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Targeted Endodontic Microsurgery: Digital Workflow Options.

Jarom J Ray¹, C Michelle Giacomino¹, James A Wealleans²

¹Air Force Postgraduate Dental School, Lackland Air Force Base, Texas; Uniformed Services University, Bethesda, Maryland.

Journal of Endodontics

|April 15, 2020

Summary

This summary is machine-generated.

Targeted endodontic microsurgery (TEMS) utilizes a 3D-printed surgical guide for precise osteotomy and root-end resection. This article details the guiding principles of the TEMS digital workflow for improved endodontic procedures.

Keywords:

3-dimensional printing digital workflow guide stent targeted endodontic microsurgery trephine

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Area of Science:

Endodontics
Dental Surgery
Biomedical Engineering

Background:

Targeted endodontic microsurgery (TEMS) offers a precise approach to endodontic procedures.
A gap exists in documented digital workflow principles for TEMS in endodontic literature.

Purpose of the Study:

To describe the guiding principles of the digital workflow for TEMS.
To provide a foundational understanding of TEMS digital workflow for endodontic practitioners.

Main Methods:

The TEMS digital workflow involves four key steps: data acquisition, merging, virtual modeling, and guide design.
Cone-beam computed tomography (CBCT) and optical scanning are used for patient anatomy rendering.
3D printing is utilized to create the surgical guide based on the virtual model.

Main Results:

The digital workflow integrates CBCT and optical scan data to create a comprehensive 3D virtual model.
The process allows for precise planning of osteotomy and root-end resection using a 3D-printed guide.
This workflow ensures safe and efficient surgical execution in endodontic microsurgery.

Conclusions:

The described digital workflow provides a systematic approach to TEMS.
Understanding these principles is crucial for the successful implementation of TEMS.
This documentation aims to bridge the knowledge gap in endodontic digital surgical planning.