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Review
. 2021 Mar 10;10(3):212.
doi: 10.3390/biology10030212.

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

Álvaro Zubizarreta-Macho  1 , Sara Valle Castaño  1 , José María Montiel-Company  2 , Jesús Mena-Álvarez  1
Affiliations
Review

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

Álvaro Zubizarreta-Macho et al. Biology (Basel). .

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.

Keywords: computer-assisted treatment; endodontic access cavity; endodontics; image-guided treatment; navigation system; real-time tracking.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Flow diagram.
Figure 2
Figure 2
Forest plot of root canal location success rate between the studies selected. The horizontal axis expresses the root canal proportion success rate of each study.
Figure 3
Figure 3
Forest plot of root canal location success rate compared between computer-aided navigation techniques. The horizontal axis expresses the root canal proportion success rate of each computer-aided navigation technique.
Figure 4
Figure 4
Forest plot of root canal location success rate between study types. The horizontal axis expresses the root canal proportion Scheme.
Figure 5
Figure 5
Forest plot of root canal location success OR between computer-aided navigation techniques and control group. The horizontal axis expresses the root canal proportion success rate of each study.
Figure 6
Figure 6
Initial Funnel plot and after Trim and Fill adjustment.
See this image and copyright information in PMC

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