» Articles » PMID: 31906598

Accuracy of Computer-Aided Dynamic Navigation Compared to Computer-Aided Static Procedure for Endodontic Access Cavities: An in Vitro Study

Overview
Journal J Clin Med
Specialty General Medicine
Date 2020 Jan 8
PMID 31906598
Citations 28
Authors
Affiliations
Soon will be listed here.
Abstract

Materials And Methods: A total of 30 single-rooted anterior teeth were selected, which were randomly distributed into three study groups: Group A-guided performance of endodontic access cavities through computer-aided static navigation system (n = 10) (SN); Group B-guided performance of endodontic access cavities through computer-aided dynamic navigation system (n = 10) (DN); and Group C-manual (freehand) performance of endodontic access cavities (n = 10) (MN). The endodontic access cavities of the SN group were performed with a stereolithography template designed on 3D implant planning software, based on preoperative cone-beam computed tomography (CBCT) and a 3D extraoral surface scan, and endodontic access cavities of the DN group were planned and performed by the dynamic navigation system. After endodontic access cavities were performed, a second CBCT was done, and the degree of accuracy between the planned and performed endodontic access cavities was analyzed using therapeutic planning software and Student's t-test.

Results: Paired t-test revealed no statistically significant differences between SN and DN at the coronal (p = 0.6542), apical (p = 0.9144), or angular (p = 0.0724) level; however, statistically significant differences were observed between the two computer-aided navigation techniques and the MN group at the coronal (p < 0.0001), apical (p < 0.0001), and angular (p < 0.0001) level.

Conclusion: Both computer-aided static and dynamic navigation procedures allowed accurate performance of endodontic access cavities.

Citing Articles

Dynamic navigation in endodontics: A comprehensive literature review.

Hegde V, Mandke L, Memon K, Ansari M, Srilatha S, Mujawar A J Conserv Dent Endod. 2025; 27(12):1202-1210.

PMID: 39959018 PMC: 11823580. DOI: 10.4103/JCDE.JCDE_551_24.


Guided Endodontics for Non-surgical Root Canal Retreatment: A Systematic Review.

Samiei M, Sabanik P, Tavakkoli Avval S Iran Endod J. 2025; 20(1):e3.

PMID: 39935861 PMC: 11808322. DOI: 10.22037/iej.v20i1.46903.


A Systematic Review of Research on Guided Access Cavity Preparation Endodontic Treatment: Dentin Preservation Perspectives.

Muryani A, Aripin D, Dharsono H, Rajion Z, Wicaksono S Clin Cosmet Investig Dent. 2025; 17:49-63.

PMID: 39872903 PMC: 11771166. DOI: 10.2147/CCIDE.S491632.


Removal of a fractured file beyond the apical foramen using robot-assisted endodontic microsurgery: a clinical report.

Fu M, Zhao S, Zhou X, Hou B, Zhang C BMC Oral Health. 2025; 25(1):8.

PMID: 39748344 PMC: 11697827. DOI: 10.1186/s12903-024-05329-9.


Innovative Endodontic Management of Pulp Canal Obliteration in Mandibular Incisors Using a Static Navigation System: A Case Report.

MahjourianQomi R, Aminsobhani M, Assadian H, Adnaninia S Clin Case Rep. 2024; 12(11):e9596.

PMID: 39568536 PMC: 11578672. DOI: 10.1002/ccr3.9596.


References
1.
Mena-Alvarez J, Rico-Romano C, Lobo-Galindo A, Zubizarreta-Macho A . Endodontic treatment of dens evaginatus by performing a splint guided access cavity. J Esthet Restor Dent. 2017; 29(6):396-402. DOI: 10.1111/jerd.12314. View

2.
Block M, Emery R, Lank K, Ryan J . Implant Placement Accuracy Using Dynamic Navigation. Int J Oral Maxillofac Implants. 2016; 32(1):92-99. DOI: 10.11607/jomi.5004. View

3.
Chong B, Dhesi M, Makdissi J . Computer-aided dynamic navigation: a novel method for guided endodontics. Quintessence Int. 2019; 50(3):196-202. DOI: 10.3290/j.qi.a41921. View

4.
Giacomino C, Ray J, Wealleans J . Targeted Endodontic Microsurgery: A Novel Approach to Anatomically Challenging Scenarios Using 3-dimensional-printed Guides and Trephine Burs-A Report of 3 Cases. J Endod. 2018; 44(4):671-677. DOI: 10.1016/j.joen.2017.12.019. View

5.
Buchgreitz J, Buchgreitz M, Mortensen D, Bjorndal L . Guided access cavity preparation using cone-beam computed tomography and optical surface scans - an ex vivo study. Int Endod J. 2015; 49(8):790-5. DOI: 10.1111/iej.12516. View