Expert consensus on digital guided therapy for endodontic diseases.

Xi Wei; Yu DU; Xuedong Zhou; Lin Yue; Qing YU; Benxiang Hou; Zhi Chen; Jingping Liang; Wenxia Chen; Lihong Qiu; Xiangya Huang; Liuyan Meng; Dingming Huang; Xiaoyan Wang; Yu Tian; Zisheng Tang; Qi Zhang; Leiying Miao; Jin Zhao; Deqin Yang; Jian Yang; Junqi Ling

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Expert consensus on digital guided therapy for endodontic diseases.

Author: Xi WEI ¹ ; Yu DU ¹ ; Xuedong ZHOU ² ; Lin YUE ³ ; Qing YU ⁴ ; Benxiang HOU ⁵ ; Zhi CHEN ⁶ ; Jingping LIANG ^{7
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11} ; Wenxia CHEN ¹² ; Lihong QIU ¹³ ; Xiangya HUANG ¹ ; Liuyan MENG ⁶ ; Dingming HUANG ² ; Xiaoyan WANG ³ ; Yu TIAN ⁴ ; Zisheng TANG ¹⁴ ; Qi ZHANG ¹⁵ ; Leiying MIAO ¹⁶ ; Jin ZHAO ¹⁷ ; Deqin YANG ¹⁸ ; Jian YANG ¹⁹ ; Junqi LING ²⁰
Author Information

1. Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua, School of Stomatology, Sun Yat-Sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
2. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
3. Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing, China.
4. Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical University, Xi'an, China.
5. Department of Endodontics, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University, Beijing, China.
6. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China.
7. Department of Endodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
8. College of Stomatology, Shanghai Jiao Tong University
9. National Clinical Research Center for Oral Diseases
10. National Center for Stomatology
11. Shanghai Key Laboratory of Stomatology, Shanghai, China.
12. College of Stomatology, Hospital of Stomatology, Guangxi Medical University, Nanning, China.
13. Department of Endodontics, School of Stomatology, China Medical University, Shenyang, China.
14. Department of Stomatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
15. Department of Endodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China.
16. Department of Cariology and Endodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China.
17. Department of Endodontics, First Affiliated Hospital of Xinjiang Medical University, and College of Stomatology of Xinjiang Medical University, Urumqi, China.
18. Department of Endodontics, Stomatological Hospital of Chongqing Medical University, Chongqing, China.
19. Department of Endodontics, The Affiliated Stomatological Hospital of Nanchang University, Nanchang, China.
20. Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua, School of Stomatology, Sun Yat-Sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China. lingjq@mail.sysu.edu.cn.
Publication Type:Review
MeSH: Humans; Consensus; Endodontics/methods*; Tooth; Printing, Three-Dimensional; Dental Care; Cone-Beam Computed Tomography; Root Canal Therapy
From: International Journal of Oral Science 2023;15(1):54-54
CountryChina
Language:English
Abstract: Digital guided therapy (DGT) has been advocated as a contemporary computer-aided technique for treating endodontic diseases in recent decades. The concept of DGT for endodontic diseases is categorized into static guided endodontics (SGE), necessitating a meticulously designed template, and dynamic guided endodontics (DGE), which utilizes an optical triangulation tracking system. Based on cone-beam computed tomography (CBCT) images superimposed with or without oral scan (OS) data, a virtual template is crafted through software and subsequently translated into a 3-dimensional (3D) printing for SGE, while the system guides the drilling path with a real-time navigation in DGE. DGT was reported to resolve a series of challenging endodontic cases, including teeth with pulp obliteration, teeth with anatomical abnormalities, teeth requiring retreatment, posterior teeth needing endodontic microsurgery, and tooth autotransplantation. Case reports and basic researches all demonstrate that DGT stand as a precise, time-saving, and minimally invasive approach in contrast to conventional freehand method. This expert consensus mainly introduces the case selection, general workflow, evaluation, and impact factor of DGT, which could provide an alternative working strategy in endodontic treatment.