CASE REPORT article
Front. Oral Health
Sec. Oral and Maxillofacial Surgery
Volume 6 - 2025 | doi: 10.3389/froh.2025.1661277
Precision Excision of Mandibular Anterior Compound Odontoma Using Autonomous Robotic Guidance: A Clinical Case report
Provisionally accepted
- School of Stomatology, The Fourth Military Medical University, Xi'an, China
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Background: Management of compound odontomas in the pediatric anterior mandible poses significant surgical challenges due to proximity to developing tooth follicles and neurovascular structures. Conventional enucleation risks iatrogenic injury to adjacent dentoalveolar anatomy, while suboptimal bone preservation may impede permanent tooth eruption. Case Description: An 8-year-old patient presented with a compound odontoma adjacent to the unerupted permanent mandibular incisor. Utilizing an autonomous robotic guidance system independently developed by our research group, we performed minimally invasive enucleation featuring: (1) virtual osteotomy pathway planning, (2) sub-millimeter precision bone removal preserving the follicular space of tooth 31, and (3) capsule dissection under optical navigation. At the 2-week follow-up, the surgical site demonstrated complete mucosal healing without neurosensory complications, and CBCT confirmed absence of residual pathology. Conclusion: Robotic-assisted enucleation enabled tissue-preserving removal of a high-risk odontoma while maintaining eruption potential. This approach represents a paradigm shift toward precision-targeted dentoalveoral surgery, particularly valuable for anatomically complex pediatric cases.
Keywords: Compound odontoma, robotic surgery, Autonomous guidance, minimally invasive surgery, Mandibular anterior region, case report
Received: 07 Jul 2025; Accepted: 22 Aug 2025.
Copyright: © 2025 Di, Liu, Liu, Bai, Li-an, Chen and Zhao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yujiang Chen, School of Stomatology, The Fourth Military Medical University, Xi'an, China
Yimin Zhao, School of Stomatology, The Fourth Military Medical University, Xi'an, China
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