The effect of computer aided navigation techniques on the precision of endodontic access cavities: A systematic review and meta-analysis
https://doi.org/10.36377/ET-0041
Abstract
AIM. To assess the impact of computer-assisted navigation techniques on the precision of endodontic access cavity preparation.
MATERIALS AND METHODS. A systematic review was conducted following the PRISMA 2020 guidelines. Articles were searched for online using electronic databases, including Scopus, PubMed, Cochrane, and Web of Sciences. The success rate of root canal location using computer-aided navigation techniques in root canal access cavity preparation, along with the time required for cavity preparation and the extent of tooth substance removal were assessed in this review. After eliminating duplicate articles and applying inclusion criteria, 10 studies were chosen for analysis.
RESULTS. Accuracy in location of root canal is significantly higher in the static and dynamic navigation group compared to the conventional group. Also, computer-aided static and dynamic navigation techniques removed significantly less tooth substance compared to conventional groups. Moreover, static navigation technique took significantly less time for access cavity preparation than conventional while there was no significant difference in the time taken for access cavity preparation between dynamic navigation technique and conventional technique.
CONCLUSION. The root canal access cavities prepared using static and dynamic computer-aided navigation techniques are highly precise in detecting the root canal system, require less tooth substance removal, and take less time to complete.
About the Authors
P. R. Kesharani
Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth;
College of Dental Sciences and Research Centre
India
India
Pooja R. Kesharani – PhD Scholar, Professor, Department of Conservative Dentistry and Endodontics
Pimpri, Pune, Maharashtra, 411018;
Bopal-Manipur, 382115, Ahmedabad
S. D. Aggarwal
Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth
India
India
Shalini D. Aggarwal – Professor, Department of Conservative Dentistry and Endodontics
Pimpri, Pune, Maharashtra, 411018
N. K. Patel
College of Dental Sciences and Research Centre
India
India
Nishtha K. Patel – Professor and Head, Department of Conservative Dentistry and Endodontics
Bopal-Manipur, 382115, Ahmedabad
J. A. Patel
College of Dental Sciences and Research Centre
India
India
Jhanvi A. Patel – Pg Student (MDS)
Bopal- Manipur, 382115, Ahmedabad
D. A. Patil
AME’s Dental college, near Govt. Polytechnic
India
India
Deepu A. Patil – Professor and Head, Department of Conservative Dentistry and Endodontics
Bijjangera road, Raichur, Karnataka
S. H. Modi
College of Dental Sciences and Research Centre
India
India
Shreya H. Modi – Assistant Professor
Bopal-Manipur, 382115, Ahmedabad
References
1. Plotino G., Grande N.M., Isufi A., Ioppolo P., Pedullà E., Bedini R. et al. Fracture strength of endodontically treated teeth with different access cavity designs. JEndod. 2017;43(6):995–1000. https://doi.org/10.1016/j.joen.2017.01.022
2. Baruwa A.O., Martins J.N.R., Meirinhos J., Pereira B., Gouveia J., Quaresma S.A. et al. The influence of missed canals on the prevalence of periapical lesions in endodontically treated teeth: A cross-sectional study. J Endod. 2020;46(1):34–39.e1. https://doi.org/10.1016/j.joen.2019.10.007
3. Krasner P., Rankow H.J. Anatomy of the pulp-chamber floor. J Endod. 2004;30(1):5–16. https://doi.org/10.1097/00004770-200401000-00002
4. Hegde S.G., Tawani G., Warhadpande M., Raut A., Dakshindas D., Wankhade S. Guided endodontic therapy: Management of pulp canal obliteration in the maxillary central incisor. J Conserv Dent. 2019;22(6):607–611. https://doi.org/10.4103/JCD.JCD_21_20
5. Venskutonis T., Plotino G., Juodzbalys G., Mickevičienė L. The importance of cone-beam computed tomography in the management of endodontic problems: a review of the literature. J Endod. 2014;40(12):1895–1901. https://doi.org/10.1016/j.joen.2014.05.009
6. Zubizarreta-Macho Á., Muñoz A.P., Deglow E.R., Agustín-Panadero R., Álvarez J.M. Accuracy of computer-aided dynamic navigation compared to computeraided static procedure for endodontic access cavities: An in vitro study. J Clin Med. 2020;9(1):129. https://doi.org/10.3390/jcm9010129
7. Connert T., Krug R., Eggmann F., Emsermann I., ElAyouti A., Weiger R. et al. Guided endodontics versus conventional access cavity preparation: A comparative study on substance loss using 3-dimensional-printed teeth. J Endod. 2019;45(3):327–331. https://doi.org/10.1016/j.joen.2018.11.006
8. Jain S.D., Saunders M.W., Carrico C.K., Jadhav A., Deeb J.G., Myers G.L. Dynamically navigated versus freehand access cavity preparation: A comparative study on substance loss using simulated calcified canals. J Endod. 2020;46(11):1745–1751. https://doi.org/10.1016/j.joen.2020.07.032
9. Connert T., Leontiev W., Dagassan-Berndt D., Kühl S., ElAyouti A., Krug R. et al. Real-time guided endodontics with a miniaturized dynamic navigation system versus conventional freehand endodontic access cavity preparation: Substance loss and procedure time. J Endod. 2021;47(10):1651–1656. https://doi.org/10.1016/j.joen.2021.07.012
10. Vasudevan A., Sundar S., Surendran S., Natanasabapathy V. Tooth substance loss after incisal endodontic access and novel single-tooth template-guided endodontic access in three-dimensional printed resin incisors with simulated pulp canal calcification: A comparative in vitro study. J Conserv Dent. 2023;26(3):258–264. https://doi.org/10.4103/jcd.jcd_3_23
11. Gambarini G., Galli M., Morese A., Stefanelli L.V., Abduljabbar F., Giovarruscio M. et al. Precision of dynamic navigation to perform endodontic ultraconservative access cavities: A preliminary in vitro analysis. J Endod. 2020;46(9):1286–1290. https://doi.org/10.1016/j.joen.2020.05.022
12. Kostunov J., Rammelsberg P., Klotz A.L., Zenthöfer A., Schwindling F.S. Minimization of tooth substance removal in normally calcified teeth using guided endodontics: An in vitro pilot study. J Endod. 2021;47(2):286–290. https://doi.org/10.1016/j.joen.2020.10.025
13. Rohra M.R., Shah P.B., Arora A.V., Kapoor S.V., Rana H.B. Evaluation of volumetric substance loss and precision in targeted endodontic re-treatment with guided versus conventional access cavity preparations: An in vitro study. J Conserv Dent. 2023;26(2):221–225. https://doi.org/10.4103/jcd.jcd_618_22
14. Dianat O., Nosrat A., Tordik P.A., Aldahmash S.A., Romberg E., Price J.B., Mostoufi B. Accuracy and efficiency of a dynamic navigation system for locating calcified canals. J Endod. 2020;46(11):1719–1725. https://doi.org/10.1016/j.joen.2020.07.014
15. Loureiro M.A.Z., Elias M.R.A., Capeletti L.R., Silva J.A., Siqueira P.C., Chaves G.S., Decurcio D.A. Guided endodontics: Volume of dental tissue removed by guided access cavity preparation-an ex vivo study. J Endod. 2020;46(12):1907–1912. https://doi.org/10.1016/j.joen.2020.09.008
16. Wang D., Wang W., Li Y.J., Wang Y.R., Hong T., Bai S.Z., Tian Y. The effects of endodontic access cavity design on dentine removal and effectiveness of canal instrumentation in maxillary molars. Int Endod J. 2021;54(12):2290–2299. https://doi.org/10.1111/iej.13621
17. Zubizarreta-Macho Á., Castillo-Amature C., MontielCompany J.M., Mena-Álvarez J. Efficacy of computeraided static navigation technique on the accuracy of endodontic microsurgery. A systematic review and meta-analysis. J Clin Med. 2021;10(2):313. https://doi.org/10.3390/jcm10020313
18. Nasseh I., Al-Rawi W. Cone beam computed tomography. Dent Clin North Am. 2018;62(3):361–391. https://doi.org/10.1016/j.cden.2018.03.002
19. Patel S., Brown J., Pimentel T., Kelly R.D., Abella F., Durack C. Cone beam computed tomography in Endodontics – a review of the literature. Int Endod J. 2019;52(8):1138–1152. https://doi.org/10.1111/iej.13115
20. Dawood A., Marti Marti B., Sauret-Jackson V., Darwood A. 3D printing in dentistry. Br Dent J. 2015;219(11):521–529. https://doi.org/10.1038/sj.bdj.2015.914. Erratum in: Br Dent J. 2016;220(2):86. https://doi.org/10.1038/sj.bdj.2016.50
21. Van Assche N., Vercruyssen M., Coucke W., Teughels W., Jacobs R., Quirynen M. Accuracy of computeraided implant placement. Clin Oral Implants Res. 2012;23(Suppl. 6):112–123. https://doi.org/10.1111/j.1600-0501.2012.02552.x
22. Sicilia A., Botticelli D. Computer-guided implant therapy and soft- and hard-tissue aspects. The Third EAO Consensus Conference 2012. Clin Oral Implants Res. 2012;23(Suppl. 6):157–161. https://doi.org/10.1111/j.1600-0501.2012.02553.x
23. Gambarini G., Galli M., Morese A., Stefanelli L.V., Abduljabbar F., Giovarruscio M. et al. Precision of dynamic navigation to perform endodontic ultraconservative access cavities: A preliminary in vitro analysis. J Endod. 2020;46(9):1286–1290. https://doi.org/10.1016/j.joen.2020.05.022
24. Block M.S., Emery R.W., Lank K., Ryan J. Implant placement accuracy using dynamic navigation. Int J Oral Maxillofac Implants. 2017;32(1):92–99. https://doi.org/10.11607/jomi.5004
25. Stefanelli L.V., DeGroot B.S., Lipton D.I., Mandelaris G.A. Accuracy of a dynamic dental implant navigation system in a private practice. Int J Oral Maxillofac Implants. 2019;34(1):205–213. https://doi.org/10.11607/jomi.6966
26. Mediavilla Guzmán A., Riad Deglow E., ZubizarretaMacho Á., Agustín-Panadero R., Hernández Montero S. Accuracy of computer-aided dynamic navigation compared to computer-aided static navigation for dental implant placement: An in vitro study. J Clin Med. 2019;8(12):2123. https://doi.org/10.3390/jcm8122123
27. Chen C.K., Yuh D.Y., Huang R.Y., Fu E., Tsai C.F., Chiang C.Y. Accuracy of implant placement with a navigation system, a laboratory guide, and freehand drilling. Int J Oral Maxillofac Implants. 2018;33(6):1213–1218. https://doi.org/10.11607/jomi.6585
28. Kapetanaki I., Dimopoulos F., Gogos C. Traditional and minimally invasive access cavities in endodontics: a literature review. Restor Dent Endod. 2021;46(3):e46. https://doi.org/10.5395/rde.2021.46.e46
29. Wei X., Du Y., Zhou X., Yue L., Yu Q., Hou B. et al. Expert consensus on digital guided therapy for endodontic diseases. Int J Oral Sci. 2023;15(1):54. https://doi.org/10.1038/s41368-023-00261-0
Review
For citations:
Kesharani P.R., Aggarwal S.D., Patel N.K., Patel J.A., Patil D.A., Modi S.H. The effect of computer aided navigation techniques on the precision of endodontic access cavities: A systematic review and meta-analysis. Endodontics Today. 2024;22(3):244-253. https://doi.org/10.36377/ET-0041
Email this article 