Abstract
Following the growing digitalization occurring in many fields of restorative dentistry, digital technologies are now started to be applied in endodontics as well. This chapter describes how we can take advantages of digital technologies in endodontics. There is a common understanding that digital information provided by conventional 2D periapical radiograph or 3D cone beam computerized tomography are essential for diagnosis. However, merging this information with that coming from intraoral scanners is relatively recent in the field of endodontics. This approach is borrowed from implant dentistry where preparation for an implant can be virtually planned three-dimensionally (3D) and the optical surface scan allows the production of an accurate guide. Thus, microguided access, in particular where teeth present pulp canal obliterations, and endodontic surgery with surgical templates can now be considered. These two main applications are described in this chapter along with their advantages and drawbacks.
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Jung W, Park S, Shin H. Combining volumetric dental CT and optical scan data for teeth modeling. CAD Comput Aided Des. 2015;67–68:24–37.
Shen P, Zhao J, Fan L, Qiu H, Xu W, Wang Y, et al. Accuracy evaluation of computer-designed surgical guide template in oral implantology. J Craniomaxillofac Surg. 2015;43:2189–94.
Matta RE, Bergauer B, Adler W, Wichmann M, Nickenig HJ. The impact of the fabrication method on the three-dimensional accuracy of an implant surgery template. J Craniomaxillofacial Surg. 2017;45(6):804–8.
Cassetta M, Di Mambro A, Giansanti M, Stefanelli LV, Cavallini C. The intrinsic error of a stereolithographic surgical template in implant guided surgery. Int J Oral Maxillofac Surg. 2013;42(2):264–75.
Metska ME, Liem VML, Parsa A, Koolstra JH, Wesselink PR, Ozok AR. Cone-beam computed tomographic scans in comparison with periapical radiographs for root canal length measurement: an in situ study. J Endod. 2014;40(8):1206–9.
Cheng L, Zhang R, Yu X, Tian Y, Wang H, Zheng G, et al. A comparative analysis of periapical radiography and cone-beam computerized tomography for the evaluation of endodontic obturation length. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(3):383–9.
Guo J, Simon JH, Sedghizadeh P, Soliman ON, Chapman T, Enciso R. Evaluation of the reliability and accuracy of using cone-beam computed tomography for diagnosing periapical cysts from granulomas. J Endod. 2013;39(12):1485–90.
Fayad MI, Nair M, Levin MD, Benavides E, Rubinstein RA, Barghan S, et al. AAE and AAOMR Joint Position Statement: use of cone beam computed tomography in endodontics 2015 update. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120(4):508–12.
Patel S, Horner K. The use of cone beam computed tomography in endodontics. Int Endod J. 2009;42(9):755–6.
Lofthag-Hansen S, Huumonen S, Gröndahl K, Gröndahl HG. Limited cone-beam CT and intraoral radiography for the diagnosis of periapical pathology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(1):114–9.
Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in endodontics—a review. Int Endod J. 2015;48:3–15.
Chang E, Lam E, Shah P, Azarpazhooh A. Cone-beam computed tomography for detecting vertical root fractures in endodontically treated teeth: a systematic review. J Endod. 2016;42(2):177–85.
Thakur S, Thakur NS, Bramta M, Gupta M. Dens invagination: a review of literature and report of two cases. J Nat Sci Biol Med. 2014;5(1):218–21.
Dillenseger JP, Gros CI, Sayeh A, Rasamimanana J, Lawniczak F, Leminor JM, et al. Image quality evaluation of small FOV and large FOV CBCT devices for oral and maxillofacial radiology. Dentomaxillofac Radiol. 2016;46(1):1–10.
Setzer FC, Hinckley N, Kohli MR, Karabucak B. A survey of cone-beam computed tomographic use among endodontic practitioners in the United States. J Endod. 2017;43(5):699–704.
Vibhute NK, Anikhet HV, Rajendra TD, Puja PB, Aditi M. Hard facts about stones: pulpal calcifications: a review. J Pat Care. 2016;2(1):2–5.
da Silva EJNLJNL, Prado MC, Queiroz PM, Nejaim Y, Brasil DM, Groppo FC, et al. Assessing pulp stones by cone-beam computed tomography. Clin Oral Investig. 2016;21(7):2327–33.
Arys A, Philippart CDN. Microradiography and light microscopy of mineralization in the pulp of undermineralized human primary molars. J Oral Pathol Med. 1993;22(2):49–53.
Chandler NP, Pitt Ford TR, Monteith BD. Coronal pulp size in molars: a study of bitewing radiographs. Int Endod J. 2003;36(11):757–63.
Berès F, Isaac J, Mouton L, Rouzi S. Comparative physicochemical analysis of pulp stone and dentin. J Endod. 2016;42(3):432–8.
Brodin P, Linge L, Aars H. Messung der aktuellen Pulpadurchblutung nach orthodontischer Kraftapplikation. J Orofac Orthop. 1996;57(5):306–9.
Oginni AO, Adekoya-Sofowora CA, Kolawole KA. Evaluation of radiographs, clinical signs and symptoms associated with pulp canal obliteration: an aid to treatment decision. Dent Traumatol. 2009;25(6):620–5.
McCabe PS, Dummer PMHH. Pulp canal obliteration: an endodontic diagnosis and treatment challenge. Int Endod J. 2012;45(2):177–97.
American Association of Endodontists. AAE endodontic case difficulty assessment form and guidelines [Internet]. 2005.
Tsesis I, Rosen E, Taschieri S, Telishevsky Strauss Y, Ceresoli V, Del Fabbro M. Outcomes of surgical endodontic treatment performed by a modern technique: an updated meta-analysis of the literature. J Endod. 2013;39(3):332–9.
Tsesis I, Faivishevsky V, Kfir A, Rosen E. Outcome of surgical endodontic treatment performed by a modern technique: a meta-analysis of literature. J Endod. 2009;35(11):1505–11.
Song M, Shin SJ, Kim E. Outcomes of endodontic micro-resurgery: a prospective clinical study. J Endod. 2011;37(3):316–20.
Del Fabbro M, Corbella S, Sequeira-Byron P, Tsesis I, Rosen E, Lolato A, et al. Endodontic procedures for retreatment of periapical lesions. Cochrane Database Syst Rev. 2016;(10):CD005511.
Setzer FC, Kohli MR, Shah SB, Karabucak B, Kim S. Outcome of endodontic surgery: a meta-analysis of the literature—Part 2: Comparison of endodontic microsurgical techniques with and without the use of higher magnification. J Endod. 2012;38(1):1–10.
Kohli MR, Berenji H, Setzer FC, Lee S-M, Karabucak B. Outcome of endodontic surgery: a meta-analysis of the literature—Part 3: Comparison of endodontic microsurgical techniques with 2 different root-end filling materials. J Endod. 2018;44(6):923–31.
Chércoles-Ruiz A, Sanchez-Torres A, Gay-Escoda C, Sánchez-Torres A, Gay-Escoda C. Surgery versus tooth extraction and implant placement: a systematic review. J Endod. 2017;43(5):679–86.
Setzer FC, Kim S. Comparison of long-term survival of implants and endodontically treated teeth. J Dent Res. 2014;93(1):19–26.
Neumeister A, Schulz L, Glodecki C. Investigations on the accuracy of 3D-printed drill guides for dental implantology. Int J Comput Dent. 2017;20(1):35–51.
Kernen F, Benic GI, Payer M, Schär A, Müller-Gerbl M, Filippi A, et al. Accuracy of three-dimensional printed templates for guided implant placement based on matching a surface scan with CBCT. Clin Implant Dent Relat Res. 2016;18(4):762–8.
Richert R, Goujat A, Venet L, Viguie G, Viennot S, Robinson P, et al. Intraoral scanner technologies: a review to make a successful impression. J Healthc Eng. 2017;2017:8427595.
Mangano F, Gandolfi A, Luongo G, Logozzo S. Intraoral scanners in dentistry: a review of the current literature. BMC Oral Health. 2017;17(1):1–11.
Kim JE, Amelya A, Shin Y, Shim JS. Accuracy of intraoral digital impressions using an artificial landmark. J Prosthet Dent. 2017;117(6):755–61.
Giacomino CM, Ray JJ, Wealleans JA. Targeted endodontic microsurgery: a novel approach to anatomically challenging scenarios using 3-dimensional-printed guides and trephine burs—a report of 3 cases. J Endod. 2018;44(4):671–7.
Ahn SY, Kim NH, Kim S, Karabucak B, Kim E. Computer-aided design/computer-aided manufacturing-guided endodontic surgery: guided osteotomy and apex localization in a mandibular molar with a thick buccal bone plate. J Endod. 2018;44(4):665–70.
Connert T, Zehnder MS, Amato M, Weiger R, Kühl S, Krastl G. Microguided endodontics: a method to achieve minimally invasive access cavity preparation and root canal location in mandibular incisors using a novel computer-guided technique. Int Endod J. 2018;51(2):247–55.
Hoang D, Perrault D, Stevanovic M, Ghiassi A. Surgical applications of three-dimensional printing: a review of the current literature & how to get started. Ann Transl Med. 2016;4(23):456.
Zehnder MS, 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(10):966–72.
Connert T, Zehnder MS, Weiger R, Kühl S, Krastl G. Microguided endodontics: accuracy of a miniaturized technique for apically extended access cavity preparation in anterior teeth. J Endod. 2017;43(5):787–90.
Krastl G, Zehnder MS, Connert T, Weiger R, Kühl S. Guided endodontics: a novel treatment approach for teeth with pulp canal calcification and apical pathology. Dent Traumatol. 2016;32(3):240–6.
Strbac GD, Schnappauf A, Giannis K, Moritz A, Ulm C. Guided modern endodontic surgery: a novel approach for guided osteotomy and root resection. J Endod. 2017;43(3):496–501.
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Gaudin, A., Pérez, F., Galicia, J. (2019). Digital Technology in Endodontics. In: Tamimi, F., Hirayama, H. (eds) Digital Restorative Dentistry . Springer, Cham. https://doi.org/10.1007/978-3-030-15974-0_11
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DOI: https://doi.org/10.1007/978-3-030-15974-0_11
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