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Review | Open Access

Expert consensus on digital guided therapy for endodontic diseases

Xi Wei1 , Yu Du1, Xuedong Zhou2, Lin Yue3, Qing Yu4, Benxiang Hou5, Zhi Chen6 , Jingping Liang7, Wenxia Chen8, Lihong Qiu9, Xiangya Huang1, Liuyan Meng6, Dingming Huang2, Xiaoyan Wang3, Yu Tian4, Zisheng Tang10, Qi Zhang11, Leiying Miao12, Jin Zhao13, Deqin Yang14, Jian Yang15, Junqi Ling1( )
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
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
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
Department of Operative Dentistry & Endodontics, School of Stomatology, The Fourth Military Medical University, Xi’an, China
Department of Endodontics, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University, Beijing, China
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
Department of Endodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Clinical Research Center for Oral Diseases; National Center for Stomatology; Shanghai Key Laboratory of Stomatology, Shanghai, China
College of Stomatology, Hospital of Stomatology, Guangxi Medical University, Nanning, China
Department of Endodontics, School of Stomatology, China Medical University, Shenyang, China
Department of Stomatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Department of Endodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China
Department of Cariology and Endodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing, China
Department of Endodontics, First Affiliated Hospital of Xinjiang Medical University, and College of Stomatology of Xinjiang Medical University, Urumqi, China
Department of Endodontics, Stomatological Hospital of Chongqing Medical University, Chongqing, China
Department of Endodontics, The Affiliated Stomatological Hospital of Nanchang University, Nanchang, China

These authors contributed equally: Xi Wei, Yu Du.

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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.

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International Journal of Oral Science
Volume 15,
2023
Article number: 54
DOI: 10.1038/s41368-023-00261-0

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Cite this article:
Wei X, Du Y, Zhou X, et al. Expert consensus on digital guided therapy for endodontic diseases. International Journal of Oral Science, 2023, 15: 54. https://doi.org/10.1038/s41368-023-00261-0

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Received: 15 October 2023
Revised: 12 November 2023
Accepted: 12 November 2023
Published: 06 December 2023
© The Author(s) 2023

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