The current application of guided endodontics
Keywords:
navigation systems template, Plates, static guide, dynamic guide computer guide technology, guided endodonticsAbstract
Currently, dentistry is being significantly impacted by the rapid advancement of digital technology. These technologies aid dentists in delivering more efficient patient care. In the field of endodontics, these technologies have been utilized in the form of guided endodontics to assist in accessing the pulp chamber, locating obliterated root canals, removing prefabricated posts in non-surgical retreatment, performing endodontic surgeries, and other applications within the scope of endodontics. A review of the relevant literature reveals that guided endodontics could enhance precision, reduce time in locating root canal system, preserve tooth structure and offer advantages in managing complex cases compared to conventional or freehand endodontic techniques. However, complications and limitations still persist in both non-surgical and surgical root canal treatment. Therefore, guided endodontics have the potential to be further developed for greater efficiency, accessibility, and becoming a viable choice for endotontic treatment.
References
Keir DM, Pinheiro LR, Pinheiro MCR, Cortes ARG. Digital workflow in endodontics. In: Cortes ARG., editor. Digital dentistry: a step-by-step guide and case atlas. 1st ed. New Jersey: John Wiley & Sons; 2022. p. 625-40.
Kinariwala N, Samaranayake L. Guided endodontics [Internet]. Springer International Publishing. 2021 [cited 2023 Feb 9]. Available from: https://doi.org/10.1007/978-3-030-55281-7
Nahmias Y. Dynamic endodontic navigation: a case report. Oral health. 2019;109:49-56.
Gambarini G, Galli M, Stefanelli LV, Nardo DD, Morese A, Seracchiani M, et al. Endodontic microsurgery using dynamic navigation system: a case report. J Endod. 2019;45(11):1397-402.
Kfir A, Telishevsky-Strauss Y, Leitner A, Metzger Z. The diagnosis and conservative treatment of a complex type 3 dens invaginatus using cone beam computed tomography (CBCT) and 3D plastic models. Int Endod J. 2013;46(3):275-88.
Ali A., Arslan H. Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus. Restor Dent Endod 2019; 44(4):e38. doi: 10.5395/rde.2019.44.e38.
Ali A., Arslan H., Jethani B. Conservative management of type II dens invaginatus with guided endodontic approach: a case series. J Conserv Dent. 2019;22(5):503-8.
Macho AZ, Ferreiroa A, Rico-Romano C, Alonso-Ezpeleta LÓ, Mena-Álvarez J. Diagnosis and endodontic treatment of type II dens invaginatus by using cone-beam computed tomography and splint guides for cavity access. J Am Dent Assoc. 2015;146(4):266-70.
Mena-Alvarez J, Rico-Romano C, Lobo-Galindo AB, Zubizarreta-Macho A. Endodontic treatment of dens evaginatus by performing a splint guided access cavity. J Esthet Restor Dent. 2017;29(6):396-402.
Zehnder MS, Connert T, Weiger R, Krastl G, Kühl S. Guided endodontics: accuracy of a novel method for guided access cavity preparation and root canal location. Int Endod J. 2016;49(10):966-72.
Connert T, Zehnder MS, Weiger R, Kühl S, Krastl G. Microguided endodontics: accuracy of a miniaturized technique for apically extended access cavity preparation in anterior teeth. J Endod. 2017;43(5):787-90.
Koch GK, Gharib H, Liao P, Liu H. Guided access cavity preparation using cost-effective 3D printers. J Endod. 2022;48(7):909-13.
Chaves GS, Silva JA, Capeletti LR, Silva EJNL, Estrela C, Decurcio DA. Guided access cavity preparation using a new simplified digital workflow. J Endod. 2023;49(1):89-95.
Leontiev W, Bieri O, Madörin P, Dagassan-Berndt D, Kühl S, Krastl G, et al. Suitability of magnetic resonance imaging for guided endodontics: proof of principle. J Endod. 2021;47(6):954-60.
Chong BS, Dhesi M, Makdissi J. Computer-aided dynamic navigation: a novel method for guided endodontics. Quintessence Int. 2019:50(3):196-202.
Pirani C, Spinelli A, Marchetti C, Gandolfi MG, Zamparini F, Prati C, et al. Use of dynamic navigation with an educational interest for finding of root canals. G Ital Endod. 2020;34(1):82-9.
Loureiro MAZ, Elias MRA, Capeletti LR, Silva JA, Siqueira PC, Chaves GS, et al. Guided endodontics: volume of dental tissue removed by guided access cavity preparation - an ex vivo study. J Endod. 2020;46(12):1907-12.
Choi Y, Jeon WS, Cho JM, Jeong HG, Shin Y, Park W. Access opening guide produced using a 3D printer (AOG-3DP) as an effective tool in difficult cases for dental Students. J Dent Educ. 2021;85(10):1640-5.
Kostunov J, Rammelsberg P, Klotz AL, Zenthöfer A, Schwindling FS. Minimization of tooth substance removal in normally calcified teeth using guided endodontics: an in vitro pilot study. J Endod. 2021;47(2): 286-90.
Wang D, Wang W, Li YJ, Wang YR, Hong T, Bai SZ, et al. The effects of endodontic access cavity design on dentine removal and effectiveness of canal instrumentation in maxillary molars. Int Endod J. 2021;54(12): 2290-9.
Ali A, Arslan H. Effectiveness of the static-guided endodontic technique for accessing the root canal through MTA and its effect on fracture strength. Clin Oral Investig. 2021;25(4):1989-95.
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):1651-56.
Gambarini G, Galli M, Morese A, Stefanelli LV, 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):1286-90.
Zubizarreta-Macho Á, Muñoz ADP, Deglow ER, Agustín-Panadero R, Álvarez JM. Accuracy of computer-aided dynamic navigation compared to computer-aided static procedure for endodontic access cavities: an in vitro study. J Clin Med. 2020;9(1):129.
Buchgreitz J, Buchgreitz M, Mortensen D, Bjørndal L. Guided access cavity preparation using cone-beam computed tomography and optical surface scans - an ex vivo study. Int Endod J. 2016;49(8):790-5.
Krug R, Reich S, Connert T, Kess S, Soliman S, Reymus M, et al. Guided endodontics: a comparative in vitro study on the accuracy and effort of two different planning workflows. Int J Comput Dent. 2020;23(2):119-28.
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):327-31.
Torres A, Boelen GJ, Lambrechts P, Pedano MS, Jacobs R. Dynamic navigation: a laboratory study on the accuracy and potential use of guided root canal treatment. Int Endod J. 2021;54(9): 1659-67.
Jain SD, Carrico CK, Bermanis I. 3-Dimensional accuracy of dynamic navigation technology in locating calcified canals. J Endod. 2020;46(6):839-45.
Jain SD, Saunders MW, Carrico CK, Jadhav A, Deeb JG, Myers GL. Dynamically navigated versus freehand access cavity preparation: a comparative study on substance loss using simulated calcified canals. J Endod. 2020;46(11):1745-51.
Dianat O, Nosrat A, Tordik PA, Aldahmash SA, Romberg E, Price JB, et al. Accuracy and efficiency of a dynamic navigation system for locating calcified canals. J Endod. 2020;46(11):1719-25.
Krastl G, Zehnder MS, Connert T, Weiger R, Kühl S. Guided endodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology. Dent Traumatol. 2016;32(3):240-6.
Ishak G, Habib M, Tohme H, Patel S, Bordone A, Perez C, et al. Guided endodontic treatment of calcified lower incisors: a case report. Dent J (Basel). 2020;8(3):74.
Connert T, Zehnder MS, Amato M, Weiger R, Kühl S, Krastl G. Microguided endodontics: a method to achieve minimally invasive access cavity preparation and root canal location in mandibular incisors using a novel computer-guided technique. Int Endod J. 2018;51(2):247-55.
Lara-Mendes STO., Barbosa CDFM, Machado VC, Santa-Rosa CC. A new approach for minimally invasive access to severely calcified anterior teeth using the guided endodontics technique. J Endod. 2018;44(10):1578-82.
Torres A, Shaheen E, Lambrechts P, Politis C, Jacobs R. Microguided endodontics: a case report of a maxillary lateral incisor with pulp canal obliteration and apical periodontitis. Int Endod J. 2019;52(4):540-9.
Hegde SG, 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):607-11.
Loureiro MAZ, Silva JA, Chaves GS, Capeletti LR, Estrela C, Decurcio DA. Guided endodontics: the impact of new technologies on complex case solution. Aust Endod J. 2021;47(3):664-71.
Kaur G, Venkatesh KV, Sihivahanan D. Microguided endodontics: a case report of conservative approach for the management of calcified maxillary lateral incisors. Saudi Endod J. 2021;11(2):266-70.
Van der Meer WJ, Vissink A, Ng YL, Gulabivala K. 3D computer aided treatment planning in endodontics. J Dent. 2016;45:67-72.
Bordone A, Couvrechel C. Treatment of obliterated root canals using various guided endodontic techniques. G Ital Endod. 2020;34:23-34.
Tavares WLF, Viana AC, Machado VC, Henriques LCF, Sobrinho APR. Guided endodontic access of calcified anterior teeth. J Endod. 2018;44(7):1195-9.
Pujol ML, Vidal C, Mercadé M, Muñoz M, Ortolani-Seltenerich S. Guided endodontics for managing severely calcified canals. J Endod. 2021;47(2):315-21.
Tavares WLF, Pedrosa NOM, Moreira RA, Braga T, Machado VC, Sobrinho APR, et al. Limitations and management of static-guided endodontics failure. J Endod. 2022;48(2):273-9.
Torres A, Lerut K, Lambrechts P, Jacobs R. Guided endodontics: use of a sleeveless guide system on an upper premolar with pulp canal obliteration and apical periodontitis. J Endod. 2021;47(1):133-9.
Casadei BA, Lara-Mendes STDO, Barbosa CFM, Araújo CV, Freitas CA, Machado VC, et al. Access to original canal trajectory after deviation and perforation with guided endodontic assistance. Aust Endod J. 2020;46(1):101-6.
Maia LM, Machado VC, Silva NRFA, Brito Júnior M, Silveira RR, Moreira Júnior G, et al. Case reports in maxillary posterior teeth by guided endodontic access. J Endod. 2019;45(2):214-8.
Santiago MC, Altoe MM, Azevedo Mohamed CPA, Oliveira LA, Salles LP. Guided endodontic treatment in a region of limited mouth opening: a case report of mandibular molar mesial root canals with dystrophic calcification. BMC Oral Health. 2022;22(1):37.
Buchgreitz J, Buchgreitz M, Bjørndal L. Guided endodontics modified for treating molars by using an intracoronal guide technique. J Endod. 2019;45(6):818-23.
Lara-Mendes STO., Barbosa CFM., Santa-Rosa CC, Machado VC. Guided endodontic access in maxillary molars using cone-beam computed tomography and computer-aided design/computer-aided manufacturing system: a case report. J Endodontics. 2018;44(5):875-9.
Tavares WLF, Machado VC, Fonseca FO, Vasconcellos BC, Guimarães LC, Viana ACD., et al. Guided endodontics in complex scenarios of calcified molars. Iran Endod J. 2020;15(1):50-6.
Dianat O, Gupta S, Price JB, Mostoufi B. Guided endodontic access in a maxillary molar using a dynamic navigation system. J Endod. 2021;47(4):658-62.
Perez C, Sayeh A, Etienne O, Gros CI, Mark A, Couvrechel C, et al. Microguided endodontics: accuracy evaluation for access through intraroot fibre-post. Aust Endod J. 2021;47(3):592-8.
Janabi A, Tordik PA, Griffin IL, Mostoufi B, Price JB, Chand P, et al. Accuracy and efficiency of 3-dimensional dynamic navigation system for removal of fiber post from root canal–treated teeth. J Endod. 2021;47(9):1453-60.
Schwindling FS, Tasaka A, Hilgenfeld T, Rammelsberg P, Zenthofer A. Three-dimensional-guided removal and preparation of dental root posts-concept and feasibility. J Prosthodont Res. 2020;64(1):104-8.
Alfadda A, Alfadley A, Jamleh A. Fiber post removal using a conservative fully guided approach: a dental technique. Case Rep Dent. 2022 Jul 22;2022:3752466. doi: 10.1155/2022/3752466.
Cho C, Jin HJ, Ha JH. Fiber-reinforced composite post removal using guided endodontics: a case report. Restor Dent Endod. 2021 Sep 23;46(4):e50. doi: 10.5395/rde.2021.46.e50.
Bardales-Alcocer J, Ramirez-Salomon M, Vega-Lizama E, Lopez-Villanueva M, Alvarado-Cardenas G, Serota KS, et al. Endodontic retreatment using dynamic navigation: a case report. J Endod. 2021;47(6):1007-13.
Antal M, Nagy E, Braunitzer G, Fráter M, Piffkó J. Accuracy and clinical safety of guided root end resection with a trephine: a case series. Head Face Med. 2019;15(1):30.
Pinsky HM, Champleboux G, Sarment DP. Periapical surgery using CAD/CAM guidance: preclinical results. J Endod. 2007;33(2):148-51.
Peng L, Zhao J, Wang ZH, Sun YC, Liang YH. Accuracy of root-end resection using a digital guide in endodontic surgery: an in vitro study. J Dent Sci. 2021;16(1):45-50.
Ackerman S, Aguilera FC, Buie JM, Glickman GN, Umorin M, Wang Q, et al. Accuracy of 3-dimensional-printed endodontic surgical guide: a human cadaver study. J Endod. 2019;45(5):615-8.
Fan Y, Glickman GN, Umorin M, Nair MK, Jalali P. A novel prefabricated grid for guided endodontic microsurgery. J Endod. 2019;45(5):606-10.
Gaffuri S, Audino E, Salvadori M, Garo ML, Salgarello S. Accuracy of a minimally invasive surgical guide in microsurgical endodontics: a human cadaver study. G Ital Endod. 2021;35:60-7.
Zubizarreta-Macho A, Castillo-Amature C, Montiel-Company JM, Mena-Álvarez J. Efficacy of computer-aided static navigation technique on the accuracy of endodontic microsurgery. A systematic review and meta-analysis. J Clin Med. 2021;10(2):313.
Martinho FC, Aldahmash SA, Cahill TY, Gupta S, Dianat O, Mostoufi B, et al. Comparison of the accuracy and efficiency of a 3-dimensional dynamic navigation system for osteotomy and root-end resection performed by novice and experienced endodontists. J Endod. 2022;48(10):1327-33.
Aldahmash SA, Price JB, Mostoufi B, Griffin IL, Dianat O, Tordik PA, et al. Real-time 3-dimensional dynamic navigation system in endodontic microsurgery: a cadaver study. J Endod. 2022;48(7):922-9.
Kim JE, Shim JS, Shin Y. A new minimally invasive guided endodontic microsurgery by cone beam computed tomography and 3-dimensional printing technology. Restor Dent Endod. 2019 Jul 25;44(3):e29. doi: 10.5395/rde.2019.44.e29.
Ye S, Zhao S, Wang W, Jiang Q, Yang X. A novel method for periapical microsurgery with the aid of 3D technology: a case report. BMC Oral Health.2018;18(1):85.
Ahn SY, Kim NH, Kim S, Karabucak B, Kim E. Computer-aided design/computer-aided manufacturing–guided endodontic surgery: guided osteotomy and apex localization in a mandibular molar with a thick buccal bone plate. J Endod. 2018;44(4):665-70.
Strbac GD, Schnappauf A, Giannis K, Moritz A, Ulm C. Guided modern endodontic surgery: a novel approach for guided osteotomy and root resection. J Endod. 2017;43(3):496-501.
Kim U, Kim S, Kim E. The application of “bone window technique” using piezoelectric saws and a CAD/CAM-guided surgical stent in endodontic microsurgery on a mandibular molar case. Restor Dent Endod. 2020 May 21;45(3):e27. doi: 10.5395/rde.2020.45.e27.
Chaves GS, Capeletti LR, Miguel JG, Loureiro MAZ, Silva EJNL., Decurcio DA. A novel simplified workflow for guided endodontic surgery in mandibular molars with a thick buccal bone plate: a case report. J Endod. 2022;48(7):930-5.
Liu Y, Liao W, Jin G, Yang Q, Peng W. Additive manufacturing and digital design assisted precise apicoectomy: a case study. Rapid Prototyp J. 2014;20(1):33-40.
Ray JJ, Giacomino CM, Wealleans JA, Sheridan RR. Targeted endodontic microsurgery: digital workflow options. J Endod. 2020;46(6):863-71.
Popowicz W, Palatynska-Ulatowska A, Kohli MR. Targeted endodontic microsurgery: computed tomography–based guided stent approach with platelet-rich fibrin graft: a report of 2 cases. J Endod. 2019;45(12): 1535-42.
Giacomino CM, Ray JJ, Wealleans JA. Targeted endodontic microsurgery: a novel approach to anatomically challenging scenarios using 3-dimensional printed guides and trephine burs - a report of 3 cases. J Endod. 2018;44(4):671-7.
Lu YJ, Chiu LH, Tsai LY, Fang CY. Dynamic navigation optimizes endodontic microsurgery in an anatomically challenging area. J Dent Sci. 2022;17(1):580-2.
Sato M, Garcia-Sanchez A, Sanchez S, Chen IP. Use of 3-dimensional–printed guide in hemisection and autotransplantation of a fusion tooth: a case report. J Endod. 2021;47(3):526-31.
Jha S, Balachandran R, Sharma S, Kumar V, Chawla A, Logani A. A novel approach to repositioning and stabilization of luxated tooth with displacement using a 3D printed guide. J Endod. 2022;48(7):936-42.
Hussey DL, Biagioni PA, McCullagh JJ, Lamey PJ. Thermographic assessment of heat generated on the root surface during post space preparation. Int Endod J. 1997;30(3):187-90.
Nagy E, Voneki B, Varsarhelyi L, Szenti I, Frater M, Kukovecz A, et al. An exploratory in vitro microcomputed tomographic investigation of the efficacy of semicircular apicoectomy performed with trephine Bur. Appl. Sci. 2023;13(16):9431.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Thai Endodontic Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Thai Endod Journal is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license, unless otherwise stated. Please read our Policies in Copyright for more information.
