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Related Experiment Video

Updated: Jun 26, 2026

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

Comparison of Conventional Root Tip Resection with Digitally Guided Resection-An In Vitro Study.

Paul Kübel¹, Aydin Gülses¹, Juliane Wagner¹

¹Department of Oral and Maxillofacial Surgery, University-Hospital Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany.

Dentistry Journal

|October 28, 2025

Summary

Dynamic navigation in apicoectomy (root-end surgery) shows improved accuracy for root-end resection compared to traditional methods. However, extensive planning limits its widespread clinical use due to increased complexity and cost.

Keywords:

apicoectomy endodontics oral surgery surgical navigation

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Area of Science:

Oral and Maxillofacial Surgery
Surgical Navigation Technologies
Endodontics

Background:

Apicoectomy is crucial for persistent periapical infections unresponsive to conservative treatment.
Traditional apicoectomy relies on direct visualization.
Navigated techniques offer potential improvements in precision and safety.

Purpose of the Study:

To compare conventional apicoectomy with dynamic navigation.
To assess the feasibility, accuracy, and safety of dynamic navigation.
To evaluate complication risks, surgical predictability, and bone loss reduction.

Main Methods:

Ten experienced surgeons performed both techniques on custom models.
Evaluated operation time, cavity volume, resected root length, and incision dimensions.
Assessed preservation of adjacent structures.

Main Results:

Dynamic navigation significantly improved accuracy in root-end resection (p < 0.001).
No significant differences in operation time, resection length, or incision dimensions.
No significant difference in the risk of damaging adjacent structures.

Conclusions:

Dynamic navigation is a viable, precise alternative for apicoectomy.
Extensive preoperative planning currently limits routine clinical implementation.
Increased planning complexity, time, and cost are barriers to adoption.