Minimally Invasive Resection of a Compound Odontoma Assisted by an Autonomous Oral Robot: A Technical Innovation.

Journal: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
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Abstract

This report describes the first clinical application of an autonomous oral robot for minimally invasive resection of a compound odontoma in a 16-year-old female, thereby filling a gap in both reported cases and standardized protocols. Oral examination and cone-beam computed tomography of the right mandible revealed a retained second deciduous molar, a congenitally missing first premolar, and a compound odontoma. The results of pulp vitality tests for the right mandibular second premolar and first molar were consistent with control teeth. Surgical planning involved the integration of cone-beam computed tomography and digital scan data. The autonomous robot then executed the planned minimally invasive resection. Postoperative imaging confirmed complete odontoma removal, and the 1-month follow-up revealed preserved pulp vitality and uneventful healing. This case report establishes the technical feasibility of autonomous robotic-assisted odontoma resection, demonstrating its potential for precision, minimal invasiveness, and reproducibility in managing complex jawbone lesions, particularly those adjacent to vital structures.

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