Zubizarreta-Macho Álvaro, Valle Castaño Sara, 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.
Biology (Basel). 2021 Mar 10;10(3):212. doi: 10.3390/biology10030212.
The present systematic review and meta-analysis aims to determine the effect of computer-aided navigation techniques on the accuracy of endodontic access cavities.
A systematic literature review and meta-analysis of clinical studies, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, was performed that evaluated the root canal location rate of computer-aided navigation techniques applied to endodontic access cavities. Four different databases were used to consult the literature: PubMed-Medline, Scopus, Cochrane, and Web of Science. After discarding duplicate articles and applying inclusion criteria, 14 articles were selected for qualitative analysis and 13 for quantitative analysis.
the root canal location success rate started at 98.1% (CI: 95.7-100%) of the cases performed through a computer-aided navigation technique. The prediction interval ranged from 93.3% to 100%. The meta-analysis did not detect heterogeneity between the combined studies (Q-test = 17.3; = 0.185; I = 25%). No statistically significant differences were found between computer-aided static navigation techniques (success rate: 98.5%) and computer-aided dynamic navigation techniques (success rate: 94.5%) (Q test = 0.57; = 0.451), nor between in vitro studies (success rate: 96.2%) and in vivo studies (success rate: 100%) (Q test = 2.53; -value = 0.112). An odds success ratio of 13.1 (CI: 95%; 3.48, 49.1) encourages the use of computer-aided navigation techniques over conventional endodontic access cavity procedures.
the endodontic access cavities created using static and dynamic computer-aided navigation techniques are highly accurate in locating the root canal system.
本系统评价和荟萃分析旨在确定计算机辅助导航技术对根管治疗开髓洞形准确性的影响。
基于系统评价和荟萃分析的首选报告项目（PRISMA）建议，对临床研究进行了系统的文献综述和荟萃分析，评估了应用于根管治疗开髓洞形的计算机辅助导航技术的根管定位率。使用四个不同的数据库查阅文献：PubMed-Medline、Scopus、Cochrane和Web of Science。在剔除重复文章并应用纳入标准后，选择了14篇文章进行定性分析，13篇进行定量分析。
通过计算机辅助导航技术进行的病例中，根管定位成功率开始为98.1%（CI：95.7 - 100%）。预测区间为93.3%至100%。荟萃分析未检测到合并研究之间的异质性（Q检验 = 17.3；P = 0.185；I² = 25%）。计算机辅助静态导航技术（成功率：98.5%）与计算机辅助动态导航技术（成功率：94.5%）之间未发现统计学显著差异（Q检验 = 0.57；P = 0.451），体外研究（成功率：96.2%）与体内研究（成功率：100%）之间也未发现统计学显著差异（Q检验 = 2.53；P值 = 0.11）。优势成功比为13.1（CI：95%；3.48，49.1），这鼓励在根管治疗开髓洞形操作中使用计算机辅助导航技术而非传统方法。
使用静态和动态计算机辅助导航技术创建的根管治疗开髓洞形在定位根管系统方面高度准确。
