RESUMO
Dentigerous cysts (DC) in the maxillary sinus are rare and pose challenges for effective treatment. Despite various available surgical techniques, a definitive approach remains debated. This study introduces a markerless Augmented Reality Assisted Surgery (ARAS) system that utilizes tooth image recognition and surgical simulation to enhance the precision of maxillary sinus DC extractions. Using advanced technology, such as 3-dimensional (3D) intraoral scanning and CT imaging for accurate data capture, the system aligns virtual models with patient anatomy without external markers, demonstrating a minimally invasive surgical solution. The ARAS system enabled precise surgical planning and realization of a DC extraction in the maxillary sinus by creating a bone window in direct contact with the cyst, assisting in complete removal with minimal risk to adjacent structures. The ARAS system may aid surgeons in visualizing patient anatomy during surgery, with overlays of relevant medical images, aiding in precise localization and minimizing tissue damage.
Assuntos
Realidade Aumentada , Cisto Dentígero , Imageamento Tridimensional , Seio Maxilar , Cirurgia Assistida por Computador , Tomografia Computadorizada por Raios X , Humanos , Cisto Dentígero/cirurgia , Cisto Dentígero/diagnóstico , Seio Maxilar/cirurgia , Seio Maxilar/patologia , Seio Maxilar/diagnóstico por imagem , Imageamento Tridimensional/métodos , Cirurgia Assistida por Computador/métodos , Doenças dos Seios Paranasais/cirurgia , Doenças dos Seios Paranasais/diagnóstico , Feminino , MasculinoRESUMO
Delayed eruption, malocclusion, poor oral hygiene, and formation of follicular cysts are some complications associated with an impacted supernumerary tooth (ST). Although surgical extraction is one of the methods to prevent these complications, it can also lead to fractured roots or has a risk of permanent injury to young teeth and gingiva. Recently, computer-assisted preoperative simulation has been helpful in planning the surgery for precise extraction of impacted ST guided with 3-dimensional images. Herein, we present 2 cases of extraction of severely impacted ST guided by preoperative computer-assisted simulation and intraoperative augmented reality. While being minimally invasive, the augmented reality-guided system can precisely highlight the tooth position. The therapeutic aspects of these procedures have also been discussed.