Pouya Sabanik, Mohammad Samiei, Shiva Tavakkoli Avval, Bruno Cavalcanti
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引用次数: 0
摘要
这篇综述评估了引导牙髓学（GE）在治疗牙畸形方面的有效性和临床适用性，这些牙畸形是传统牙髓学面临的挑战。主要目的是评估GE如何提高治疗的可预测性，并最大限度地减少诸如牙槽突（DI）、牙本质发育不全（DGI）、牙本质发育不良（DD）、牙槽突外翻（DE）和牙融合等病例的错误。使用PubMed/MEDLINE、Scopus、Web of Science、EMBASE和Cochrane Library数据库对2015-2025年发表的研究进行综合检索。9项研究符合纳入标准。GE在治疗DI、DGI和DD方面具有很高的成功率。CBCT和3d打印导具的结合可以实现微创通道腔准备，减少医源性并发症，提高精度。尽管有这些优势，但挑战包括成本增加、耗时和弯曲运河的局限性。引导牙髓治疗有望成为现代牙髓治疗实践中的一种变革性技术。
Guided Endodontics in Managing Root Canal Treatment for Anomalous Teeth-A Narrative Review.
This review evaluates the effectiveness and clinical applicability of guided endodontics (GE) in managing dental anomalies, which present challenges for conventional endodontics. The primary objective is to assess how GE enhances treatment predictability and minimises errors in cases such as dens invaginatus (DI), dentinogenesis imperfecta (DGI), dentinal dysplasia (DD), dens evaginatus (DE) and dental fusion. A narrative review was conducted using a comprehensive search across PubMed/MEDLINE, Scopus, Web of Science, EMBASE and Cochrane Library databases for studies published 2015-2025. Nine studies met the inclusion criteria. GE was found to offer high success rates in the treatment of DI, DGI and DD. The integration of CBCT and 3D-printed guides allowed for minimally invasive access cavity preparation, reduced iatrogenic complications and improved precision. Despite these advantages, challenges include increased cost, being time-consuming and limitations in curved canals. Guided endodontics holds promise as a transformative technique in modern endodontic practice.
期刊介绍：
The Australian Endodontic Journal provides a forum for communication in the different fields that encompass endodontics for all specialists and dentists with an interest in the morphology, physiology, and pathology of the human tooth, in particular the dental pulp, root and peri-radicular tissues.
The Journal features regular clinical updates, research reports and case reports from authors worldwide, and also publishes meeting abstracts, society news and historical endodontic glimpses.
The Australian Endodontic Journal is a publication for dentists in general and specialist practice devoted solely to endodontics. It aims to promote communication in the different fields that encompass endodontics for those dentists who have a special interest in endodontics.
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