Guided endodontics in the application of personalized mini-invasive treatment in clinical cases: a literature review.

Abstract

Endodontic therapy in complex clinical cases poses significant challenges, often requiring tailored approaches to achieve successful outcomes. Herein, we offer an update on the present application of GE in endodontics, which reflects good therapeutic results but also reveals limitations of the required specialized training and expertise, as well as highly costly equipment and software, which prevents its widespread adoption. This review could further contribute to research aims to advance technology to address the limitations and optimize the use of this technique in routine endodontic practice. A thorough electronic search was performed across three major scientific databases-PubMed, Web of Science, and SCOPUS-to retrieve scientific literature focusing on Guided Endodontics, encompassing both Static and Dynamic Guided Endodontics, with publications considered up to April 2025. Guided endodontics (GE), which includes SGE (static guided endodontics) and DGE (dynamic guided endodontics), is an emerging technique in dentistry that utilizes advanced imaging technology and computer-guided systems to enhance the accuracy and precision of root canal treatments, which shows great potential in the application of personalized mini-invasive treatment in complicated clinical cases with the assistant of advanced imaging technology and computer-guided systems. It also provides patients with a comfortable experience and promotes faster healing. Generally, GE is an accurate new technique that facilitates the establishment of pulp access, unblocking of calcified root canals, and mini-invasive surgical trauma in endodontic surgery, for preserving more tooth tissue while extending the preservation time of the treated tooth. Static guides and dynamic navigation have different benefits and drawbacks and should be used in specific clinical conditions.