Evidence map›Paper›PMID 41296087›Full record

ArticleClinical oral investigations2025

Endodontic surgery using 3D-guides in-house manufacturing and trephine burs for osteotomy and root-end resection: a proof-of-concept clinical study.

Nicola Pranno, Gerardo La Monaca, Gianni Di Giorgio, Alessandro Salucci, Maurizio Bossù, Maria Paola Cristalli

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Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nicola Pranno *Department of Oral and Maxillo-Facial Sciences, Sapienza, University of Rome, 6 Caserta St., Rome, 00161, Italy.
Gerardo La Monaca *Department of Oral and Maxillo-Facial Sciences, Sapienza, University of Rome, 6 Caserta St., Rome, 00161, Italy.
Gianni Di GiorgioDepartment of Oral and Maxillo-Facial Sciences, Sapienza, University of Rome, 6 Caserta St., Rome, 00161, Italy. gianni.digiorgio@uniroma1.it.
Alessandro SalucciDepartment of Oral and Maxillo-Facial Sciences, Sapienza, University of Rome, 6 Caserta St., Rome, 00161, Italy.
Maurizio BossùDepartment of Oral and Maxillo-Facial Sciences, Sapienza, University of Rome, 6 Caserta St., Rome, 00161, Italy.
Maria Paola CristalliDepartment of Oral and Maxillo-Facial Sciences, Sapienza, University of Rome, 6 Caserta St., Rome, 00161, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study described a protocol for static-guided endodontic surgery, involving 3D in-house printed guides and trephine burs, to perform osteotomy and root apex resection simultaneously. MATERIALS AND

methodsClinical and radiographic data from 6 patients (9 roots) were evaluated. Cone-Beam Computed Tomography and intraoral scans were imported into the guided surgery software to virtually plan the osteotomy and a 3 mm root-end resection. Based on the virtual plan, surgical guides were designed, and Computer-Aided Design files exported in Standard Tessellation Language format were imported into the slicing software of the 3D printer for manufacturing. Surgeries were carried out under local anaesthesia and involved a mucoperiosteal flap incision and elevation, guided osteotomy and root-end resection using trephine burs, removal of the bone trapdoor, root apex, and periapical lesion with curettes, ultrasonic retropreparation and filling with Mineral Trioxide Aggregate, followed by suturing.

resultsFor osteotomy, the size ranged from 20.00 to 93.00 mm² (59.17 ± 32.28 mm²), and the surgical time from 40 to 102 min (73.67 ± 23.00 min). These parameters were influenced by the size of the periapical lesion and the limited accessibility and visibility of the area. No complications occurred, and postoperative pain intensity was mild to moderate. Four patients achieved complete healing at the 6-month follow-up, and two by 12 months.

conclusionsThe current findings supported the use of 3D in-house printed guides and trephine burs in endodontic surgery. CLINICAL RELEVANCE: 3D in-house printed guides in static-guided endodontic surgery offer a more cost-effective alternative to centralised facilities.

Indexed as

OsteotomyRoot Canal TherapyAdultAgedComputer-Aided DesignFemaleHumansMaleMiddle AgedPrinting, Three-DimensionalProof of Concept StudyRetrospective StudiesSurgery, Computer-Assisted3D printingApicoectomyComputer-aided design/Computer-aided manufacturingGuided endodontic surgerySurgical guide

Identifiers

PMID41296087
PMCPMC12657529

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