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

J Clin Med. 2020 Jan 2;9(1):129. doi: 10.3390/jcm9010129.


: Purpose: To analyze the accuracy of two computer-aided navigation techniques to guide the performance of endodontic access cavities compared with the conventional access procedure.

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.

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