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)

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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"

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