ArticleBMC oral health2025
Endodontic microsurgery utilizing an autonomous robotic system for the maxillary second molar: a case report.
Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- [Application and prospect of digital technology in endodontic microsurgery].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026Review
- [Challenges and clinical strategies for endodontic microsurgery in the posterior maxillary region].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026Article
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8 authors.
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Abstract
backgroundEndodontic microsurgery (EMS) is a widely utilized technique for addressing periapical periodontitis that is unresponsive to conventional root canal treatment. Nevertheless, achieving precise root apex location and resection can pose significant challenges for surgeons, particularly in complex anatomical situations. The inherent difficulties in accessing and the restricted visualization typically render EMS infeasible in the second molar region. The autonomous robotic (ATR) system, characterized by its automation, precision, and stability, is anticipated to address the limitations inherent in manual operations within complex EMS scenarios. Herein, this report details the successful application of robot-assisted EMS in a maxillary second molar. CASE PRESENTATION: A 26-year-old female patient presented to our hospital with chronic periapical periodontitis following a previous history of root canal treatment in the left maxillary second molar. The patient data were imported into DentalNavi software to design the drilling path for precise resection while avoiding damage to the maxillary sinus. Through the integration of an optical pose tracking mechanism and the computerized operational system, the robotic arm completed the autonomous resection task of the mesiobuccal root according to the preoperative plan, providing a position reference for the freehand operation of the distobuccal root. No complications were reported during the surgery. Clinical and radiographic assessments at a six-month follow-up indicated satisfactory outcomes.
conclusionsThe ATR system offers an accurate, safe, and minimally invasive technique for osteotomy and apicoectomy. This technology demonstrates potential as a reliable and clinically effective technique for managing complex and anatomically challenging posterior EMS procedures.
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