usually required, which leads to prolonged time of surgery, thereby increasing the chance of trauma as well as the risk of infection. The purpose of this case report is to present endodontic microsurgery using the guide template that can accurately target the position of apex for the treatment of an anterior tooth with calcified canal which was untreatable with conventional root canal therapy and unable to track the position of the apex due to the absence of fistula.
Files in This Item:
T201903851.pdf Download
DOI
10.5395/rde.2019.44.e29
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Prosthodontics (보철과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Conservative Dentistry (보존과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jong Eun(김종은) ORCID logo https://orcid.org/0000-0002-7834-2524
Shin, Yoo Seok(신유석) ORCID logo https://orcid.org/0000-0003-1121-2570
Shim, June Sung(심준성) ORCID logo https://orcid.org/0000-0003-1428-0122
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173062
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