Related Experiment Video
Updated: May 17, 2025
07:14
Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
Published on: May 24, 2022
4.3K
Approaches in apical microsurgery: conventional vs. guided. A systematic review
Germán Sánchez-Herrera1, Matteo Facchera2, Cristina Palma-Carrió2
1Faculty of Health Sciences, Department of Dentistry, Universidad Europea de Valencia, Paseo Alameda 7, Valencia, 46010, Spain. german.sanchez@universidadeuropea.es.
Oral and Maxillofacial Surgery
|April 3, 2025
Summary
3D-printed guided apical microsurgery shows higher precision and better healing rates than conventional methods. This advanced technique offers improved clinical outcomes for apicoectomy procedures.
Area of Science:
- Endodontics
- Dental Surgery
- Biomedical Engineering
Background:
- Apicoectomy is a critical dental procedure.
- 3D-printed guided apical microsurgery may enhance precision and success rates compared to conventional techniques.
Purpose of the Study:
- To evaluate medium- and long-term healing rates.
- To assess longitudinal deviation in 3D-guided vs. conventional apical microsurgery.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Searched PubMed, Web of Science, and Scopus for studies from 2013 onwards.
- Included RCTs, case series, observational, and cohort studies.
Main Results:
- Analyzed 9 eligible articles from an initial 397.
- Guided microsurgery demonstrated consistently higher healing rates.
- Guided microsurgery showed lower longitudinal deviation compared to conventional methods.
Conclusions:
- 3D-printed guided microsurgery offers enhanced precision.
- This technique reduces soft tissue impact during root-end resection.
- Promising option for improving apicoectomy clinical outcomes.
