Targeted Endodontic Microsurgery: Implications of the Greater Palatine Artery

Abstract

Introduction: Targeted Endodontic Microsurgery (TEMS) combines trephine burs and 3D-printed guides to make flapless maxillary palatal root-end surgery possible. This study assessed the location of the greater palatine artery (GPA), the relationship of the GPA to maxillary molar root-ends, and the feasibility of flapless palatal-approach TEMS. Methods: Three endodontists analyzed 250 CBCT images of maxillary molars for: 1) transition morphology between the hard palate and the alveolar process adjacent to first and second molars as an indication of the most likely location of the GPA, 2) the superior-inferior relationship between the GPA and root-ends, and 3) the feasibility of palatal-approach TEMS.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2020
Accession Number
AD1110873

Entities

People

  • Allen M. Pratt
  • Bracken G. Smith
  • Jarom J. Ray
  • Julie A. Anderson

Organizations

  • 59th Medical Wing

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Additive Manufacturing
  • Air Force
  • Arteries
  • Classification
  • Connective Tissue
  • Measurement
  • Medical Personnel
  • Prosthetics
  • Skull
  • Statistical Analysis
  • Surgery
  • Teeth
  • Three Dimensional
  • Tissues
  • Tomography
  • Transplants
  • X-Ray Computed Tomography

Readers

  • Battery Technology and Engineering
  • Medical Imaging.