Endodontics Nova Southeastern University College of Dental Medicine
Disclosure(s): No financial relationships to disclose
Disclosure(s):
Jaime J. Silberman, D.D.S., M.S.: No financial relationships to disclose
Guided surgery has garnered significant interest in our specialty over the past 5 to 7 years. The introduction of dynamic and static navigation has enabled endodontists to perform surgical and non-surgical procedures with greater precision and minimal invasiveness. Complex surgical cases—such as palatal root periapical surgery of maxillary molars and periapical surgery of posterior mandibular teeth—are particularly well-suited for these techniques. However, several questions arise when planning or performing guided surgical procedures: Should the surgery be partially guided or fully guided? Is the case suitable for a guided flapless approach? Does guided surgery offer a real advantage in the given scenario? The purpose of this clinical presentation is to examine both the benefits and limitations of guided surgery, and to discuss the critical decision-making involved in its application.
Learning Objectives:
Describe and discuss the clinical applications of dynamic and static navigation in anatomically compromised periapical surgical cases.
Describe and discuss the limitations of using flapless TEMS in periapical surgery
Evaluate whether guided surgery may become a redundant tool in periapical surgical practice
