Int J Stomatol

Int J Stomatol ›› 2022, Vol. 49 ›› Issue (6): 621-632.doi: 10.7518/gjkq.2022096

• Expert Forum •     Next Articles

Combined treatment strategy of oral implantology and endodontics microsurgery: clinical protocol and practical cases (part 2)

Man Yi1(),Huang Dingming2()   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-05-27 Revised:2022-08-16 Online:2022-11-01 Published:2022-11-03
  • Contact: Dingming Huang E-mail:manyi780203@126.com;dingminghuang@163.com
  • Supported by:
    Key Research and Development Project of the Science and Technology Department of Si-chuan Province(2021YFS0030);Exploration and Research and Development Project of West China Hospital of Stomatology, Sichuan University(LCYJ2019-19);Chengdu Key Application Projects of Scien-ce and Technology(2021-YF09-00078-SN)

RichHTML

130

PDF (PC)

854

Abstract:

When an implant-related surgery is in areas in proximity to a periapical lesion of the adjacent tooth, the chronic apical periodontitis of adjacent teeth could become a potential source of infection to cause the failure of surgery. Unlike traditional treatment procedures, the combined treatment modality of performing implant-related surgery with simultaneous endodontic microsurgery of adjacent teeth was proposed in this study. This novel strategy ensured the early safety of implant-related surgery and increased the long-term predictability of oral treatment. It also seemed to be a more cost-effective treatment strategy. This article presented the clinical procedures and practical cases on the clinical application of the novel combination therapy strategy in different clinical situations.

Key words: dental implant, guided bone regeneration, endodontic microsurgery, guided tissue regeneration, surgical template, clinical protocol

CLC Number: 

  • R 78

TrendMD: 

Fig 1

Digital process of virtual surgical design and template design for combined surgery"

Fig 2

The procedures of guided endodontic microsurgery"

Fig 3

Implant placement and GBR process in edentulous area"

Fig 4

Radiographic evaluation for the patients receiving implant placement and GBR of the edentulous area with simultaneous endodontic microsurgery of the adjacent tooth"

Fig 5

Digital process of virtual surgical design and template design for combined surgery"

Fig 6

Combined surgery: the procedures of guided EMS and bone block harvesting"

Fig 7

Horizontal bone augmentation by onlay bone grafting in edentulous area during the combine surgery and the subsequent implant placement"

Fig 8

Radiographic examination for the patients receiving the horizontal bone augmentation of the edentulous area with simultaneous endodontic microsurgery of the adjacent tooth"

1 Penarrocha-Diago M, Maestre-Ferrín L, Penarrocha-Oltra D, et al. Inflammatory implant periapical lesion prior to osseointegration: a case series study[J]. Int J Oral Maxillofac Implants, 2013, 28(1): 158-162.
2 Mohamed JB, Alam MN, Singh G, et al. The mana-gement of retrograde peri-implantitis: a case report[J]. J Clin Diagn Res, 2012, 6(9): 1600-1602.
3 Lefever D, van Assche N, Temmerman A, et al. Ae-tiology, microbiology and therapy of periapical lesions around oral implants: a retrospective analysis[J]. J Clin Periodontol, 2013, 40(3): 296-302.
4 Moy PK, Aghaloo T. Risk factors in bone augmentation procedures[J]. Periodontol 2000, 2019, 81(1): 76-90.
5 Zhou W, Zheng QH, Tan XL, et al. Comparison of mineral trioxide aggregate and iRoot BP plus root repair material as root-end filling materials in en-dodontic microsurgery: a prospective randomized controlled study[J]. J Endod, 2017, 43(1): 1-6.
6 Yuan S, Mu ZX, Huang YD, et al. Comparison of in situ bone ring technique and tent-pole technique for horizontally deficient alveolar ridge in the anterior maxilla[J]. Clin Implant Dent Relat Res, 2020, 22(2): 167-176.
7 Wang J, Luo YL, Tan XL, et al. Horizontal bone augmentation of the edentulous area with simulta-neous endodontic microsurgery of the adjacent tooth: a digitally-driven multidisciplinary case report with a 1-year follow-up[J]. Int J Oral Implantol (Berl), 2021, 14(4): 435-451.
8 Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review[J]. J Endod, 2006, 32(7): 601-623.
9 Lee SM, Yu YH, Wang Y, et al. The application of “bone window” technique in endodontic microsurgery[J]. J Endod, 2020, 46(6): 872-880.
10 Cawood JI, Howell RA. A classification of the edentulous jaws[J]. Int J Oral Maxillofac Surg, 1988, 17(4): 232-236.
11 Floratos S, Kim S. Modern endodontic microsurgery concepts: a clinical update[J]. Dent Clin North Am, 2017, 61(1): 81-91.
12 von Arx T, Jensen SS, Hänni S, et al. Five-year longitudinal assessment of the prognosis of apical microsurgery[J]. J Endod, 2012, 38(5): 570-579.
13 Kim D, Ku H, Nam T, et al. Influence of size and volume of periapical lesions on the outcome of en-dodontic microsurgery: 3-dimensional analysis using cone-beam computed tomography[J]. J Endod, 2016, 42(8): 1196-1201.
14 Rubinstein RA, Kim S. Short-term observation of the results of endodontic surgery with the use of a surgical operation microscope and super-EBA as root-end filling material[J]. J Endod, 1999, 25(1): 43-48.
15 Curtis DM, VanderWeele RA, Ray JJ, et al. Clinician-centered outcomes assessment of retreatment and endodontic microsurgery using cone-beam computed tomographic volumetric analysis[J]. J Endod, 2018, 44(8): 1251-1256.
16 Azim AA, Albanyan H, Azim KA, et al. The Buffalo study: outcome and associated predictors in en-dodontic microsurgery-a cohort study[J]. Int Endod J, 2021, 54(3): 301-318.
[1] Chang Xinnan,Liu Lei. Applications and research progress of biodegradable magnesium-based materials in craniomaxillofacial surgery [J]. Int J Stomatol, 2024, 51(1): 107-115.
[2] Han Chong,He Dongning,Yu Feiyan,Wu Dongchao. Research progress on the mechanism and treatment of pain after oral implants [J]. Int J Stomatol, 2024, 51(1): 99-106.
[3] Liao Honglin,Fang Zhonghan,Zhang Yanyan,Liu Fei,Shen Jiefei.. Diagnosis and treatment of post-traumatic trigeminal neuropathic pain after dental implantation [J]. Int J Stomatol, 2023, 50(6): 729-738.
[4] Gong Jiaming,Zhao Ruimin,Pan Hongwei,Lang Xin,Yu Zhanhai,Li Jianxue. Meta-analysis of dynamic navigation versus static navigation in the accuracy of implant surgery [J]. Int J Stomatol, 2023, 50(5): 538-551.
[5] Zhu Keshi,Liao Anqi,Yu Youcheng.. Research progress on the application of machine learning in dental implantology [J]. Int J Stomatol, 2023, 50(4): 491-498.
[6] Xu Yanxue,Fu Li.. Research progress on functionally graded membranes for guided bone regeneration [J]. Int J Stomatol, 2023, 50(3): 353-358.
[7] Lu Qian,Xia Haibin,Wang Min.. Research progress on implantoplasty in the treatment of peri-implantitis [J]. Int J Stomatol, 2023, 50(2): 152-158.
[8] Liang Zhiying,Zhao Yuanxi,Zhu Jiani,Su Qin.. Retrospective analysis of clinical data of 288 cases of endodontic microsurgery on anterior teeth [J]. Int J Stomatol, 2023, 50(2): 166-171.
[9] Tang Zhiwei,Gao Ying. Application and progress on targeted endodontic microsurgery techniques [J]. Int J Stomatol, 2022, 49(6): 678-683.
[10] Man Yi, Huang Dingming. Combined treatment strategy of oral implantology and endodontic microsurgery for bone augmentation and en-dodontic diseases in aesthetic area (part 1): application basis and indications [J]. Int J Stomatol, 2022, 49(5): 497-505.
[11] Wang Yue,Wen Bing,Deng Mengting,Li Jianping. Research advances of low-level laser therapy on peri-implant tissue healing [J]. Int J Stomatol, 2021, 48(6): 725-730.
[12] Zhu Xuanzhi,Zhao Lei. Research progress on the relationship between hypothyroidism and periodontitis [J]. Int J Stomatol, 2021, 48(4): 380-384.
[13] Zhao Wenjun,Chen Yu. Research progress on periodontal functional gradient membrane for guided tissue/bone regeneration [J]. Int J Stomatol, 2021, 48(4): 391-397.
[14] Feng Lu,Meng Wenxia. Research progress on the problems of dental implant treatment in patients with common oral mucosal disease [J]. Int J Stomatol, 2021, 48(2): 147-155.
[15] Wang Jia,Li Wenxia,Yin Lihua. Restoration strategy of dental implant for impacted teeth in the edentulous area [J]. Int J Stomatol, 2021, 48(1): 77-81.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[7] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[8] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[9] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[10] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .