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Endodontic Microsurgery With an Autonomous Robotic System: A Clinical Report
Chen Liu1, Xin Liu2, Xin Wang1
1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Digital Dentistry Center, School of Stomatology, The Fourth Military Medical University, Xi'an, Shaanxi, PR China.
Journal of Endodontics
|February 18, 2024
Summary
This case report introduces robot-guided endodontic microsurgery (EMS). Autonomous robotic systems enhance precision in osteotomy and root resection, minimizing errors in apicoectomy procedures.
Area of Science:
- Dentistry
- Robotics in Surgery
Background:
- Endodontic microsurgery (EMS) presents challenges in minimally invasive osteotomy and root-end resection.
- Autonomous robotic systems show promise in improving precision for dental procedures.
Observation:
- A novel EMS technique using robot-guided osteotomy and root resection was employed.
- A 59-year-old male patient with symptomatic apical periodontitis underwent the procedure.
Findings:
- The robotic system autonomously performed a 3-mm osteotomy and root-end resection based on a preoperative digital plan.
- This represents the first documented use of autonomous robotic assistance in endodontic microsurgery.
Implications:
- Autonomous robotic systems can facilitate precise apicoectomy, especially with intact cortical plates.
- This technology has the potential to reduce errors from operator inexperience and minimize excessive bone removal.

