Expert consensus on digital guided therapy for endodontic diseases.

IF 10.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Oral Science Pub Date : 2023-12-06 DOI:10.1038/s41368-023-00261-0
Xi Wei, Yu Du, Xuedong Zhou, Lin Yue, Qing Yu, Benxiang Hou, Zhi Chen, Jingping Liang, Wenxia Chen, Lihong Qiu, Xiangya Huang, Liuyan Meng, Dingming Huang, Xiaoyan Wang, Yu Tian, Zisheng Tang, Qi Zhang, Leiying Miao, Jin Zhao, Deqin Yang, Jian Yang, Junqi Ling
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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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牙髓疾病数字引导治疗专家共识。
近几十年来,数字引导治疗(Digital guided therapy,DGT)作为一种治疗牙髓疾病的现代计算机辅助技术得到了广泛推广。数字引导根管治疗的概念分为静态引导根管治疗(SGE)和动态引导根管治疗(DGE),前者需要精心设计模板,后者则利用光学三角追踪系统。在锥形束计算机断层扫描(CBCT)图像的基础上,叠加或不叠加口腔扫描(OS)数据,通过软件制作虚拟模板,随后转化为三维(3D)打印,用于 SGE,而在 DGE 中,系统通过实时导航引导钻孔路径。据报道,DGT 解决了一系列具有挑战性的牙髓病例,包括牙髓阻塞的牙齿、解剖异常的牙齿、需要再治疗的牙齿、需要进行牙髓显微手术的后牙以及牙齿自体移植。病例报告和基础研究都表明,与传统的徒手方法相比,DGT 是一种精确、省时和微创的方法。本专家共识主要介绍了 DGT 的病例选择、一般工作流程、评估和影响因素,它可以为牙髓治疗提供另一种工作策略。
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来源期刊
International Journal of Oral Science
International Journal of Oral Science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
31.80
自引率
1.30%
发文量
53
审稿时长
>12 weeks
期刊介绍: The International Journal of Oral Science covers various aspects of oral science and interdisciplinary fields, encompassing basic, applied, and clinical research. Topics include, but are not limited to: Oral microbiology Oral and maxillofacial oncology Cariology Oral inflammation and infection Dental stem cells and regenerative medicine Craniofacial surgery Dental material Oral biomechanics Oral, dental, and maxillofacial genetic and developmental diseases Craniofacial bone research Craniofacial-related biomaterials Temporomandibular joint disorder and osteoarthritis The journal publishes peer-reviewed Articles presenting new research results and Review Articles offering concise summaries of specific areas in oral science.
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