Zubizarreta-Macho Álvaro, Castillo-Amature César, Montiel-Company José María, Mena-Álvarez Jesús
Department of Endodontics, Faculty of Health Sciences, Alfonso X El Sabio University, 28691 Madrid, Spain.
Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain.
J Clin Med. 2021 Jan 15;10(2):313. doi: 10.3390/jcm10020313.
The aim of this systematic review and meta-analysis was to analyze the efficacy of the computer-aided static navigation technique on the accuracy of root apex location in endodontic microsurgery.
A systematic literature review and meta-analysis, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, of clinical studies that evaluated the apex location rate of the computer-aided static navigation techniques applied to endodontic microsurgery. A total of four databases were consulted in the literature search: Pubmed-Medline, Scopus, Cochrane, and Web of Science. After eliminating duplicated articles and applying the inclusion criteria, seven articles were selected for the qualitative and the quantitative analysis.
The root apex location success rate stated at 96.8% (confidence interval (CI): 93.0-100%) of the cases performed through a computer-aided static navigation technique. The prediction interval ranges from 91.4% to 100%. The meta-analysis did not detect heterogeneity between the combined studies (Q-test = 6.15; -value = 0.407; I2 = 2.4%). The computer-aided static navigation techniques showed a root apex location success rate 27 times higher than conventional endodontic microsurgery procedures (Q test = 0.80; = 0.671; I2 = 0%). Three studies of computer-aided static navigation techniques and control group were compared using a random effects model with the Mantel-Haenszel method with a statistically significant odds success ratio of 27.7, with a 95% confidence interval between 11.3 and 68.1 (z test = 7.23; < 0.0001).
According to in vitro studies analyzed, endodontic microsurgeries performed through computer-aided static navigation techniques show a high precision.
本系统评价和荟萃分析的目的是分析计算机辅助静态导航技术在牙髓显微手术中根尖定位准确性方面的疗效。
基于系统评价和荟萃分析的首选报告项目（PRISMA）建议，对评估应用于牙髓显微手术的计算机辅助静态导航技术根尖定位率的临床研究进行系统文献回顾和荟萃分析。在文献检索中总共查阅了四个数据库：PubMed-Medline、Scopus、Cochrane和科学网。在剔除重复文章并应用纳入标准后，选择了七篇文章进行定性和定量分析。
通过计算机辅助静态导航技术进行的病例根尖定位成功率为96.8%（置信区间（CI）：93.0 - 100%）。预测区间为91.4%至100%。荟萃分析未检测到合并研究之间的异质性（Q检验 = 6.15；P值 = 0.407；I² = 2.4%）。计算机辅助静态导航技术显示根尖定位成功率比传统牙髓显微手术程序高27倍（Q检验 = 0.80；P = 0.671；I² = 0%）。使用随机效应模型和Mantel-Haenszel方法对三项计算机辅助静态导航技术研究与对照组进行比较，成功比值比具有统计学意义，为27.7，95%置信区间为11.3至68.1（z检验 = 7.23；P < 0.0001）。
根据所分析的体外研究，通过计算机辅助静态导航技术进行的牙髓显微手术显示出高精度。
