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Updated: Jun 17, 2026

Dynamic Navigation for Dental Implant Placement

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Published on: September 13, 2022

Dynamic Navigation in Endodontic Surgery: A Systematic Review.

Federica Di Spirito¹, Roberta Gasparro², Maria Pia Di Palo¹

¹Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081 Baronissi, Italy.

Healthcare (Basel, Switzerland)

|September 13, 2025

Summary

Dynamic navigation systems (DNSs) show high accuracy and efficiency in endodontic surgery, with favorable healing outcomes and few complications. Further research is needed due to limited evidence and study heterogeneity.

Keywords:

apicectomy computer-assisted surgeries dynamic navigation system endodontic retreatment endodontic surgery microsurgical approach root-end resection

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Last Updated: Jun 17, 2026

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Published on: May 24, 2022

Area of Science:

Dental surgery
Endodontics
Medical technology

Background:

Evidence on dynamic navigation systems (DNSs) in endodontic surgery is limited compared to other fields.
This review assesses DNS accuracy, reliability, and clinical impact in endodontic surgery.

Purpose of the Study:

To systematically review the accuracy and reliability of dynamic navigation systems (DNSs) in endodontic surgery.
To evaluate osteotomy parameters, procedural duration, surgeon expertise, healing outcomes, complications, and patient/dentist feedback.

Main Methods:

Systematic review following PRISMA guidelines, searching major databases up to April 2025.
Included studies involved human subjects undergoing endodontic surgery with DNS assistance.
Data extracted included accuracy metrics (deviations, angular deflection) and procedural details.

Main Results:

Fourteen studies with 240 roots analyzed showed high DNS accuracy (e.g., 1.17mm platform deviation, 2.29° angular deflection).
Root-end resections averaged 3.02mm length and 7.49° angle deviation; DNS-assisted steps took 5.6 min.
Favorable healing outcomes and infrequent complications were reported.

Conclusions:

Dynamic navigation systems demonstrate satisfactory accuracy and efficiency in endodontic surgery.
DNS use is associated with positive healing outcomes and low complication rates in current studies.
Limited evidence and study heterogeneity necessitate further research to define clinical implications.