Effect of Computer-Aided Navigation Techniques on the Accuracy of Endodontic Access Cavities: A Systematic Review and Meta-Analysis

Abstract

The present systematic review and meta-analysis aims to determine the effect of computer-aided navigation techniques on the accuracy of endodontic access cavities. Materials and methods: 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. Results: 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; p = 0.185; I2 = 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; p = 0.451), nor between in vitro studies (success rate: 96.2%) and in vivo studies (success rate: 100%) (Q test = 2.53; p-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. Conclusions: the endodontic access cavities created using static and dynamic computer-aided navigation techniques are highly accurate in locating the root canal system.

Impact of Augmented Reality Technology on Osteotomy Site Preparation for Apical Location: An In Vitro Study

“…However, a recent systematic review and meta-analysis discovered no statistically signi cant differences between static and dynamic computer-aided navigation techniques in the success rates of root canal location (p = 0.185) [ 41 ]. Statistically signi cant differences in apical location were found between computer-aided static navigation techniques and conventional free-hand techniques (p < 0.0001) [33].…”

Generalized pulp canal obliteration in a patient on long-term glucocorticoids: a case report and literature review

“…Send them to an endodontist if required. Clinicians may choose for guided access or, if it's feasible, a traditional approach depending on the circumstances [ 50 , 51 ]. Based on the results, endodontic microsurgery [ 52 ] or even an intentional re-implant when the surgery is not feasible [ 53 , 54 ] is advised in the event of failure.…”

Management of Pulp Canal Obliteration—Systematic Review of Case Reports

“…If necessary, refer to an endodontic specialist. Depending on the case, clinicians can choose conventional access or, if possible, a more conservative way by the guided access [41,[51][52][53][54][55][56][57][58]. Based on the outcomes, in case of failure, endodontic microsurgery is indicated [59] or even an intentional reimplant when the surgery is not possible [60][61][62].…”