Related Experiment Video
Updated: May 14, 2026
07:03
Dynamic Navigation in Endodontics: Guided Access Cavity Preparation by Means of a Miniaturized Navigation System
Published on: May 5, 2022
Effectiveness of real-time dynamic navigation in third molar extraction: a systematic review
Maria Nabil Aziz1,2, Akram Thabet Nasher1, Omar Ali Al-Aroomi3,4
1Department of Oral and Maxillofacial Surgery, College of Dentistry, Sana'a University, Sana'a, Yemen.
BMC Oral Health
|May 13, 2026
Summary
Real-time dynamic navigation (RDN) may enhance precision in impacted third-molar surgery, potentially reducing complications. While RDN requires extra preparation time, it shows promise for complex cases, though more research is needed.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Navigation Technologies
- Evidence-Based Dentistry
Background:
- Impacted third-molar surgery presents anatomical challenges and risks due to proximity to neurovascular structures.
- Real-time dynamic navigation (RDN) offers improved surgical precision via instrument tracking and 3D guidance.
Purpose of the Study:
- To systematically review the clinical effectiveness of RDN in impacted third-molar surgery compared to conventional methods.
- To assess RDN's impact on operative time, precision, complications, and recovery.
Main Methods:
- Systematic literature search up to January 2026 adhering to PRISMA guidelines.
- Inclusion of clinical trials, case series, and case reports on RDN-assisted third-molar procedures.
- Quality assessment using Cochrane and Joanna Briggs Institute tools; meta-analysis precluded by heterogeneity.
Main Results:
- RDN involves 10-20 min extra preparation but may shorten operative time in some cases.
- Studies suggest improved spatial control, reduced adjacent-tooth injuries, and better outcomes near critical structures.
- Findings on reduced pain, swelling, and improved neurosensory outcomes were inconsistent; complications arose in complex cases.
Conclusions:
- RDN shows potential clinical value in impacted third-molar surgery, especially for high-risk or complex cases.
- RDN may offer a balance of precision and efficiency despite requiring additional training.
- Current evidence is limited; RDN should be a selective adjunct, not a routine alternative, pending further high-quality studies.
