Ribeiro Diana, Reis Eva, Marques Joana A, Falacho Rui I, Palma Paulo J
Dentistry Department, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal.
Institute of Endodontics, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal.
J Pers Med. 2022 Sep 15;12(9):1516. doi: 10.3390/jpm12091516.
(1) Background: access cavity preparation is the first stage of non-surgical endodontic treatment. The inaccuracy of this step may lead to numerous intraoperative complications, which impair the root canal treatment's prognosis and therefore the tooth's survival. Guided endodontics, meaning computer-aided static (SN) and dynamic navigation (DN) techniques, has recently emerged as a new approach for root canal location in complex cases. This review aims to compare SN and DN guided endodontics' techniques in non-surgical endodontic treatment. (2) Methods: an electronic search was performed on PubMed, Scopus, and Cochrane Library databases until October 2021. Studies were restricted by language (English, Spanish and Portuguese) and year of publication (from 2011 to 2021). (3) Results: a total of 449, 168 and 32 articles were identified in PubMed, Scopus, and Cochrane Library databases, respectively, after the initial search. Of the 649 articles, 134 duplicates were discarded. In this case, 67 articles were selected after title and abstract screening, of which 60 were assessed for eligibility through full-text analysis, with one article being excluded. Four cross-references were added. Thus, 63 studies were included. (4) Conclusions: guided endodontics procedures present minimally invasive and accurate techniques which allow for highly predictable root canal location, greater tooth structure preservation and lower risk of iatrogenic damage, mainly when performed by less experienced operators. Both SN and DN approaches exhibit different advantages and disadvantages that make them useful in distinct clinical scenarios.
(1) 背景：开髓是非手术根管治疗的第一阶段。此步骤的不准确可能导致众多术中并发症，这会损害根管治疗的预后，进而影响牙齿的留存。引导式根管治疗，即计算机辅助静态（SN）和动态导航（DN）技术，最近已成为复杂病例中根管定位的一种新方法。本综述旨在比较SN和DN引导式根管治疗技术在非手术根管治疗中的应用。(2) 方法：截至2021年10月，在PubMed、Scopus和Cochrane图书馆数据库进行了电子检索。研究受语言（英语、西班牙语和葡萄牙语）和出版年份（2011年至2021年）限制。(3) 结果：初步检索后，在PubMed、Scopus和Cochrane图书馆数据库中分别共识别出449篇、168篇和32篇文章。在这649篇文章中，134篇重复文章被剔除。在此情况下，经标题和摘要筛选后选择了67篇文章，其中60篇通过全文分析评估其 eligibility，有一篇文章被排除。添加了4个交叉引用。因此，纳入了63项研究。(4) 结论：引导式根管治疗程序呈现出微创且准确的技术，可实现高度可预测的根管定位，更好地保留牙齿结构并降低医源性损伤风险，主要是在经验较少的操作者进行操作时。SN和DN方法都有不同的优缺点，这使得它们在不同的临床场景中都很有用。
