Tooth Tissue Loss in Locating Mesiobuccal Canal during Selective Retreatment using Dynamic Navigation System: An In vitro Study
DOI:
https://doi.org/10.15517/ijds.2024.60624Keywords:
Cone-beam computed tomography; Nonsurgical retreatment; Selective root canal retreatment; Dynamic navigation; Guided endodontics.Abstract
Selective root canal retreatment has demonstrated positive success, but the process is challenging because imprecision compromises the tooth's structural durability. As there is a lack of literature on selective retreatment using DNS, this in-vitro study was designed for comparative evaluation of tooth tissue loss and time taken in locating mesiobuccal (MB)canal using the dynamic navigation system (DNS; Navident, ClaroNav, Toronto, ON, Canada ) to the freehand (FH) method. The null hypothesis was that both methods would have similar tooth tissue loss and time required for the procedure. Twenty root canal-treated human mandibular molar teeth were mounted on Navident manikin. Using the Navident programme, the drilling path and depth were virtually designed using cone-beam computed tomographic (CBCT) scans. A minimal access cavity for locating the MB root was prepared with dynamic navigation in the DNS group and with freehand in the FH group. Volumetric tooth tissue loss was evaluated with the help of postoperative CBCT and On-demand software. Statistical analysis was done with an independent-sample T Test (p<0.05). The time taken for the procedure was recorded with a stopwatch. The tooth tissue loss was significantly less with the DNS group (35.83 mm3) compared to the FH group (52.84 mm3) with a P value of 0.001. The time taken for the DNS group was less with the DNS group (29.00 seconds) compared to the FH group (53.60 seconds) with statistical significance with a P value of 0.001. The DNS resulted in minimal tooth tissue loss with a shorter time compared to the FH group. This technique can be practised for predictable selective retreatment in endodontics.
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Brochado Martins, J.F., Guerreiro Viegas, O., Cristescu, R., Diogo, P. & Shemesh, H. Outcome of selective root canal retreatment-A retrospective study. International Endodontic Journal, 2023; 56: 345-355. Available from: https://doi.org/10.1111/iej.13871 DOI: https://doi.org/10.1111/iej.13871
Kirkevang, L.L., Vaeth, M. & Wenzel, A. Ten-year follow-up of root filled teeth: a radiographic study of a Danish population. International Endodontic Journal, 2014; 47: 980-988. DOI: https://doi.org/10.1111/iej.12245
Meirinhos, J., Martins, J.N.R., Pereira, B., Baruwa, A., Gouveia, J., Quaresma, S.A. et al. Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration-a cross-sectional study. International Endodontic Journal, 2020: 53; 573-584. DOI: https://doi.org/10.1111/iej.13256
Hoen, M.M. & Pink, F.E. Contemporary endodontic retreat- ments: an analysis based on clinical treatment findings. Journal of Endodontia, 2002: 28; 834-836. DOI: https://doi.org/10.1097/00004770-200212000-00010
Nudera, W.J. Selective root retreatment: a novel approach. Journal of Endodontia, 2015: 41; 1382-1388. DOI: https://doi.org/10.1016/j.joen.2015.02.035
Jain S.D., Carrico C.K., Bermanis I. 3-Dimensional Accuracy of Dynamic Navigation Technology in Locating Calcified Canals. J Endod. 2020: 46; 839-845. doi: 10.1016/j.joen.2020.03.014. Epub 2020 Apr 25. PMID: 32340763.
Bardales-Alcocer J., Ramírez-Salomón M., Vega-Lizama E., López-Villanueva M., Alvarado-Cárdenas G., Serota K.S., Ramírez-Wong J. Endodontic Retreatment Using Dynamic Navigation: A Case Report. J Endod. 2021:47;1007-1013. doi: 10.1016/j.joen.2021.03.005. Epub 2021 Mar 18. PMID: 33745944. DOI: https://doi.org/10.1016/j.joen.2021.03.005
Dianat O., Nosrat A., Tordik P.A., Aldahmash S.A., Romberg E., Price J.B., Mostoufi B. Accuracy and Efficiency of a Dynamic Navigation System for Locating Calcified Canals. J Endod. 2020: 46; 1719-1725. doi: 10.1016/j.joen.2020.07.014. Epub 2020 Jul 18. PMID: 32692993.
Connert T., Krug R., Eggmann F., Emsermann I., ElAyouti A., Weiger R., Kühl S., Krastl G. Guided Endodontics versus Conventional Access Cavity Preparation: A Comparative Study on Tooth tissue loss Using 3-dimensional-printed Teeth. J Endod. 2019;45:327-331. doi: 10.1016/j.joen.2018.11.006. PMID: 30803541. DOI: https://doi.org/10.1016/j.joen.2018.11.006
Cheol-Woo Park1, Jin-ho Kim1, Yu-Kyeong Seo1, Sae-Rom Lee1, Ju-Hee Kang1, Song- Hee Oh1, Gyu-Tae Kim1, Yong-Suk Choi1, Eui-Hwan Hwang1,* Volumetric accuracy of cone-beam computed tomography Imaging Science in Dentistry 2017; 47: 165-74 https://doi.org/10.5624/isd.2017.47.3.165 DOI: https://doi.org/10.5624/isd.2017.47.3.165
Sakamoto M., Siqueira J.F. Jr., Rocas I.N., Benno Y. Molecular analysis of the root canal microbiotia associated with endodontic treatment failures. Oral Microbiol Immunol 2008; 23: 275-81. DOI: https://doi.org/10.1111/j.1399-302X.2007.00423.x
Liang Y.H., Li G., Wesselink P.R., Wu M.K. Endodontic outcome predictors identified with periapical radiographs and cone-beam computed tomography scans. J Endod 2011; 37: 326-31. DOI: https://doi.org/10.1016/j.joen.2010.11.032
Riis A., Taschieri S., Del Fabbro M., Kvist T. Tooth survival after surgical or nonsurgical endodontic retreatment: long-term follow-up of a randomized clinical trial. Journal of Endodontics. 2018; 44: 1480-6. DOI: https://doi.org/10.1016/j.joen.2018.06.019
Plotino G., Grande N.M., Isufi A., etal. Fracture strength of endodontically treated teeth with different access cavity designs. J Endod 2017; 43: 995-1000. DOI: https://doi.org/10.1016/j.joen.2017.01.022
Moore B., Verdelis K., Kishen A., et al. Impacts of contracted endodontic cavities on instrumentation efficacy and biomechanical responses in maxillary molars. J Endod 2016; 42: 1779-83. DOI: https://doi.org/10.1016/j.joen.2016.08.028
Zelic K., Vukicevic A., Jovicic G., et al. Mechanical weakening of devitalized teeth: three-dimensional finite element analysis and prediction of tooth fracture. Int Endod J 2015; 48: 850-63. DOI: https://doi.org/10.1111/iej.12381
Kostunov J., Rammelsberg P., Klotz A.L., Zenthöfer A., Schwindling F.S. Minimization of Tooth Substance Removal in Normally Calcified Teeth Using Guided Endodontics: An In Vitro Pilot Study. J Endod. 2021; 47: 286-290. doi: 10.1016/j.joen.2020.10.025. Epub 2020 Nov 24. PMID: 33245970. DOI: https://doi.org/10.1016/j.joen.2020.10.025
Vasudevan A., Santosh S.S., Selvakumar R.J., Sampath D.T., Natanasabapathy V. Dynamic Navigation in Guided Endodontics - A Systematic Review. Eur Endod J. 2022; 7: 81-91. doi: 10.14744/eej.2022.96168. PMID: 35786584; PMCID: PMC9285996. DOI: https://doi.org/10.14744/eej.2022.96168
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