Guided endodontic microsurgery in apicoectomy: a review.

Area of Science:

• Dentistry
• Surgical Technology
• Microsurgery

Background:

• Traditional endodontic surgery presents challenges in precision and predictability.
• Advancements in digital technology have led to the development of guided surgical approaches.

Purpose of the Study:

• To outline predictable protocols for guided endodontic microsurgery (EMS).
• To describe the clinical outcomes associated with EMS.
• To compare the accuracy of EMS with traditional surgical methods.

Main Methods:

• A systematic electronic literature search was conducted in Cochrane and PubMed databases.
• Inclusion criteria focused on English-language, in vivo human studies, human cadaver studies, and apicoectomy studies utilizing guided surgery.
• Ten relevant studies were included after initial screening of 67 citations.

Main Results:

• Guided endodontic microsurgery (EMS) demonstrates greater accuracy compared to freehand techniques.
• EMS is associated with reduced intra-operative and post-operative complications.
• The review identified variations in digitization and surgical procedures within the included studies.

Conclusions:

• Guided endodontic microsurgery (EMS) is a more predictable and accurate approach for endodontic procedures.
• EMS offers a significant advantage in minimizing surgical complications.
• This technique represents a notable advancement in endodontic microsurgery.