Miadili Mirealimu, Zhang Wenbin, Zhang Yan, Gao Yiming, Mutalifu Halisha, Li Xiaoman, Zhang Jianfei
Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai, China.
Shanghai Jiao Tong University School of Medicine, Institute of Ruijin Hospital, Shanghai, China.
BMC Oral Health. 2025 May 10;25(1):710. doi: 10.1186/s12903-025-06094-z.
This clinical report presents the use of a minimally invasive, robot-assisted windowing surgery for the extraction of a median impacted mandibular tooth. The report highlights the precision and safety afforded by robotic assistance in performing complex dental procedures. However, this case report also critically examines the challenges associated with robotic systems, including high costs, prolonged setup times, and the need for specialized training. The financial burden and learning curve associated with robotic-assisted surgery are discussed in the context of their implications for widespread clinical adoption.
A 24-year-old male patient, in good general health, was diagnosed with a median impacted mandibular tooth, as confirmed by cone-beam computed tomography (CBCT) scans. Preoperative in vitro simulations utilizing a robotic system were conducted to establish optimal surgical parameters and to validate the surgical approach. The robot-assisted windowing surgery was then performed under local anesthesia. The total operative time was approximately 90 min, with no major complications reported. Postoperative imaging at six months confirmed successful healing, and the patient expressed high satisfaction with the outcome. The case underscores the potential of robotic-assisted surgery to achieve precise outcomes while minimizing surgical trauma.
Robot-assisted dental surgery has been demonstrated to be a feasible and precise technique for managing complex cases, such as impacted mandibular teeth. This approach enhances visualization, ensures safety, and improves accuracy, supporting its potential as a minimally invasive alternative in both dental and maxillofacial surgeries. However, this case report also highlights the need for further research to address the financial burden, learning curve, and long-term outcomes associated with robotic-assisted procedures. Future studies should focus on cost-effectiveness, comparative efficacy, and the development of more accessible robotic systems to ensure broader clinical adoption.
本临床报告介绍了一种用于拔除下颌正中阻生牙的微创机器人辅助开窗手术。该报告强调了机器人辅助在执行复杂牙科手术时所提供的精确性和安全性。然而，本病例报告也批判性地审视了与机器人系统相关的挑战，包括高成本、较长的设置时间以及对专门培训的需求。在其对广泛临床应用的影响背景下，讨论了与机器人辅助手术相关的经济负担和学习曲线。
一名24岁男性患者，全身健康状况良好，经锥形束计算机断层扫描（CBCT）确诊为下颌正中阻生牙。利用机器人系统进行了术前体外模拟，以确定最佳手术参数并验证手术方法。然后在局部麻醉下进行了机器人辅助开窗手术。总手术时间约为90分钟,未报告重大并发症。术后六个月的影像学检查证实愈合成功，患者对结果表示高度满意。该病例强调了机器人辅助手术在实现精确结果同时将手术创伤降至最低的潜力。
机器人辅助牙科手术已被证明是一种用于处理复杂病例（如下颌阻生牙）的可行且精确的技术。这种方法增强了可视化、确保了安全性并提高了准确性，支持其作为牙科和颌面外科微创替代方案的潜力。然而，本病例报告也强调需要进一步研究以解决与机器人辅助手术相关的经济负担、学习曲线和长期结果。未来的研究应关注成本效益、比较疗效以及开发更易于使用的机器人系统，以确保更广泛的临床应用。
