Guided Endodontics: A Literature Review

Kulinkovych-Levchuk, Kateryna; Pecci-Lloret, María Pilar; Rodríguez‐Lozano, Francisco Javier; Pecci‐Lloret, Miguel R.; Castelo‐Baz, Pablo

doi:10.3390/ijerph192113900

Cited by 17 publications

(14 citation statements)

References 89 publications

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“…At least 25 of the 45 reported cases were followed for at least a year, and all of them either experienced a complete resolution of their symptoms or evidence of bone regeneration [3,16,[28][29][30][31]. Most research comparing SGE and DGE has concentrated on three aspects; efficacy (how well the procedure works), accuracy (how much tooth tissue is removed), and speed (how quickly treatment may be completed).…”

Section: Resultsmentioning

confidence: 99%

“…If a substantial amount of mineralized tissue has been deposited, the pulp space may completely disappear on radiographs, yet the histological sections may show some pulp tissue. Pulp obliteration can range from complete, where the pulp chamber and root ducts are indistinguishable, to partial, where the pulp chamber is still visible but the root canals are noticeably thin but still visible [3]. Inflammation of the pulp is a healing response that reveals the tooth's ability to repair, whereas the death of the pulp is pulp necrosis (PN).…”

Section: Introductionmentioning

confidence: 99%

“…This may result in damage to the supporting periodontal tissues which may become infected via the dentinal tubules [4]. There is evidence that PN is common among teeth that have been damaged by trauma [3,5].…”

Section: Introductionmentioning

confidence: 99%

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Guided Endodontic Surgery: A Narrative Review

et al. 2023

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Background and objectives: Endodontic surgery has evolved over the last two decades. The use of state-of-the-art guided endodontic surgical procedures produces a predictable outcome in the healing of lesions of endodontic origin. The main objective of this review paper is to define and characterize guided surgical endodontics as well as its benefits and drawbacks by reviewing the most recent relevant scientific literature. Methods: A literature search was conducted using multiple databases comprising of MEDLINE (via PubMed), EMBASE, and Web of Science. The terms used for the search were ‘guided endodontics’, ‘surgical endodontics’, and ‘endodontic microsurgery’. Results: In total, 1152 articles were obtained from the analysis of the databases. Unrelated articles from the available full text of 388 articles were excluded. A total of 45 studies were finally included in the review. Conclusions: Surgical-guided endodontics is a relatively new area of study that is still maturing. It has many applications such as root canal access and localization, microsurgical endodontics, endodontic retreatment, and glass fiber post removal. Additionally, it does not matter how experienced the operator is; the procedure can be completed for the patient in less time and provides greater accuracy and safety than conventional endodontics.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Guided Endodontic Surgery: A Narrative Review

et al. 2023

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“…Therefore, treatment of teeth with pulp canal obliteration presents a challenge given the high probability of procedural errors and complications during their procedure [4] . In 2016, a new approach to endodontics using threedimensional (3D) printed guides or splints mostly used in PO teeth emerged [5] . Cone beam computed tomography (CBCT) devices and software, associated with digital planning and 3D printing resources, allowed the advent of guided endodontics [6] .…”

Section: Introductionmentioning

confidence: 99%

“…Cone beam computed tomography (CBCT) devices and software, associated with digital planning and 3D printing resources, allowed the advent of guided endodontics [6] . Currently, there are different types of guided endodontics: static guided endodontics (SGE) and dynamic guided endodontics (DGE) [5] . This 3D information can be combined with tooth surface information acquired with an intraoral scanner to design and 3D print a treatment guide [7] .…”

Section: Introductionmentioning

confidence: 99%

An update on guided endodontics

Oliva¹,

Elizondo²,

Rangel³

et al. 2023

Int. J. Appl. Dent. Sci.

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Introduction:In 2016, a new approach to endodontics using CAD/CAM printed guides or splints emerged, mostly in pieces with pulp obliteration. Objective:To analyze the literature on some current endodontic techniques for the treatment of pulp obliteration, such as static guided endodontics, dynamic guided endodontics, and guided endodontic microsurgery. Methodology: PubMed, SCOPUS and Google Scholar databases were reviewed to find recent articles published on guided endodontics with the following keywords: "pulp obliteration", "CBCT", "static guided endodontics", "dynamic guided endodontics" and "guided endodontic microsurgery". Results: Pulp obliteration is the narrowing of the dental pulp space, which is caused by extrinsic and intrinsic factors. CBCT helps to measure the path of the canal in the dental roots, in order to be able to perform the appropriate accesses in endodontics. Static-guided endodontics, also called Endo Guide, uses 3D printed directional guides made with CBCT and CAD/CAM. Dynamic guided endodontics combines images that are reproduced in real time, guiding access and angulation. Microsurgery is performed when there is a failure in root canal therapy, its success rate has been increasing thanks to the use of CBCT that helps to link the other techniques using templates that predict the procedure. Conclusions: Pulp obliteration causes pulp sclerosis and necrosis which at some point will require root canal treatment, currently different techniques can be used such as static guided endodontics, dynamic guided endodontics, microsurgery in which they have to go hand in hand with the use of CBCT for planning, the choice of these depends on the complexity of the case.

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Comparing accuracy in guided endodontics: dynamic real-time navigation, static guides, and manual approaches for access cavity preparation – an in vitro study using 3D printed teeth

Huth,

Borkowski,

Liebermann

et al. 2024

Clin Oral Invest

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Objectives To assess root canal localization accuracy using a dynamic approach, surgical guides and freehand technique in vitro. Materials and methods Access cavities were prepared for 4 different 3D printed tooth types by 4 operators (n = 144). Deviations from the planning in angle and bur positioning were compared and operating time as well as tooth substance loss were evaluated (Kruskal-Wallis Test, ANOVA). Operating method, tooth type, and operator effects were analyzed (partial eta-squared statistic). Results Angle deviation varied significantly between the operating methods (p < .0001): freehand (9.53 ± 6.36°), dynamic (2.82 ± 1.8°) and static navigation (1.12 ± 0.85°). The highest effect size was calculated for operating method (ηP²=0.524), followed by tooth type (0.364), and operator (0.08). Regarding deviation of bur base and tip localization no significant difference was found between the methods. Operating method mainly influenced both parameters (ηP²=0.471, 0.379) with minor effects of tooth type (0.157) and operator. Freehand technique caused most substance loss (p < .001), dynamic navigation least (p < .0001). Operating time was the shortest for freehand followed by static and dynamic navigation. Conclusions Guided endodontic access may aid in precise root canal localization and save tooth structure. Clinical relevance Although guided endodontic access preparation may require more time compared to the freehand technique, the guided navigation is more accurate and saves tooth structure.

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Guided Endodontics: A Literature Review

Cited by 17 publications

References 89 publications

Guided Endodontic Surgery: A Narrative Review

Guided Endodontic Surgery: A Narrative Review

An update on guided endodontics

Comparing accuracy in guided endodontics: dynamic real-time navigation, static guides, and manual approaches for access cavity preparation – an in vitro study using 3D printed teeth

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