Journal of Oral Science Research ›› 2020, Vol. 36 ›› Issue (10): 978-982.DOI: 10.13701/j.cnki.kqyxyj.2020.10.020

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New Strategy for Minimally Invasive Apical Microsurgery with Aid of Dynamic Navigation System

XIA Juan, ZHANG Jieli, YE Zhitong, JIANG Qianzhou, YANG Xuechao*   

  1. Department of Endodontology, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou 510182, China
  • Received:2019-12-10 Online:2020-10-28 Published:2020-10-19

Abstract: Objective: To explore the new method for minimally invasive and accurate apical microsurgery with the aid of dynamic navigation systems. Methods: A patient suffered from chronic periapical periodontitis and failure of root canal therapy was selected. An open position cone beam computer tomography (CBCT) was made. Preoperative plan was made in IRIS software. The infrared lamp of navigation systems was matched and positioned before the surgery. Guided osteotomy and root resection were performed with the aid of dynamic navigation systems. Results: The periapical pathological tissue was removed accurately with minimal lesion to osseous and soft tissue. The minimally invasive and precise treatment was realized. The patient's satisfaction was improved. Conclusion: Minimally invasive apical surgery with the aid of dynamic navigation systems would realize preoperative simulation, visualization, and accurate and minimal invasion. It was simple, efficient, and would lower the technique sensitivity.

Key words: dynamic navigation, surgical guide, apical microsurgery, accurate, minimally invasive