Dental Hypotheses · Published 2024-10-01 · DOI 10.4103/denthyp.denthyp_3_24
Introduction: We aimed to assess the clinical and radiographic outcomes following the use of the guiding groove technique in periapical endodontic surgery. Methods: Subjects with intact labial and buccal bone walls or defects with a maximum diameter of <3 mm, who met the inclusion criteria, were randomized into two groups using www.random.org. The experimental group (n = 15) underwent the “guiding groove” technique, while the control group (n = 15) underwent the traditional bone-removing fenestration. A total of 36 affected teeth were included. Follow-up visits were conducted at 1 week, and at 3, 6, and 12 months post-surgery, and efficacy was assessed through clinical and radiological examinations. Results: The success rate in the experimental group was 100%, while in the control group, it was 94.4% (P > 0.05). In the experimental group, 11.1% (2/18) of the teeth had a reverse preparation deviation angle of >15°, and 44.4% (8/18) in the control group (P = 0.016). Conclusion: The modified osteopathic fenestration method of “guiding groove” is safe and feasible, preserving more labiobuccal cortical plate for the affected tooth and effectively reducing the surgical trauma of patients.
Abstract from DOAJ. Public domain (CC0 1.0).
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