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VOLUME 14 , ISSUE 11 ( November, 2023 ) > List of Articles

REVIEW ARTICLE

Efficacy of Computer-aided Static Navigation on Accuracy of Guided Endodontic Root Canal Treatment: A Systematic Review and Meta-analysis

Rishabhkumar N Jain, Rahul D Rao, Ashish Jain, Meenakshi R Verma, Shreya Sivasailam

Keywords : Cone-beam computed tomography, Guided endodontics, Pulp canal calcification, Static navigation, Three-dimensional printing

Citation Information : Jain RN, Rao RD, Jain A, Verma MR, Sivasailam S. Efficacy of Computer-aided Static Navigation on Accuracy of Guided Endodontic Root Canal Treatment: A Systematic Review and Meta-analysis. World J Dent 2023; 14 (11):1004-1012.

DOI: 10.5005/jp-journals-10015-2322

License: CC BY-NC 4.0

Published Online: 16-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: To evaluate the efficacy of computer-aided static navigation on the accuracy of guided endodontic root canal treatment along with other parameters like mean volumetric tooth substance loss, deviation, time, etc. Materials and methods: This systematic review and meta-analysis were registered in Prospero (Registration number database: CRD42021257249). Four different databases—PubMed, Cochrane, Google Scholar, and Science Direct were searched with specific Pico's criteria and keywords from 2015 to May 2021. Only in vitro or ex vivo studies were included in this systematic review and case series, case reports, and clinical studies were excluded. Two reviewers (RJ and RR) independently screened titles and abstracts. The current research information system (CRIS) scale was used to assess the risk of bias assessment. Meta-analysis was performed using Windows-based “MedCalc Statistical Software” version 19.6.1 (2020). To assess the overall success rate, a single-proportion meta-analysis was performed. Heterogeneity among the selected studies was assessed using the Q test (p-value < 0.05) and I2 statistic. Results: A total of 11 articles were selected for final qualitative and quantitative analysis. The success rate of computer-aided static navigation was 95.48% with moderate heterogeneity (I2 = 64.3%). When a computer-aided static navigation system was compared to conventional root canal access, it was found to be statistically significant (p = 0.0014). Conclusion: Computer-aided static navigation has a high accuracy rate of about 95.48%. Existing literature lacks clinical studies and randomized controlled trials with larger sample sizes are needed to further evaluate the accuracy of computer-aided navigation. Clinical significance: Computer-aided static navigation proves to be a safer and more reliable option in guided endodontic access, especially in cases of calcified canals.

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