Dynamic navigation optimizes endodontic microsurgery in an anatomically challenging area

Lu, Yi-Jung; Chiu, Liang-Han; Tsai, Liang-Yi; Fang, Chih-Yuan

doi:10.1016/j.jds.2021.07.002

Cited by 20 publications

(9 citation statements)

References 5 publications

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“…These deviations can be of great importance in endodontics. However, currently there are just a few case reports of applying DN for access cavity preparation and endodontic microsurgery [ 29 , 30 , 31 , 32 ]. Therefore, clinical trials are necessary to confirm the published in vitro data of DN accuracy in endodontics.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of Dynamic Navigation for Non-Surgical Endodontic Treatment: A Systematic Review

Jonaityte

Bilvinaite

Drukteinis

et al. 2022

JCM

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In recent years, the application of Guided Endodontics has gained interest for non-surgical endodontic treatment and retreatment. The newest research focuses on the accuracy of Dynamic Navigation (DN). This article systematically reviewed existing data on the accuracy of non-surgical endodontic treatment procedures that were completed using DN. Following the PRISMA criteria, an electronic database search was conducted in PubMed, Web of Science, Scopus, and Cochrane Library. Studies comparing the accuracy of non-surgical endodontic treatment using DN and the conventional freehand technique were eligible. The literature search resulted in 176 preliminary records. After the selection process six studies were included. The risk of bias was evaluated using the modified Cochrane Collaboration Risk of Bias 2.0 tool. Five studies examined the aid of DN for planning and executing endodontic access cavities, and one for fiber post removal. In two studies, endodontic access cavities were performed in teeth with pulp canal obliteration. The main outcomes that were measured in the included studies were preparation time, global coronal entry point and apical endpoint deviations, angular deviation, tooth substance loss, qualitative precision, number of unsuccessful attempts or procedural mishaps. The risk of bias was rated from low to raising some concerns. Overall, DN showed increased accuracy compared to the freehanded technique and could be especially helpful in treating highly difficult endodontic cases. Clinical studies are needed to confirm the published in vitro data.

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Section: Discussionmentioning

confidence: 99%

Accuracy of Dynamic Navigation for Non-Surgical Endodontic Treatment: A Systematic Review

Jonaityte

Bilvinaite

Drukteinis

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…18 Most of the previous studies included here were single evaluations of the DNS. 5,9,10,[15][16][17]19,21,26 The majority of the comparison studies compared DNS and the FH technique, 7,8,[11][12][13][14]18,20 in which the robot's accuracy and precision are expected to be higher than a human surgeon. Reconciling the data from comparison studies involving the FH technique can be critical, mainly because the surgeon's training and hand skills could be confounding factors.…”

Section: Discussionmentioning

confidence: 99%

Current Applications of Dynamic Navigation System in Endodontics: A Scoping Review

2022

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This scoping review (SCR) was conducted to map the existing literature on dynamic navigation system (DNS), to examine the extent, range, and nature of research activity. Additionally, this SCR disseminates research findings, determines the value of conducting a full systematic review with meta-analysis, and identifies gaps in the existing literature and future directions. This SCR followed Arksey and O'Malley's five stages framework. The electronic search was performed in PubMed (Medline), Scopus (Elsevier), and Web of Science (Clarivate Analytics) databases using a search strategy. Five themes emerged during the descriptive analysis that captured the DNS application in endodontics. The DNS has been explored for creating access cavities (8/18, 44.44%), locating calcified canals (4/18, 22.2%), microsurgery (3/18, 16.6%), post removal (2/18, 11.1%), and intraosseous anesthesia (1/18, 5.5%). Out of the 18 studies included, 12 are in vitro (66.6%), five are in vivo (case report) (27.7%), and one is ex vivo (5.5%). The DNS demonstrated accuracy and efficiency in performing minimally invasive access cavities, locating calcified canals, and performing endodontic microsurgery, and it helped target the site for intraosseous anesthesia.

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“…However, this study was limited to an anterior tooth, and endodontic surgery in the posterior area may be more challenging owing to limited access, buccal cortical bone thickness, and complex root morphology. Lu et al (2022) reported the first clinical case of DNS application in the endodontic surgery of posterior teeth. More recently, DNS was demonstrated to be feasible, predictable, and time-saving for assisting endodontic surgery in posterior teeth in 3 cases (Fu et al 2022).…”

Section: Dns In Endodonticsmentioning

confidence: 99%

The Use of Dynamic Navigation Systems as a Component of Digital Dentistry

Tang,

Chao,

et al. 2023

J Dent Res

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The development of dynamic navigation system (DNS) has facilitated the development of modern digital medicine. In the field of dentistry, the cutting-edge technology is garnering widespread recognition. Based on the principles of 3-dimensional visualization, virtual design, and precise motion tracking, DNS is mainly composed of a computer, a tracking system, specialized tracer instruments, and navigation software. DNS employs a workflow that begins with preoperative data acquisition and imaging data reconstruction, followed by surgical instrument calibration and spatial registration, culminating in real-time guided operations. Currently, the system has been applied in a broad spectrum of dental procedures, encompassing dental implants, oral and maxillofacial surgery (such as tooth extraction, the treatment of maxillofacial fractures, tumors, and foreign bodies, orthognathic surgery, and temporomandibular joint ankylosis surgery), intraosseous anesthesia, and endodontic treatment (including root canal therapy and endodontic surgery). These applications benefit from its enhancements in direct visualization, treatment precision, efficiency, safety, and procedural adaptability. However, the adoption of DNS is not without substantial upfront costs, required comprehensive training, additional preparatory time, and increased radiation exposure. Despite challenges, the ongoing advancements in DNS are poised to broaden its utility and substantially strengthen digital dentistry.

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Dynamic navigation optimizes endodontic microsurgery in an anatomically challenging area

Cited by 20 publications

References 5 publications

Accuracy of Dynamic Navigation for Non-Surgical Endodontic Treatment: A Systematic Review

Accuracy of Dynamic Navigation for Non-Surgical Endodontic Treatment: A Systematic Review

Current Applications of Dynamic Navigation System in Endodontics: A Scoping Review

The Use of Dynamic Navigation Systems as a Component of Digital Dentistry

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