口腔疾病防治2026，Vol.34Issue(1)：96-104,9.DOI:10.12016/j.issn.2096-1456.202550076
数字化技术在显微根尖手术中的研究进展
Research progress on digital technology in endodontic microsurgery
摘要
Abstract
Endodontic microsurgery(EMS)is an oral surgical procedure that utilizes the magnification and illumina-tion provided by a microscope.Fine instruments are used to remove periapical diseased tissues,resect the root apex,and tightly seal the root canal system,aiming to promote the healing of periapical tissues and retain the affected tooth whenever possible.Precise localization and resection of the root apex have always been challenging in EMS.The appli-cation of digital technology in EMS can address many issues in traditional endodontic microsurgery.Digital technology offers advantages such as optimizing surgical planning,providing precise positioning guidance,and enhancing opera-tional accuracy.Currently,the commonly used digital technologies in EMS include static and dynamic navigation tech-nologies and oral surgical robots.Static navigation technology enhances surgical predictability through precise preopera-tive planning and guided fabrication,yet is constrained by its inability to adjust during surgery.Dynamic navigation technology excels in real-time tracking and intraoperative flexibility but demands high hand-eye coordination from sur-geons and may be hindered by bulky handheld devices.Oral surgical robots reduce hand tremors and human error in surgery with their high precision,stability,and ability to adjust in real time,but their clinical applicability is limited and their cost is high.In clinical practice,tailored combinations of these technologies can be applied based on case complexity.For simple cases with well-defined anatomy,static navigation alone may suffice.For complex anatomical cases,static navigation can provide initial planning,supplemented by dynamic navigation for real-time guidance or ro-botic systems for high-precision execution.This paper discusses the workflow,clinical application status and advantages and limitations of these three digital technologies in EMS.The continuous development of digital technology is expected to simplify the operation process,improve the navigation accuracy,and reduce the operation cost.It is believed that with continuous improvement and optimization,these technologies will effectively break through the current bottleneck of the cost of equipment,operation complexity,and accuracy enhancement.These technologies are also expected to fur-ther expand the application boundaries,providing more minimally invasive,precise,and time-saving personalized treat-ment solutions for endodontic diseases.关键词
数字化技术/计算机引导手术/显微根尖手术/静态导航/动态导航/手术机器人/精准化/微创化Key words
digital technology/computer-guided surgery/endodontic microsurgery/static navigation/dynamic navi-gation/surgical robot/accurate/minimally invasive分类
医药卫生引用本文复制引用
徐思颖,狄静怿,瞿炯玮,何俐..数字化技术在显微根尖手术中的研究进展[J].口腔疾病防治,2026,34(1):96-104,9.基金项目
湖北省卫生健康科研基金(WJ2021M054) This study was supported by the grants from Health Commission of Hubei Province Scientific Research Project(No.WJ2021M054). （WJ2021M054）
