Martinho Frederico Canato, Griffin Ina Laurie, Corazza Bruna Jordão Motta
Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland.
Division of Endodontics, Department of Restorative Dentistry, São Paulo State University, Institute of Science and Technology, São José dos Campos, São Paulo, Brazil.
Eur J Dent. 2023 Jul;17(3):569-586. doi: 10.1055/s-0042-1749361. Epub 2022 Aug 31.
This scoping review (SCR) was conducted to map the existing literature on dynamic navigation system (DNS), to examine the extent, range, and nature of research activity. Additionally, this SCR disseminates research findings, determines the value of conducting a full systematic review with meta-analysis, and identifies gaps in the existing literature and future directions. This SCR followed Arksey and O'Malley's five stages framework. The electronic search was performed in PubMed (Medline), Scopus (Elsevier), and Web of Science (Clarivate Analytics) databases using a search strategy. Five themes emerged during the descriptive analysis that captured the DNS application in endodontics. The DNS has been explored for creating access cavities (8/18, 44.44%), locating calcified canals (4/18, 22.2%), microsurgery (3/18, 16.6%), post removal (2/18, 11.1%), and intraosseous anesthesia (1/18, 5.5%). Out of the 18 studies included, 12 are in vitro (66.6%), five are in vivo (case report) (27.7%), and one is ex vivo (5.5%). The DNS demonstrated accuracy and efficiency in performing minimally invasive access cavities, locating calcified canals, and performing endodontic microsurgery, and it helped target the site for intraosseous anesthesia.
本综述旨在梳理关于动态导航系统（DNS）的现有文献，以考察研究活动的范围、广度和性质。此外，本综述还将传播研究结果，确定进行全面的系统综述并进行荟萃分析的价值，识别现有文献中的空白以及未来的研究方向。本综述遵循了阿克西和奥马利的五个阶段框架。通过搜索策略在PubMed（医学索引数据库）、Scopus（爱思唯尔数据库）和Web of Science（科睿唯安数据库）中进行了电子检索。在描述性分析中出现了五个主题，涵盖了DNS在牙髓病学中的应用。DNS已被用于创建进入腔（8/18，44.44%）、定位钙化根管（4/18，22.2%）、显微手术（3/18，16.6%）、桩去除（2/18，11.1%）和骨内麻醉（1/18，5.5%）。在纳入的18项研究中，12项为体外研究（66.6%），5项为体内研究（病例报告）（27.7%），1项为离体研究（5.5%）。DNS在进行微创进入腔、定位钙化根管和进行牙髓显微手术方面显示出准确性和效率，并且有助于确定骨内麻醉的部位。
