AI Chat Paper
Note: Please note that the following content is generated by AMiner AI. SciOpen does not take any responsibility related to this content.
{{lang === 'zh_CN' ? '文章概述' : 'Summary'}}
{{lang === 'en_US' ? '中' : 'Eng'}}
Chat more with AI
Powered by AMiner. Clicking this button will take you away from SciOpen.
Home International Journal of Oral Science Article
PDF (1.1 MB)
Cite
EndNote(RIS) BibTeX
Collect
Submit Manuscript AI Chat Paper
Show Outline
Outline
Show full outline
Hide outline
Outline
Show full outline
Hide outline
Review | Open Access

Expert consensus on digital guided therapy for endodontic diseases

Xi Wei1, Yu Du1, Xuedong Zhou2, Lin Yue3, Qing Yu4, Benxiang Hou5, Zhi Chen6, Jingping Liang7, Wenxia Chen8, Lihong Qiu9, Xiangya Huang1, Liuyan Meng6, Dingming Huang2, Xiaoyan Wang3, Yu Tian4, Zisheng Tang10, Qi Zhang11, Leiying Miao12, Jin Zhao13, Deqin Yang14, Jian Yang15, Junqi Ling1( )
Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua, School of Stomatology, Sun Yat-Sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China
Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing, China
Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical University, Xi’an, China
Department of Endodontics, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University, Beijing, China
The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
Department of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Clinical Research Center for Oral Diseases; National Center for Stomatology; Shanghai Key Laboratory of Stomatology, Shanghai, China
College of Stomatology, Hospital of Stomatology, Guangxi Medical University, Nanning, China
Department of Endodontics, School of Stomatology, China Medical University, Shenyang, China
Department of Stomatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Department of Endodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China
Department of Cariology and Endodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China
Department of Endodontics, First Affiliated Hospital of Xinjiang Medical University, and College of Stomatology of Xinjiang Medical University, Urumqi, China
Department of Endodontics, Stomatological Hospital of Chongqing Medical University, Chongqing, China
Department of Endodontics, The Affiliated Stomatological Hospital of Nanchang University, Nanchang, China

These authors contributed equally: Xi Wei, Yu Du.

Show Author Information

Abstract

Digital guided therapy (DGT) has been advocated as a contemporary computer-aided technique for treating endodontic diseases in recent decades. The concept of DGT for endodontic diseases is categorized into static guided endodontics (SGE), necessitating a meticulously designed template, and dynamic guided endodontics (DGE), which utilizes an optical triangulation tracking system. Based on cone-beam computed tomography (CBCT) images superimposed with or without oral scan (OS) data, a virtual template is crafted through software and subsequently translated into a 3-dimensional (3D) printing for SGE, while the system guides the drilling path with a real-time navigation in DGE. DGT was reported to resolve a series of challenging endodontic cases, including teeth with pulp obliteration, teeth with anatomical abnormalities, teeth requiring retreatment, posterior teeth needing endodontic microsurgery, and tooth autotransplantation. Case reports and basic researches all demonstrate that DGT stand as a precise, time-saving, and minimally invasive approach in contrast to conventional freehand method. This expert consensus mainly introduces the case selection, general workflow, evaluation, and impact factor of DGT, which could provide an alternative working strategy in endodontic treatment.

References

1

Burns, L. E. et al. Outcomes of primary root canal therapy: An updated systematic review of longitudinal clinical studies published between 2003 and 2020. Int Endod. J. 55, 714–731 (2022).
Crossref Google Scholar
2

Pinto, D., Marques, A., Pereira, J. F., Palma, P. J. & Santos, J. M. Long-Term Prognosis of Endodontic Microsurgery-A Systematic Review and Meta-Analysis. Med. (Kaunas.) 56, 447 (2020).
Crossref Google Scholar
3

Vera, J. et al. Prevalence of pulp canal obliteration and periapical pathology in human anterior teeth: A three-dimensional analysis based on CBCT scans. Aust. Endod. J. 49, 351–357 (2022).
Crossref Google Scholar
4

Bauss, O., Röhling, J., Rahman, A. & Kiliaridis, S. The effect of pulp obliteration on pulpal vitality of orthodontically intruded traumatized teeth. J. Endod. 34, 417–420 (2008).
Crossref Google Scholar
5

Rajasekharan, S. et al. Efficacy of three different pulpotomy agents in primary molars: a randomized control trial. Int Endod. J. 50, 215–228 (2017).
Crossref Google Scholar
6

Santos, B. Z., Cardoso, M. & Almeida, I. C. Pulp canal obliteration following trauma to primary incisors: a 9-year clinical study. Pediatr. Dent. 33, 399–402 (2011).
Google Scholar
7

McCabe, P. S. & Dummer, P. M. Pulp canal obliteration: an endodontic diagnosis and treatment challenge. Int Endod. J. 45, 177–197 (2012).
Crossref Google Scholar
8

Oginni, A. O., Adekoya-Sofowora, C. A. & Kolawole, K. A. Evaluation of radiographs, clinical signs and symptoms associated with pulp canal obliteration: an aid to treatment decision. Dent. Traumatol. 25, 620–625 (2009).
Crossref Google Scholar
9

de Toubes, K. M. S. et al. Clinical Approach to Pulp Canal Obliteration: A Case Series. Iran. Endod. J. 12, 527–533 (2017).
Google Scholar
10

Um, M., Johnson, B. & Fayad, M. Buccal plate thickness as a predictor for endodontic microsurgery outcomes: A retrospective cohort study. Oral. Surg. Oral. Med Oral. Pathol. Oral. Radiol. 135, 324–332 (2023).
Crossref Google Scholar
11

Lavasani, S. A. et al. Cone-beam Computed Tomography: Anatomic Analysis of Maxillary Posterior Teeth-Impact on Endodontic Microsurgery. J. Endod. 42, 890–895 (2016).
Crossref Google Scholar
12

Wang, X. et al. Relationship between the Mental Foramen, Mandibular Canal, and the Surgical Access Line of the Mandibular Posterior Teeth: A Cone-beam Computed Tomographic Analysis. J. Endod. 43, 1262–1266 (2017).
Crossref Google Scholar
13

Krastl, G., Zehnder, M. S., Connert, T., Weiger, R. & Kühl, S. Guided Endodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology. Dent. Traumatol. 32, 240–246 (2016).
Crossref Google Scholar
14

Zehnder, M. S., 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. 49, 966–972 (2016).
Crossref Google Scholar
15

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. 46, 275–288 (2013).
Crossref Google Scholar
16

Zubizarreta Macho, Á., Ferreiroa, A., Rico-Romano, C., Alonso-Ezpeleta, L. & Mena-Álvarez, J. Diagnosis and endodontic treatment of type Ⅱ dens invaginatus by using cone-beam computed tomography and splint guides for cavity access: a case report. J. Am. Dent. Assoc. 146, 266–270 (2015).
Crossref Google Scholar
17

Connert, T. et al. 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. 51, 247–255 (2018).
Crossref Google Scholar
18

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. 52, 540–549 (2019).
Crossref Google Scholar
19

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. 47, 133–139 (2021).
Crossref Google Scholar
20

Maia, L. M. et al. Case Reports in Maxillary Posterior Teeth by Guided Endodontic Access. J. Endod. 45, 214–218 (2019).
Crossref Google Scholar
21

Ahn, S. Y., Kim, N. H., 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. 44, 665–670 (2018).
Crossref Google Scholar
22

Giacomino, C. M., Ray, J. J. & Wealleans, J. A. 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. 44, 671–677 (2018).
Crossref Google Scholar
23

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 18, 85 (2018).
Crossref Google Scholar
24

Benjamin, G., Ather, A., Bueno, M. R., Estrela, C. & Diogenes, A. Preserving the Neurovascular Bundle in Targeted Endodontic Microsurgery: A Case Series. J. Endod. 47, 509–519 (2021).
Crossref Google Scholar
25

Hawkins, T. K., Wealleans, J. A., Pratt, A. M. & Ray, J. J. Targeted endodontic microsurgery and endodontic microsurgery: a surgical simulation comparison. Int Endod. J. 53, 715–722 (2020).
Crossref Google Scholar
26

Chong, B. S., Dhesi, M. & Makdissi, J. Computer-aided dynamic navigation: a novel method for guided endodontics. Quintessence Int 50, 196–202 (2019).
Google Scholar
27

Gambarini, G. et al. Endodontic Microsurgery Using Dynamic Navigation System: A Case Report. J. Endod. 45, 1397–1402.e6 (2019).
Crossref Google Scholar
28

Dianat, O., Gupta, S., Price, J. B. & Mostoufi, B. Guided Endodontic Access in a Maxillary Molar Using a Dynamic Navigation System. J. Endod. 47, 658–662 (2021).
Crossref Google Scholar
29

Chen, C. et al. Analysis of the accuracy of a dynamic navigation system in endodontic microsurgery: A prospective case series study. J. Dent. 134, 104534 (2023).
Crossref Google Scholar
30

Ray, J. J., Giacomino, C. M., Wealleans, J. A. & Sheridan, R. R. Targeted Endodontic Microsurgery: Digital Workflow Options. J. Endod. 46, 863–871 (2020).
Crossref Google Scholar
31

Connert, T., Weiger, R. & Krastl, G. Present status and future directions - Guided endodontics. Int Endod. J. 55(Suppl 4), 995–1002 (2022).
Crossref Google Scholar
32

Ngeow, W. C. & Thong, Y. L. Gaining access through a calcified pulp chamber: a clinical challenge. Int Endod. J. 31, 367–371 (1998).
Crossref Google Scholar
33

Llaquet Pujol, M., Vidal, C., Mercadé, M., Muñoz, M. & Ortolani-Seltenerich, S. Guided Endodontics for Managing Severely Calcified Canals. J. Endod. 47, 315–321 (2021).
Crossref Google Scholar
34

Connert, T., Zehnder, M. S., Weiger, R., Kühl, S. & Krastl, G. Microguided Endodontics: Accuracy of a Miniaturized Technique for Apically Extended Access Cavity Preparation in Anterior Teeth. J. Endod. 43, 787–790 (2017).
Crossref Google Scholar
35

Wu, M. et al. Treatment of Pulp Canal Obliteration Using a Dynamic Navigation System: Two Case Reports. J. Endod. 48, 1441–1446 (2022).
Crossref Google Scholar
36

Lara-Mendes, S. T. O., Barbosa, C. F. M., Machado, V. C. & Santa-Rosa, C. C. A New Approach for Minimally Invasive Access to Severely Calcified Anterior Teeth Using the Guided Endodontics Technique. J. Endod. 44, 1578–1582 (2018).
Crossref Google Scholar
37

Du, Y., Wei, X. & Ling, J. Q. [Application and prospect of static/dynamic guided endodontics for managing pulpal and periapical diseases]. Zhonghua Kou Qiang Yi Xue Za Zhi 57, 23–30 (2022).
Google Scholar
38

Lara-Mendes, S. T. O., Barbosa, C. F. M., Santa-Rosa, C. C. & Machado, V. C. Guided Endodontic Access in Maxillary Molars Using Cone-beam Computed Tomography and Computer-aided Design/Computer-aided Manufacturing System: A Case Report. J. Endod. 44, 875–879 (2018).
Crossref Google Scholar
39

Buchgreitz, J., Buchgreitz, M. & Bjørndal, L. Guided Endodontics Modified for Treating Molars by Using an Intracoronal Guide Technique. J. Endod. 45, 818–823 (2019).
Crossref Google Scholar
40

Klein, O. D. et al. Developmental disorders of the dentition: an update. Am. J. Med Genet. C. Semin Med Genet. 163c, 318–332 (2013).
Crossref Google Scholar
41

González-Mancilla, S. et al. Prevalence of Dens Invaginatus assessed by CBCT: Systematic Review and Meta-Analysis. J. Clin. Exp. Dent. 14, e959–e966 (2022).
Crossref Google Scholar
42

Chen, L., Li, Y. & Wang, H. Investigation of dens invaginatus in a Chinese subpopulation using Cone-beam computed tomography. Oral. Dis. 27, 1755–1760 (2021).
Crossref Google Scholar
43

Melilli, D., Russo, R., Gallina, G., Messina, P. & Scardina, G. A. Diagnosis and treatment of dens invaginatus with open apex in a young adult patient by using cone-beam computed tomography and operative microscope. Eur. J. Paediatr. Dent. 22, 15–18 (2021).
Google Scholar
44

Oehlers, F. A. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral. Surg. Oral. Med Oral. Pathol. 10, 1204–18 contd (1957).
Crossref Google Scholar
45

Zhang, C. & Hou, B. X. [Reconsideration of the diagnosis and treatment for dens invaginatus]. Zhonghua Kou Qiang Yi Xue Za Zhi 55, 302–308 (2020).
Google Scholar
46

Ali, A. & Arslan, H. Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus. Restor. Dent. Endod. 44, e38 (2019).
Crossref Google Scholar
47

Ali, A., Arslan, H. & Jethani, B. Conservative management of Type Ⅱ dens invaginatus with guided endodontic approach: A case series. J. Conserv Dent. 22, 503–508 (2019).
Crossref Google Scholar
48

Ayer, A., Vikram, M. & Suwal, P. Dens Evaginatus: A Problem-Based Approach. Case Rep. Dent. 2015, 393209 (2015).
Crossref Google Scholar
49

Levitan, M. E. & Himel, V. T. Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen. J. Endod. 32, 1–9 (2006).
Crossref Google Scholar
50

Oehlers, F. A., Lee, K. W. & Lee, E. C. Dens evaginatus (evaginated odontome). Its structure and responses to external stimuli. Dent. Pr. Dent. Rec. 17, 239–244 (1967).
Google Scholar
51

Mena-Álvarez, J., Rico-Romano, C., Lobo-Galindo, A. B. & Zubizarreta-Macho, Á. Endodontic treatment of dens evaginatus by performing a splint guided access cavity. J. Esthet. Restor. Dent. 29, 396–402 (2017).
Crossref Google Scholar
52

Chen, D. et al. Dentin dysplasia type I-A dental disease with genetic heterogeneity. Oral. Dis. 25, 439–446 (2019).
Crossref Google Scholar
53

Barron, M. J., McDonnell, S. T., Mackie, I. & Dixon, M. J. Hereditary dentine disorders: dentinogenesis imperfecta and dentine dysplasia. Orphanet J. Rare Dis. 3, 31 (2008).
Crossref Google Scholar
54

Krug, R. et al. Guided endodontic treatment of multiple teeth with dentin dysplasia: a case report. Head. Face Med 16, 27 (2020).
Crossref Google Scholar
55

Siqueira, J. F. Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod. J. 34, 1–10 (2001).
Crossref Google Scholar
56

Del Fabbro, M. et al. Endodontic procedures for retreatment of periapical lesions. Cochrane Database Syst. Rev. 10, Cd005511 (2016).
Crossref Google Scholar
57

Carvalho, M. A., Lazari, P. C., Gresnigt, M., Del Bel Cury, A. A. & Magne, P. Current options concerning the endodontically-treated teeth restoration with the adhesive approach. Braz. Oral. Res 32, e74 (2018).
Crossref Google Scholar
58

Ha, W. N. et al. Remaining dentinal thickness after simulated post space preparation and the fit of prefabricated posts to root canal preparation shapes. J. Am. Dent. Assoc. 152, 1020–1032.e12 (2021).
Crossref Google Scholar
59

Cho, C., Jo, H. J. & Ha, J. H. Fiber-reinforced composite post removal using guided endodontics: a case report. Restor. Dent. Endod. 46, e50 (2021).
Crossref Google Scholar
60

Perez, C., Finelle, G. & Couvrechel, C. Optimisation of a guided endodontics protocol for removal of fibre-reinforced posts. Aust. Endod. J. 46, 107–114 (2020).
Crossref Google Scholar
61

Gonçalves, W. F. et al. Guided Endodontics in Root Canals with Complex Access: Two Case Reports. Braz. Dent. J. 32, 115–123 (2021).
Crossref Google Scholar
62

Janabi, A. et al. Accuracy and Efficiency of 3-dimensional Dynamic Navigation System for Removal of Fiber Post from Root Canal-Treated Teeth. J. Endod. 47, 1453–1460 (2021).
Crossref Google Scholar
63

Perez, C. et al. Microguided endodontics: Accuracy evaluation for access through intraroot fibre-post. Aust. Endod. J. 47, 592–598 (2021).
Crossref Google Scholar
64

Wei, X. et al. Expert consensus on regenerative endodontic procedures. Int J. Oral. Sci. 14, 55 (2022).
Crossref Google Scholar
65

Saoud, T. M., Mistry, S., Kahler, B., Sigurdsson, A. & Lin, L. M. Regenerative Endodontic Procedures for Traumatized Teeth after Horizontal Root Fracture, Avulsion, and Perforating Root Resorption. J. Endod. 42, 1476–1482 (2016).
Crossref Google Scholar
66

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. 25, 1989–1995 (2021).
Crossref Google Scholar
67

Bhuva, B. & Ikram, O. Complications in Endodontics. Prim. Dent. J. 9, 52–58 (2020).
Crossref Google Scholar
68

Braga Diniz, J. M. et al. Guided Endodontic Approach in Teeth with Pulp Canal Obliteration and Previous Iatrogenic Deviation: A Case Series. Iran. Endod. J. 17, 78–84 (2022).
Google Scholar
69

Moreira Maia, L. et al. Guided Endodontics in Nonsurgical Retreatment of a Mandibular First Molar: A New Approach and Case Report. Iran. Endod. J. 15, 111–116 (2020).
Google Scholar
70

Yan, Y. Q. et al. Three-dimensional inlay-guided endodontics applied in variant root canals: A case report and review of literature. World J. Clin. Cases 9, 11425–11436 (2021).
Crossref Google Scholar
71

Casadei, B. A. et al. Access to original canal trajectory after deviation and perforation with guided endodontic assistance. Aust. Endod. J. 46, 101–106 (2020).
Crossref Google Scholar
72

von Arx, T. Apical surgery: A review of current techniques and outcome. Saudi Dent. J. 23, 9–15 (2011).
Crossref Google Scholar
73

Jang, Y., Hong, H. T., Roh, B. D. & Chun, H. J. Influence of apical root resection on the biomechanical response of a single-rooted tooth: a 3-dimensional finite element analysis. J. Endod. 40, 1489–1493 (2014).
Crossref Google Scholar
74

Jang, Y., Hong, H. T., Chun, H. J. & Roh, B. D. Influence of apical root resection on the biomechanical response of a single-rooted tooth-part 2: apical root resection combined with periodontal bone loss. J. Endod. 41, 412–416 (2015).
Crossref Google Scholar
75

Fu, W., Chen, C., Bian, Z. & Meng, L. Endodontic Microsurgery of Posterior Teeth with the Assistance of Dynamic Navigation Technology: A Report of Three Cases. J. Endod. 48, 943–950 (2022).
Crossref Google Scholar
76

Popowicz, W., Palatyńska-Ulatowska, A. & Kohli, M. R. Targeted Endodontic Microsurgery: Computed Tomography-based Guided Stent Approach with Platelet-rich Fibrin Graft: A Report of 2 Cases. J. Endod. 45, 1535–1542 (2019).
Crossref Google Scholar
77

Buniag, A. G., Pratt, A. M. & Ray, J. J. Targeted Endodontic Microsurgery: A Retrospective Outcomes Assessment of 24 Cases. J. Endod. 47, 762–769 (2021).
Crossref Google Scholar
78

Strbac, G. D., Schnappauf, A., Giannis, K., Moritz, A. & Ulm, C. Guided Modern Endodontic Surgery: A Novel Approach for Guided Osteotomy and Root Resection. J. Endod. 43, 496–501 (2017).
Crossref Google Scholar
79

Ong, D., Itskovich, Y. & Dance, G. Autotransplantation: a viable treatment option for adolescent patients with significantly compromised teeth. Aust. Dent. J. 61, 396–407 (2016).
Crossref Google Scholar
80

Andreasen, J. O. Interrelation between alveolar bone and periodontal ligament repair after replantation of mature permanent incisors in monkeys. J. Periodontal Res 16, 228–235 (1981).
Crossref Google Scholar
81

Hupp, J. G., Mesaros, S. V., Aukhil, I. & Trope, M. Periodontal ligament vitality and histologic healing of teeth stored for extended periods before transplantation. Endod. Dent. Traumatol. 14, 79–83 (1998).
Crossref Google Scholar
82

Plotino, G. et al. European Society of Endodontology position statement: Surgical extrusion, intentional replantation and tooth autotransplantation: European Society of Endodontology developed by. Int Endod. J. 54, 655–659 (2021).
Crossref Google Scholar
83

Kim, K., Choi, H. S. & Pang, N. S. Clinical application of 3D technology for tooth autotransplantation: A case report. Aust. Endod. J. 45, 122–128 (2019).
Crossref Google Scholar
84

Lee, S. J., Jung, I. Y., Lee, C. Y., Choi, S. Y. & Kum, K. Y. Clinical application of computer-aided rapid prototyping for tooth transplantation. Dent. Traumatol. 17, 114–119 (2001).
Crossref Google Scholar
85

Strbac, G. D. et al. Guided Autotransplantation of Teeth: A Novel Method Using Virtually Planned 3-dimensional Templates. J. Endod. 42, 1844–1850 (2016).
Crossref Google Scholar
86

Strbac, G. D. et al. Guided Osteotomy and Guided Autotransplantation for Treatment of Severely Impacted Teeth: A Proof-of-Concept Report. J. Endod. 46, 1791–1798 (2020).
Crossref Google Scholar
87

Ashkenazi, M. et al. Computerized three-dimensional design for accurate orienting and dimensioning artificial dental socket for tooth autotransplantation. Quintessence Int 49, 663–671 (2018).
Google Scholar
88

Lucas-Taulé, E. et al. Fully Guided Tooth Autotransplantation Using a Multidrilling Axis Surgical Stent: Proof of Concept. J. Endod. 46, 1515–1521 (2020).
Crossref Google Scholar
89

Nilius, M. et al. Intraosseous anesthesia in symptomatic irreversible pulpitis: Impact of bone thickness on perception and duration of pain. J. Dent. Anesth. Pain. Med 20, 367–375 (2020).
Crossref Google Scholar
90

Nusstein, J., Kennedy, S., Reader, A., Beck, M. & Weaver, J. Anesthetic efficacy of the supplemental X-tip intraosseous injection in patients with irreversible pulpitis. J. Endod. 29, 724–728 (2003).
Crossref Google Scholar
91

Dunbar, D., Reader, A., Nist, R., Beck, M. & Meyers, W. J. Anesthetic efficacy of the intraosseous injection after an inferior alveolar nerve block. J. Endod. 22, 481–486 (1996).
Crossref Google Scholar
92

Jain, S. D., Carrico, C. K., Bermanis, I. & Rehil, S. Intraosseous Anesthesia Using Dynamic Navigation Technology. J. Endod. 46, 1894–1900 (2020).
Crossref Google Scholar
93

Patel, S. et al. Cone beam computed tomography in Endodontics - a review of the literature. Int Endod. J. 52, 1138–1152 (2019).
Crossref Google Scholar
94
[Guidelines for radiographic examination in cariology and endodontics]. Zhonghua Kou Qiang Yi Xue Za Zhi. 56, 311-317 (2021).
95

Shahbazian, M. et al. Accuracy and surgical feasibility of a CBCT-based stereolithographic surgical guide aiding autotransplantation of teeth: in vitro validation. J. Oral. Rehabil. 37, 854–859 (2010).
Crossref Google Scholar
96

EzEldeen, M. et al. Use of CBCT Guidance for Tooth Autotransplantation in Children. J. Dent. Res 98, 406–413 (2019).
Crossref Google Scholar
97

Panithini, D. B. et al. Real-time guided endodontics: A case report of maxillary central incisor with calcific metamorphosis. J. Conserv Dent. 26, 113–117 (2023).
Crossref Google Scholar
98

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. 47, 286–290 (2021).
Crossref Google Scholar
99

Connert, T. et al. Guided Endodontics versus Conventional Access Cavity Preparation: A Comparative Study on Substance Loss Using 3-dimensional-printed Teeth. J. Endod. 45, 327–331 (2019).
Crossref Google Scholar
100

Connert, T. 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. 47, 1651–1656 (2021).
Crossref Google Scholar
101

Jain, S. D., Carrico, C. K. & Bermanis, I. 3-Dimensional Accuracy of Dynamic Navigation Technology in Locating Calcified Canals. J. Endod. 46, 839–845 (2020).
Crossref Google Scholar
102

Jain, S. D. et al. Dynamically Navigated versus Freehand Access Cavity Preparation: A Comparative Study on Substance Loss Using Simulated Calcified Canals. J. Endod. 46, 1745–1751 (2020).
Crossref Google Scholar
103

Su, Y. et al. Guided endodontics: accuracy of access cavity preparation and discrimination of angular and linear deviation on canal accessing ability-an ex vivo study. BMC Oral. Health 21, 606 (2021).
Crossref Google Scholar
104

Gambarini, G. et al. Precision of Dynamic Navigation to Perform Endodontic Ultraconservative Access Cavities: A Preliminary In Vitro Analysis. J. Endod. 46, 1286–1290 (2020).
Crossref Google Scholar
105

Zhang, C. et al. The accuracy of using guided endodontics in access cavity preparation and the temperature changes of root surface: An in vitro study. BMC Oral. Health 22, 504 (2022).
Crossref Google Scholar
106

Buchgreitz, J., Buchgreitz, M. & Bjørndal, L. Guided root canal preparation using cone beam computed tomography and optical surface scans - an observational study of pulp space obliteration and drill path depth in 50 patients. Int Endod. J. 52, 559–568 (2019).
Crossref Google Scholar
107

Peng, L., Zhao, J., Wang, Z. H., Sun, Y. C. & Liang, Y. H. Accuracy of root-end resection using a digital guide in endodontic surgery: An in vitro study. J. Dent. Sci. 16, 45–50 (2021).
Crossref Google Scholar
108

Westbrook, K. et al. Comparison of a Novel Static Computer-aided Surgical and Freehand Techniques for Osteotomy and Root-end Resection. J. Endod. 49, 528–535.e1 (2023).
Crossref Google Scholar
109

Aldahmash, S. A. et al. Real-time 3-dimensional Dynamic Navigation System in Endodontic Microsurgery: A Cadaver Study. J. Endod. 48, 922–929 (2022).
Crossref Google Scholar
110

Dianat, O. et al. Accuracy and efficiency of guided root-end resection using a dynamic navigation system: a human cadaver study. Int Endod. J. 54, 793–801 (2021).
Crossref Google Scholar
111

Ackerman, S. et al. Accuracy of 3-dimensional-printed Endodontic Surgical Guide: A Human Cadaver Study. J. Endod. 45, 615–618 (2019).
Crossref Google Scholar
112

Han, B. et al. Evaluation of a dynamic navigation system for endodontic microsurgery: study protocol for a randomised controlled trial. BMJ Open 12, e064901 (2022).
Crossref Google Scholar
113

Anssari Moin, D., Verweij, J. P., Waars, H., van Merkesteyn, R. & Wismeijer, D. Accuracy of Computer-Assisted Template-Guided Autotransplantation of Teeth With Custom Three-Dimensional Designed/Printed Surgical Tooling: A Cadaveric Study. J. Oral. Maxillofac. Surg. 75, 925.e1–925.e7 (2017).
Crossref Google Scholar
114

Tang, W. & Jiang, H. Comparison of Static and Dynamic Navigation in Root End Resection Performed by Experienced and Inexperienced Operators: An In Vitro Study. J. Endod. 49, 294–300 (2023).
Crossref Google Scholar
115

Martinho, F. C. 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. 48, 1327–1333.e1 (2022).
Crossref Google Scholar
116

Wang, Z., Guo, X., Chen, C., Qin, L. & Meng, L. Effect of Field of View and Voxel Size on CBCT-Based Accuracy of Dynamic Navigation in Endodontic Microsurgery: An In Vitro Study. J. Endod. 49, 1012–1019 (2023).
Crossref Google Scholar
117

Koch, G. K., Gharib, H., Liao, P. & Liu, H. Guided Access Cavity Preparation Using Cost-Effective 3D Printers. J. Endod. 48, 909–913 (2022).
Crossref Google Scholar
118

Ma, F., Sun, F., Wei, T. & Ma, Y. Comparison of the accuracy of two different dynamic navigation system registration methods for dental implant placement: A retrospective study. Clin. Implant Dent. Relat. Res 24, 352–360 (2022).
Crossref Google Scholar
119

Wang, Z. et al. Accuracy and efficiency of endodontic microsurgery assisted by dynamic navigation based on two different registration methods: an in vitro study. J Endod, (2023).
Crossref Google Scholar
120

Leontiev, W. et al. Suitability of Magnetic Resonance Imaging for Guided Endodontics: Proof of Principle. J. Endod. 47, 954–960 (2021).
Crossref Google Scholar
121

Farronato, M., Torres, A., Pedano, M. S. & Jacobs, R. Novel method for augmented reality guided endodontics: An in vitro study. J. Dent. 132, 104476 (2023).
Crossref Google Scholar
122

Faus-Matoses, V. et al. Accuracy of Endodontic Access Cavities Performed Using an Augmented Reality Appliance: An In Vitro Study. Int J. Environ. Res Public Health 19, 11167 (2022).
Crossref Google Scholar
123

Simon, J. C., Kwok, J. W., Vinculado, F., Fried, D. & Computer-Controlled, C. O. Laser Ablation System for Cone-beam Computed Tomography and Digital Image Guided Endodontic Access: A Pilot Study.J Endod 47, 1445–1452 (2021).
Crossref Google Scholar
124

Rawal, S. Guided innovations: Robot-assisted dental implant surgery. J. Prosthet. Dent. 127, 673–674 (2022).
Crossref Google Scholar
125

Aminoshariae, A., Kulild, J. & Nagendrababu, V. Artificial Intelligence in Endodontics: Current Applications and Future Directions. J. Endod. 47, 1352–1357 (2021).
Crossref Google Scholar
126

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. 49, 790–795 (2016).
Crossref Google Scholar
127

Loureiro, M. A. Z. et al. Guided Endodontics: Volume of Dental Tissue Removed by Guided Access Cavity Preparation-An Ex Vivo Study. J. Endod. 46, 1907–1912 (2020).
Crossref Google Scholar
128

Torres, A., Boelen, G. J., Lambrechts, P., Pedano, M. S. & Jacobs, R. Dynamic navigation: a laboratory study on the accuracy and potential use of guided root canal treatment. Int Endod. J. 54, 1659–1667 (2021).
Crossref Google Scholar
129

Dianat, O. et al. Accuracy and Efficiency of a Dynamic Navigation System for Locating Calcified Canals. J. Endod. 46, 1719–1725 (2020).
Crossref Google Scholar
130

Zubizarreta-Macho, Á., Muñoz, A. P., Deglow, E. R., Agustín-Panadero, R. & Álvarez, J. M. Accuracy of Computer-Aided Dynamic Navigation Compared to Computer-Aided Static Procedure for Endodontic Access Cavities: An in Vitro Study. J. Clin. Med 9, 129 (2020).
Crossref Google Scholar
131

Pinsky, H. M., Champleboux, G. & Sarment, D. P. Periapical surgery using CAD/CAM guidance: preclinical results. J. Endod. 33, 148–151 (2007).
Crossref Google Scholar
132

Martinho, F. C. et al. A Cadaver-based Comparison of Sleeve-guided Implant-drill and Dynamic Navigation Osteotomy and Root-end Resections. J. Endod. 49, 1004–1011 (2023).
Crossref Google Scholar
International Journal of Oral Science
Volume 15,
2023
Article number: 54
DOI: 10.1038/s41368-023-00261-0
Cite this article:
Wei X, Du Y, Zhou X, et al. Expert consensus on digital guided therapy for endodontic diseases. International Journal of Oral Science, 2023, 15: 54. https://doi.org/10.1038/s41368-023-00261-0

167

Views

1

Downloads

4

Crossref

2

Web of Science

4

Scopus

Altmetrics
Received: 15 October 2023
Revised: 12 November 2023
Accepted: 12 November 2023
Published: 06 December 2023
© The Author(s) 2023

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Return