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A novel method for soft tissue retraction during periapical surgery using 3D technology: a case report.
S Patel1,2, A Aldowaisan1, A Dawood2,3
1Endodontic Postgraduate Unit, King's College London Dental Institute London, London, UK.
International Endodontic Journal
|September 16, 2016
Summary
This study introduces a novel method for endodontic surgery using cone-beam computed tomography (CBCT), computer-aided design (CAD), and 3D printing for improved soft tissue retraction. This technique enhanced surgical visualization and patient outcomes.
Area of Science:
- Dentistry
- Surgical Innovation
Background:
- Proper soft tissue retraction is crucial for successful periapical microsurgery.
- Traditional methods may have limitations in visualization and handling during complex endodontic procedures.
Observation:
- A custom surgical guide and soft tissue retractor were designed using cone-beam computed tomography (CBCT) data and computer-aided design (CAD) software.
- The custom retractor was fabricated using three-dimensional (3D) printing technology.
- The device was employed during endodontic microsurgery on a maxillary central incisor.
Findings:
- The custom-made retractor significantly improved visualization and soft tissue management during the surgical procedure.
- The patient remained asymptomatic with complete radiographic healing at the 1-year follow-up.
- This integrated approach demonstrated successful application in a clinical case.
Implications:
- Cone-beam computed tomography (CBCT) data can be leveraged for creating patient-specific surgical aids.
- Three-dimensional (3D) printing offers a promising avenue for fabricating custom instruments in endodontic surgery.
- This innovative technique highlights the potential for enhancing precision and outcomes in endodontic microsurgery.

