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Three-dimensional printing: A revealing pathway to an unpredictable maze.
Meetkumar S Dedania1, Nimisha C Shah1, Ankit Arora1
1Department of Conservative Dentistry and Endodontics, K. M. Shah Dental College, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
Journal of Conservative Dentistry : JCD
|April 29, 2021
Summary
This study introduces a novel 3D-guided approach for periapical surgery, improving precision in root-end resection and bone preservation. The technique enhances treatment efficiency and minimizes patient injury.
Area of Science:
- Dentistry
- Surgical Technology
- 3D Imaging
Background:
- Three-dimensional (3D) technology is increasingly utilized in dentistry for treatment planning and surgical guidance.
- Periapical surgery often involves complex procedures like root-end resection and management of surrounding bone structures.
Observation:
- A novel treatment approach was developed for periapical surgery using cone-beam computed tomography (CBCT), computer-aided design (CAD), and 3D printing.
- A 22-year-old male patient with a large periapical lesion underwent endodontic surgery using a custom-designed surgical template.
Findings:
- The digitally designed template accurately guided the precise removal and preservation of cortical bone and facilitated root-end resection.
- The patient experienced a clinically asymptomatic recovery with successful lesion healing and no observed periapical radiolucency at the 6-month follow-up.
Implications:
- This 3D-guided technique simplifies periapical surgery, improves treatment efficiency, and significantly reduces iatrogenic damage.
- The use of CBCT, CAD, and 3D printing offers a promising advancement in minimally invasive endodontic surgery.
