Effect of Computer-Aided Navigation Techniques on the Accuracy of Endodontic Access Cavities: A Systematic Review and Meta-Analysis

The present systematic review and meta-analysis aims to determine the effect of computer-aided navigation techniques on the accuracy of endodontic access cavities. Materials and methods: A systematic literature review and meta-analysis of clinical studies, based on Preferred Reporting Items for Syst...

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Main Authors: Álvaro Zubizarreta-Macho, Sara Valle Castaño, José María Montiel-Company, Jesús Mena-Álvarez
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Biology
Subjects:
Online Access:https://www.mdpi.com/2079-7737/10/3/212
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author Álvaro Zubizarreta-Macho
Sara Valle Castaño
José María Montiel-Company
Jesús Mena-Álvarez
author_facet Álvaro Zubizarreta-Macho
Sara Valle Castaño
José María Montiel-Company
Jesús Mena-Álvarez
author_sort Álvaro Zubizarreta-Macho
collection DOAJ
description The present systematic review and meta-analysis aims to determine the effect of computer-aided navigation techniques on the accuracy of endodontic access cavities. Materials and methods: A systematic literature review and meta-analysis of clinical studies, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, was performed that evaluated the root canal location rate of computer-aided navigation techniques applied to endodontic access cavities. Four different databases were used to consult the literature: PubMed-Medline, Scopus, Cochrane, and Web of Science. After discarding duplicate articles and applying inclusion criteria, 14 articles were selected for qualitative analysis and 13 for quantitative analysis. Results: the root canal location success rate started at 98.1% (CI: 95.7–100%) of the cases performed through a computer-aided navigation technique. The prediction interval ranged from 93.3% to 100%. The meta-analysis did not detect heterogeneity between the combined studies (Q-test = 17.3; <i>p</i> = 0.185; I<sup>2</sup> = 25%). No statistically significant differences were found between computer-aided static navigation techniques (success rate: 98.5%) and computer-aided dynamic navigation techniques (success rate: 94.5%) (Q test = 0.57; <i>p</i> = 0.451), nor between in vitro studies (success rate: 96.2%) and in vivo studies (success rate: 100%) (Q test = 2.53; <i>p</i>-value = 0.112). An odds success ratio of 13.1 (CI: 95%; 3.48, 49.1) encourages the use of computer-aided navigation techniques over conventional endodontic access cavity procedures. Conclusions: the endodontic access cavities created using static and dynamic computer-aided navigation techniques are highly accurate in locating the root canal system.
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spelling doaj.art-36ce6ce749c046b9a04dac1927aae27d2023-11-21T09:56:52ZengMDPI AGBiology2079-77372021-03-0110321210.3390/biology10030212Effect of Computer-Aided Navigation Techniques on the Accuracy of Endodontic Access Cavities: A Systematic Review and Meta-AnalysisÁlvaro Zubizarreta-Macho0Sara Valle Castaño1José María Montiel-Company2Jesús Mena-Álvarez3Department of Endodontics, Faculty of Health Sciences, Alfonso X El Sabio University, 28691 Madrid, SpainDepartment of Endodontics, Faculty of Health Sciences, Alfonso X El Sabio University, 28691 Madrid, SpainDepartment of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, SpainDepartment of Endodontics, Faculty of Health Sciences, Alfonso X El Sabio University, 28691 Madrid, SpainThe present systematic review and meta-analysis aims to determine the effect of computer-aided navigation techniques on the accuracy of endodontic access cavities. Materials and methods: A systematic literature review and meta-analysis of clinical studies, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, was performed that evaluated the root canal location rate of computer-aided navigation techniques applied to endodontic access cavities. Four different databases were used to consult the literature: PubMed-Medline, Scopus, Cochrane, and Web of Science. After discarding duplicate articles and applying inclusion criteria, 14 articles were selected for qualitative analysis and 13 for quantitative analysis. Results: the root canal location success rate started at 98.1% (CI: 95.7–100%) of the cases performed through a computer-aided navigation technique. The prediction interval ranged from 93.3% to 100%. The meta-analysis did not detect heterogeneity between the combined studies (Q-test = 17.3; <i>p</i> = 0.185; I<sup>2</sup> = 25%). No statistically significant differences were found between computer-aided static navigation techniques (success rate: 98.5%) and computer-aided dynamic navigation techniques (success rate: 94.5%) (Q test = 0.57; <i>p</i> = 0.451), nor between in vitro studies (success rate: 96.2%) and in vivo studies (success rate: 100%) (Q test = 2.53; <i>p</i>-value = 0.112). An odds success ratio of 13.1 (CI: 95%; 3.48, 49.1) encourages the use of computer-aided navigation techniques over conventional endodontic access cavity procedures. Conclusions: the endodontic access cavities created using static and dynamic computer-aided navigation techniques are highly accurate in locating the root canal system.https://www.mdpi.com/2079-7737/10/3/212computer-assisted treatmentendodontic access cavityendodonticsimage-guided treatmentnavigation systemreal-time tracking
spellingShingle Álvaro Zubizarreta-Macho
Sara Valle Castaño
José María Montiel-Company
Jesús Mena-Álvarez
Effect of Computer-Aided Navigation Techniques on the Accuracy of Endodontic Access Cavities: A Systematic Review and Meta-Analysis
Biology
computer-assisted treatment
endodontic access cavity
endodontics
image-guided treatment
navigation system
real-time tracking
title Effect of Computer-Aided Navigation Techniques on the Accuracy of Endodontic Access Cavities: A Systematic Review and Meta-Analysis
title_full Effect of Computer-Aided Navigation Techniques on the Accuracy of Endodontic Access Cavities: A Systematic Review and Meta-Analysis
title_fullStr Effect of Computer-Aided Navigation Techniques on the Accuracy of Endodontic Access Cavities: A Systematic Review and Meta-Analysis
title_full_unstemmed Effect of Computer-Aided Navigation Techniques on the Accuracy of Endodontic Access Cavities: A Systematic Review and Meta-Analysis
title_short Effect of Computer-Aided Navigation Techniques on the Accuracy of Endodontic Access Cavities: A Systematic Review and Meta-Analysis
title_sort effect of computer aided navigation techniques on the accuracy of endodontic access cavities a systematic review and meta analysis
topic computer-assisted treatment
endodontic access cavity
endodontics
image-guided treatment
navigation system
real-time tracking
url https://www.mdpi.com/2079-7737/10/3/212
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