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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
PubMed
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.

Keywords:
3D printingapical periodontitiscone-beam computed tomographyendodontic microsurgery

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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.