Evaluation of the effect of surgical navigation combined with CBCT in removing supernumerary teeth with complete bone impaction in the anterior maxillary region

doi:10.19439/j.sjos.2025.06.013

Abstract

Abstract: PURPOSE: To investigate the effect of surgical navigation combined with CBCT in removing supernumerary teeth with complete bone impaction in maxillary anterior region. METHODS: A total of 82 children (82 teeth) with complete bone impaction in the anterior maxillary region were removed from January 2023 to June 2024, and were divided into 2 groups by random number table method, with 41 patients and 41 teeth in each group. CBCT was taken before operation in 2 groups,the control group underwent surgical extraction and the experimental group underwent dental extraction assisted by surgical navigation system. The exposure time of the impacted teeth, surgery duration and incision length were recorded. Postoperative pain at 1, 6, 12 and 24 hours was assessed using the face, legs, activity, cry, consolability (FLACC) scale. Inflammatory marker levels and complications were compared between the two groups preoperatively and 24 hours postoperatively. RESULTS: The exposure time, operation time and incision length of the experimental group were significantly lower than those of the control group, and the FLACC score and inflammatory factor level at 1, 6 and 12 h after surgery in the experimental group were significantly lower than those in the control group, and the postoperative complications were also significantly decreased (P<0.05). CONCLUSIONS: Surgical navigation combined with CBCT can shorten the operation time, reduce postoperative pain and the risk of postoperative complications.

Key words: Surgical Navigation, CBCT, Maxilla, Supernumerary teeth, Bone impaction

CLC Number:

R782.1

Hao Xingke, Wang Jinxiu, Meng Wenrui, Han Miyan, Zhang Bin. Evaluation of the effect of surgical navigation combined with CBCT in removing supernumerary teeth with complete bone impaction in the anterior maxillary region[J]. Shanghai Journal of Stomatology, 2025, 34(6): 631-635.

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