3D apicoectomy guidance: optimizing access for apicoectomies.

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dc.creatorWarley Luciano Fonseca Tavares
dc.creatorFonseca
dc.creatorLucas Moreira Maia
dc.creatorVinicius Machado
dc.creatorNelson Renato França Alves da Silva
dc.creatorGil Moreira Júnior
dc.creatorAntônio Paulino Ribeiro Sobrinho
dc.date.accessioned2023-04-28T16:03:02Z
dc.date.accessioned2025-09-09T00:43:50Z
dc.date.available2023-04-28T16:03:02Z
dc.date.issued2019-10-25
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.joms.2019.10.009
dc.identifier.issn02782391
dc.identifier.urihttps://hdl.handle.net/1843/52663
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Oral and Maxillofacial Surgery
dc.rightsAcesso Restrito
dc.subjectEndodontics
dc.subjectSurgery oral
dc.subjectPeriodontitis
dc.subjectDental implants
dc.subjectApicoectomy
dc.title3D apicoectomy guidance: optimizing access for apicoectomies.
dc.typeArtigo de periódico
local.citation.epage2391
local.citation.issue03
local.citation.spageS0278
local.citation.volume78
local.description.resumoWhen conventional endodontic treatment resources are depleted, endodontic surgery becomes an alternative treatment for apical periodontitis to remove unreachable infected areas and seal the root canal. Digital workflows have been used more frequently in many dental applications in recent years. In endodontics, virtual 3-dimensional (3D) planning and endodontic guidance are new aspects important for the treatment of complex cases. This report aimed to present 3D Apicoectomy Guidance, a novel method of performing guided ultraconservative endodontic surgery with conventional implant-guided drills, and to describe its application in a case with a complex anatomic scenario and intimate contact with the maxillary sinus. Implantology computer software, as well as cone-beam computed tomography images and a digital scanning 3D impression, enabled virtual planning of the surgical procedure. Subsequently, a 3D template was produced to guide the instruments used in the osteotomy and root resection. The patient was completely asymptomatic at the 1-week follow-up visit. Cone-beam computed tomography scans were performed at 1 and 6 months after surgery and showed that resection of the apex of the root was performed accurately and that a thin dentin slice remained distally, preventing the rupture of the sinus membrane. The patient remained asymptomatic, and the tissue healed normally. The method used was shown to be very straightforward and reliable. This method allowed the patient to be treated expeditiously with very precise tissue removal
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA RESTAURADORA
local.publisher.initialsUFMG
local.url.externahttps://www.joms.org/article/S0278-2391(19)31237-6/fulltext

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