Static Guided Endodontics in Primary Endodontic Treatment of Anterior Teeth: A Narrative Review

Background: Guided endodontics (GE), introduced in 2016, is an innovative approach aimed at addressing the challenges faced in endodontic treatment, particularly in cases of pulp canal obliteration (PCO). Objectives: This narrative review aims to assess the efficacy and application of static guided endodontics to facilitate minimally invasive access to difficult-to-locate root canals during primary endodontic treatment of incisors and canines. Method: A search strategy of the literature was performed on PubMed until 18 November 2025. The review synthesizes findings from 28 studies, focusing on recent advancements, procedural planning, and clinical outcomes related to GE. Results: Key findings indicate that GE may improve the ability to locate and treat calcified canals, reduce complications associated with traditional methods. Radiographic assessments and clinical indicators demonstrate favorable short- to medium-term outcomes; however, there is an absence of standardized protocols for long-term follow-up. Conclusions: Recommendations for future research include the establishment of unified technical guidelines to enhance consistency and comparability of results across clinical settings. Overall, guided endodontics represents a promising advancement in improving the success of root canal therapy while preserving natural dentition. The primary goal of this article is to update the literature review on static guided endodontics in anterior teeth during primary endodontics.