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Updated: May 12, 2025

Dynamic Navigation in Endodontics: Guided Access Cavity Preparation by Means of a Miniaturized Navigation System

Dynamic Navigation in Endodontics: Guided Access Cavity Preparation by Means of a Miniaturized Navigation System

Published on: May 5, 2022

Dynamic Navigation in Endodontics: Scope, Benefits, and Challenges - A Systematic Review.

Ankita Kapoor¹, Ragavi Alagarsamy², Babu Lal³

¹Department of Dental & Oral Surgery, Lady Hardinge Medical College & Hospital, New Delhi, India.

Journal of Endodontics

|April 26, 2025

Summary

This summary is machine-generated.

Dynamic navigation systems (DNS) offer a reliable solution for complex endodontic treatments like microsurgery and treating calcified canals. However, high costs and a steep learning curve limit their widespread adoption in endodontics.

Keywords:

Canal location dynamic navigation endodontic retreatment guided endodontics microsurgical endodontics pulp canal obliteration

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Area of Science:

Endodontics
Dental Technology
Microsurgery

Background:

Pulp canal calcification and obliteration present significant challenges in endodontic retreatment and microsurgery.
Dynamic Navigation System (DNS) is an emerging technology aiding complex endodontic procedures.
This review synthesizes current knowledge on DNS applications, benefits, drawbacks, and complications in endodontics.

Purpose of the Study:

To review the application, advantages, disadvantages, and complications of Dynamic Navigation System (DNS) in endodontic treatments.
To consolidate available information on DNS utilization in managing complex endodontic cases.

Main Methods:

An electronic literature search was conducted across PubMed, Cochrane Library, Semantic Scholar, and Google Scholar databases up to April 2024.
Included studies involved endodontic procedures using DNS in human patients.
Risk of bias was assessed using Joanna Briggs Institute checklists, with data extraction on DNS type, application, and outcomes.

Main Results:

Fourteen articles (12 case reports, 2 case series) were included.
DNS was predominantly used for endodontic microsurgery (78.3%), negotiation of calcified canals (20.5%), and retreatment (1.2%).
Navident, DHC-ENDO1, and X-guide were the navigation systems employed, with a mean follow-up of 9.9 months.

Conclusions:

Dynamic Navigation System (DNS) is a reliable tool for complex endodontic procedures including microsurgery and managing obliterated canals.
High initial costs and a steep learning curve are significant barriers to widespread adoption.
Further randomized controlled trials are needed to compare different DNS systems and validate their effectiveness.