Endodontic Microsurgery of a Mandibular Molar Using a Dynamic Navigation System ->and Cortical Window Technique: Case Report

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Endodontic Microsurgery of a Mandibular Molar Using a Dynamic Navigation System and Cortical Window Technique: Case Report

Gustavo A. Castillo^a, ... Paola A. Escobar-Villegas^d more

^a Gustavo A. Castillo

Gustavo A. Castillo, DDS, Endodontist Associate Professor, Department of Endodontics, Universidad del Valle, Cali, Colombia. https://orcid.org/0009-0002-0534-9941 , Corresponding author’s address: cra 37 bis # 1a-49 apto 103 b. Cali- Colombia Cel: 3164780316, Email: gcastilloendo@gmail.com - gustavo.barrios@correounivalle.edu.co, Instagram: drgustavocastillo

^b Silvia A. Restrepo-Méndez

Silvia A. Restrepo-Méndez, DDS, Endodontist. Pontificia Universidad Javeriana. https://orcid.org/0009-0005-6021-2229

^c Oscar E. Zuluaga

Oscar E. Zuluaga, DDS, Endodontist. Professor, Department of Endodontics, Universidad del Valle, Cali, Colombia. https://orcid.org/0009-0009-0687-3295

^d Paola A. Escobar-Villegas

Paola A. Escobar-Villegas, DDS, Endodontist, MSc in Dental Sciences. Professor, Colegio Odontológico, Institución Universitaria Colegios de Colombia - Unicoc, Cali, Colombia. https://orcid.org/0000-0003-0703-0475

August 2, 2024

J Endod Microsurg. 2024;3: article in press.

Under a Creative Commons license

HOW TO CITE THIS ARTICLE (AMA Referencing)

Castillo GA, Restrepo Mendez SA, Zuluaga OE, Escobar-Villegas PA. Endodontic Microsurgery of a Mandibular Molar Using a Dynamic Navigation System and Cortical Window Technique: Case Report. J Endod Microsurg. 2024;3: article in press. https://doi.org/10.23999/j.jem.2024.3.5

ABSTRACT

Endodontic microsurgery (EM) of mandibular molars with a periapical lesion and intact buccal cortical bone presents a significant challenge for clinicians. This case report describes the utility of a dynamic navigation system for EM of a mandibular molar diagnosed with a previously treated tooth and symptomatic apical periodontitis, employing the "cortical window" technique using a trephine. The successful healing outcome at 21 months with cone-beam computed tomography (CBCT) was also documented.

Keywords

Apicoectomy, Surgery, Computer-Assisted, case reports, microsurgery, osteotomy, cone- beam computed tomography.