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Digitally planned root end surgery with static guide and custom trephine burs: A case report
Márk Antal1, Eszter Nagy1, Lajos Sanyó2
1Faculty of Dentistry, Department of Esthetic and Operative Dentistry, University of Szeged, Szeged, Hungary.
Summary
Custom trephine burs and guided surgery software enhance apicoectomy precision. This system enables virtual planning and 3D printed guides for successful root-end resection and healing.
Area of Science:
- Endodontic Microsurgery
- Computer-Assisted Surgery
Background:
- Apicoectomy demands high precision, traditionally challenging in endodontic surgery.
- Computer-assisted static guidance significantly improves dental implant precision.
Observation:
- Custom trephine burs were designed and integrated into implant surgical planning software.
- A novel system was developed for targeted endodontic microsurgery.
Findings:
- Virtual planning of root-end removal and 3D printed static surgical guides are now possible.
- A patient with a persistent periapical lesion was successfully treated using the new system.
- The 6-month follow-up showed uneventful healing without complications.
Implications:
- This technology represents a step towards standardized digital workflows for guided endodontic surgery.
- The system enhances precision in root-end resection, potentially improving patient outcomes.
