Customized surgical guide with a bite block and retraction arm for a deeply impacted odontoma; a technical note

Area of Science:

• Oral and Maxillofacial Surgery
• Dental Implantology
• Biomedical Engineering

Background:

• Odontomas, benign odontogenic tumors, can lead to complications such as the impaction of permanent teeth.
• Surgical intervention is often required for odontoma removal, especially when permanent teeth are affected.
• Minimally-invasive techniques are desirable to minimize patient morbidity and preserve surrounding structures.

Purpose of the Study:

• To present a novel technical note on the minimally-invasive surgical extraction of a deeply impacted odontoma.
• To highlight the utility and advantages of using patient-specific computer-aided design/computer-aided manufacturing (CAD/CAM) surgical guides in such procedures.

Main Methods:

• A case of a deeply impacted odontoma associated with a permanent tooth impaction was identified.
• A patient-specific CAD/CAM surgical guide was designed and fabricated.
• The surgical guide was utilized to facilitate the precise and minimally-invasive removal of the odontoma.

Main Results:

• The patient-specific CAD/CAM surgical guide enabled easy and accurate extraction of the deeply impacted odontoma.
• The minimally-invasive approach resulted in reduced surgical trauma and potentially faster recovery.
• The technique demonstrated the feasibility and effectiveness of CAD/CAM guides in complex odontoma removals.

Conclusions:

• Patient-specific CAD/CAM surgical guides offer a valuable tool for the minimally-invasive management of odontomas.
• This technology can simplify the surgical procedure, improve accuracy, and enhance outcomes for impacted tooth cases.
• The use of CAD/CAM guides represents an advancement in surgical planning and execution for odontoma removal.