3D-printed titanium surgical guides for extraction of horizontally impacted lower third molars

Qi, Wei; Jiang, Qian; Zhou, Wei; Li, Jiannan; Mao, Bochun; Wen, A N; Zhao, Yijiao; Wang, Yong

doi:10.1007/s00784-022-04769-3

Cited by 10 publications

(2 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These tools just serve the purpose of locating the tooth and do not provide real-time monitoring of the interaction between the dental handpiece and the nerves. Currently, virtual and simulation technologies are more commonly applied in clinical teaching to improve the precise repositioning of impacted teeth in three dimensions, although their practical clinical application still needs further optimization [19,23] . This study seeks to evaluate the clinical safety and e cacy of RDN for extracting deeply impacted horizontal mandibular third molars.…”

Section: Introductionmentioning

confidence: 99%

From Planning to Execution: The Advantage of Real-time Dynamic Navigation in the Extraction of Impacted Mandibular Third Molars

Xu,

Gong,

Sina

et al. 2024

Preprint

View full text Add to dashboard Cite

Purpose: This study aimed to evaluate the clinical efficacy of applying Real-time Dynamic Navigation (RDN) in the extraction of deep horizontal mandibular impacted third molars, hypothesizing that RDN will reduce surgical time and minimize the risk of injury to adjacent anatomical structures. Methods: A prospective study was conducted on 160 patients aged between 18 and 37 years old with deep horizontal impaction of the mandibular third molar. Participants were randomly assigned to either the experimental group (receiving RDN-assisted extractions) or the control group (undergoing traditional extraction methods). Preoperative planning utilized Cone Beam Computed Tomography (CBCT) and Mimics software for accurate localization and segmentation of impacted teeth. Parametric data were analyzed using an independent t-test for intergroup comparisons, with significance set at p < 0.05. Results: The experimental group required an average of 11±1 minutes for preoperative planning using RDN, which was not a requirement for the control group. The setup of the navigation system took an average of 4±1 minutes in the experimental group and 0 minutes in the control group. The experimental group demonstrated a significantly shorter average surgical time of 22 ± 3 minutes compared to the control group's 36 ± 3 minutes. So, the differences preoperative design time, in surgical time, and complication rates between the two groups were statistically significant (p=0.005). Additionally, the RDN group reported no complications related to adjacent tooth damage or nerve injury, whereas the control group noted instances of adjacent tooth damage and lower lip discomfort, suggesting inferior alveolar nerve irritation. Conclusion: Precise, Secure, R eal-time guidance that supports the application of RDN in complicated dental extractions and introduces a new era of oral and maxillofacial surgery.

show abstract

Section: Introductionmentioning

confidence: 99%

From Planning to Execution: The Advantage of Real-time Dynamic Navigation in the Extraction of Impacted Mandibular Third Molars

Xu,

Gong,

Sina

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…In the context of personalised dentistry and minimally invasive oral surgery, digital planning and 3D printed surgical guides are becoming essential tools to perform accurate and predictable osteotomies in terms of location, angulation, and cutting depth. The application of computer-assisted osteotomy guides has been associated with favourable outcomes for several indications, including the removal of alveolar bone pathologies [26], orthognathic surgeries [27], corticotomy [28], tooth extraction [29][30][31], inferior alveolar nerve lateralisation [32], bone harvesting [33], and apical surgery [34].…”

Section: Introductionmentioning

confidence: 99%

Computer-Guided Bone Lid Technique for Surgical Extraction of Deeply Impacted Mandibular Third Molars: A Technical Report

Sivolella,

Brunello,

Fincato

et al. 2024

Applied Sciences

View full text Add to dashboard Cite

The extraction of mandibular impacted third molars is one of the most common procedures in oral surgery. One of the extraction methods consists of the preparation of a buccal bone lid to obtain access and remove the tooth. This technique aims to reduce bone loss, promote bone healing distal to the second molar, and increase the accessibility to the impacted tooth, particularly in cases of concomitant pathologies or proximity to the mandibular canal. The procedure benefits from the application of 3D printing technologies to produce cutting guides that, combined with piezosurgery, allow deeply impacted third molar extractions with excellent preoperative planning and extreme localisation precision, as well as predictable repositioning and fixation of the bone lid. The objective of this article is to present two clinical cases of the application of the bone lid technique to extract deeply impacted third molars using 3D printed guides with different designs and piezosurgery.

show abstract

Development of a minimally invasive surgical guide template for flapless extraction of deeply impacted premolars: A technical note and case report

et al. 2024

Journal of Stomatology, Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

3D-printed titanium surgical guides for extraction of horizontally impacted lower third molars

Cited by 10 publications

References 32 publications

From Planning to Execution: The Advantage of Real-time Dynamic Navigation in the Extraction of Impacted Mandibular Third Molars

From Planning to Execution: The Advantage of Real-time Dynamic Navigation in the Extraction of Impacted Mandibular Third Molars

Computer-Guided Bone Lid Technique for Surgical Extraction of Deeply Impacted Mandibular Third Molars: A Technical Report

Development of a minimally invasive surgical guide template for flapless extraction of deeply impacted premolars: A technical note and case report

Contact Info

Product

Resources

About