Use of dynamic navigation for a minimal invasive finding of root canals: a technical note

  • Chiara Pirani School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Italy.
  • Andrea Spinelli | andrea.spinelli648@gmail.com School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, Italy.
  • Claudio Marchetti Department of Biomedical and Neuromotor Sciences, Maxillofaccial Surgery, University of Bologna, Italy.
  • Maria Giovanna Gandolfi School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Italy.
  • Fausto Zamparini School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, Italy.
  • Carlo Prati School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Italy.
  • Gerardo Pellegrino Department of Biomedical and Neuromotor Sciences, Maxillofaccial Surgery, University of Bologna, Italy.

Abstract

Aim: the aim of this technical note was to evaluate the potential application of dynamic navigation for a minimally invasive finding of the root canal. 

Methodology: extracted human teeth were fixed into a prefabricated phantom model in place of the correspondent teeth and pre-operatively scanned with the marker plate containing the fiducial markers with a cone beam computed tomography, imported on the ImplaNav software (ImplaNav, BresMedical, Sydney, Australia) and  obtaining a 3D reconstruction. Open access cavity was performed with a diamond bur in using real-time navigation. This procedure was aimed to directly identify the pulp horns and the root canal entrances with a unique hole for each canal.

Results: all access cavities were prepared according to a minimally invasive endodontics approach with the dynamically guided ImplaNav software. No perforations occurred and all the canals were successfully located. 

Conclusions: our results demonstrated a possible application of this technology in minimal finding of root canals. This protocol may have potentialities in teaching dental students to start their approach in endodontic field.

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Published
2020-06-04
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Original Articles
Keywords:
cone beam computer tomography, dynamic navigation, Endodontics training, minimal invasive endodontics, pulp chamber
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How to Cite
Pirani, C., Spinelli, A., Marchetti, C., Gandolfi, M. G., Zamparini, F., Prati, C., & Pellegrino, G. (2020). Use of dynamic navigation for a minimal invasive finding of root canals: a technical note. Giornale Italiano Di Endodonzia, 34(1). https://doi.org/10.32067/GIE.2020.34.01.02