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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

References

    1. Baruwa A.O., Martins J.N.R., Meirinhos J., Pereira B., Gouveia J., Quaresma S.A., Monroe A., Ginjeira A. The Influence of Missed Canals on the Prevalence of Periapical Lesions in Endodontically Treated Teeth: A Cross-sectional Study. J. Endod. 2020;46:34–39. doi: 10.1016/j.joen.2019.10.007. - DOI - PubMed
    1. Karabucak B., Bunes A., Chehoud C., Kohli M.R., Setzer F. Prevalence of apical periodontitis in endodontically treated premolars and molars with untreated canal: A cone - beam computed tomography study. J. Endod. 2016;42:538–541. doi: 10.1016/j.joen.2015.12.026. - DOI - PubMed
    1. Zender M.S., Connert T., Weiger R., Krastl G., Kühl S. Guided endodontics: Accuracy of a novel method for guided access cavity preparation and root canal location. Int. Endod. J. 2016;49:966–972. doi: 10.1111/iej.12544. - DOI - PubMed
    1. Venskutonis T., Plotino G., Juodzbalys G., Mickevičiene L. The importance of cone-beam computed tomography in the management of endodontic problems: A review of the literature. J. Endod. 2014;40:1895–1901. doi: 10.1016/j.joen.2014.05.009. - DOI - PubMed
    1. Zubizarreta-Macho Á., Muñoz A.P., Deglow E.R., Agustín-Panadero R., Álvarez J.M. Accuracy of Computer-Aided Dynamic Navigation Compared to Computer-Aided Static Procedure for Endodontic Access Cavities: An in Vitro Study. J. Clin. Med. 2020;9:129. doi: 10.3390/jcm9010129. - DOI - PMC - PubMed

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