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机器人辅助定位钙化根管:一例报告

Locating a Calcified Root Canal with Robotic Assistance: A Case Report.

作者信息

Huang Xiaoxiang, Mao Lisha, Hou Benxiang

机构信息

Center for Microscope Enhanced Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.

Center for Microscope Enhanced Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.

出版信息

J Endod. 2025 Sep;51(9):1294-1300. doi: 10.1016/j.joen.2025.01.019. Epub 2025 Jan 30.

Abstract

Precise, minimally invasive, and efficient endodontic treatment of calcified root canals is challenging. Robot-assisted treatment has been applied in the field of implantology and has demonstrated excellent accuracy. This case report presents the methods and steps for locating a calcified root canal using robotic assistance. A 49-year-old female patient was diagnosed with symptomatic apical periodontitis and pulp necrosis with pulp canal obliteration in the left maxillary central incisor. Using patient data, we entered a digital model into the preoperative planning software to acquire an operation path design. The robotic system utilized spatial alignment techniques for registration, guiding the robotic arm to autonomously and precisely obtain access to the calcified root canal, based on the path design. After rigorous infection control and root canal filling, the patient's symptoms disappeared. With the robotic assistance, the calcified root canal was accurately and efficiently located in a minimally invasive manner, and the patient experienced symptom relief and functional recovery. The findings reported from this case support robotic assistance as a promising technique for locating calcified root canals.

摘要

对钙化根管进行精确、微创且高效的牙髓治疗具有挑战性。机器人辅助治疗已应用于种植领域,并显示出卓越的准确性。本病例报告介绍了使用机器人辅助定位钙化根管的方法和步骤。一名49岁女性患者被诊断为左上颌中切牙有症状性根尖周炎和牙髓坏死伴根管闭锁。利用患者数据,我们将数字模型输入术前规划软件以获取手术路径设计。机器人系统利用空间对准技术进行配准,根据路径设计引导机器人手臂自主且精确地进入钙化根管。经过严格的感染控制和根管充填后,患者症状消失。在机器人辅助下,钙化根管以微创方式被准确、高效地定位,患者症状缓解且功能恢复。该病例报告的结果支持机器人辅助作为一种有前景的定位钙化根管的技术。

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