Kaur Kanwalpreet, Saini Ravinder S, Vaddamanu Sunil Kumar, Bavabeedu Shashit Shetty, Gurumurthy Vishwanath, Sainudeen Shan, Mathew Vinod Babu, Khateeb Shafait Ullah, Mokhlesi Aida, Mosaddad Seyed Ali, Heboyan Artak
Rutgers School of Dental Medicine, Rutgers University, New Jersey, USA.
Department of Dental Technology, COAMS, King Khalid University, Abha, Saudi Arabia.
Int Dent J. 2025 Apr;75(2):1097-1112. doi: 10.1016/j.identj.2024.05.014. Epub 2024 Jul 19.
Root canal therapy is a crucial aspect of endodontic treatment aimed at preserving natural dentition. Over the years, advancements in three-dimensional (3D) technology have revolutionized diagnosis and treatment planning. Different 3D technologies are used in dental care, such as cone-beam computed tomography (CBCT), which ensures 3D slice visualization, root canal microanatomy, and dynamic navigation throughout the pulp cavity. By exploring the latest technological progress in this field, we seek to understand how these innovations are enhancing precision, efficiency, and patient outcomes, shedding light on the benefits and potential impact of 3D imaging in improving root canal procedures.
Literature was searched from different databases, including PubMed, ScienceDirect, The Cochrane Library, Scopus, and Google Scholar. Inclusion criteria involved studies on 3D technology in root canal therapy with comparison groups, including RCTs and non-RCTs. Excluded studies lacked 3D imaging advancements, a control group, or were review articles or case studies. Quality assessment utilized QUIN for in vitro studies and ROBINS-I for non-RCTs to evaluate the studies' validity.
According to the PRISMA guidelines, among 5015 initial articles, 16 were included. CBCT was the most used 3D imaging technique for root imaging followed by micro-computed tomography (MCT) and limited CBCT (LCBCT) imaging methods. 2D radiographs and 2D histological methods and clearing techniques were the most common comparative modalities. Overall, 3D imaging streamlined dental treatment as clinicians could visualize much clearer and higher-quality images. Different resolutions and voxel sizes were applied to improve imaging quality.
Three-dimensional imaging, especially CBCT, improves root canal treatments by providing superior image quality. CBCT outperforms other techniques like MCT and LCBCT, enhancing clarity. Varying resolutions and voxel sizes optimize the effectiveness of 3D imaging in root canal therapy.
The advancements in 3D imaging technology, particularly CBCT, have significantly enhanced the diagnosis and treatment planning for root canal therapy. CBCT provides detailed insights into intricate root canal anatomy, improving diagnostic accuracy.
根管治疗是牙髓病治疗的关键环节，旨在保留天然牙列。多年来，三维（3D）技术的进步彻底改变了诊断和治疗计划。牙科护理中使用了不同的3D技术，如锥束计算机断层扫描（CBCT），它可确保三维切片可视化、根管微观解剖结构以及整个牙髓腔的动态导航。通过探索该领域的最新技术进展，我们试图了解这些创新如何提高精度、效率和患者治疗效果，揭示3D成像在改善根管治疗程序方面的益处和潜在影响。
从不同数据库检索文献，包括PubMed、ScienceDirect、Cochrane图书馆、Scopus和谷歌学术。纳入标准包括对根管治疗中3D技术的研究且设有比较组，包括随机对照试验（RCT）和非随机对照试验。排除的研究缺乏3D成像进展、对照组，或为综述文章或病例研究。质量评估采用QUIN评估体外研究，采用ROBINS - I评估非随机对照试验，以评估研究的有效性。
根据PRISMA指南，在5015篇初始文章中，纳入了16篇。CBCT是根管成像中最常用的3D成像技术，其次是微型计算机断层扫描（MCT）和有限CBCT（LCBCT）成像方法。二维根尖片、二维组织学方法和透明技术是最常见的比较方式。总体而言，3D成像简化了牙科治疗，因为临床医生可以看到更清晰、更高质量的图像。应用了不同的分辨率和体素大小来提高成像质量。
三维成像，尤其是CBCT，通过提供卓越的图像质量改善了根管治疗。CBCT优于MCT和LCBCT等其他技术，提高了清晰度。不同的分辨率和体素大小优化了3D成像在根管治疗中的有效性。
3D成像技术的进步，特别是CBCT，显著增强了根管治疗的诊断和治疗计划。CBCT提供了对复杂根管解剖结构的详细见解，提高了诊断准确性。
