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Sistema de navegação dinâmica: um método novo em endodontia guiada – uma revisão narrativa
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Abstract(s)
A Endodontia, busca constantemente inovações tecnológicas e científicas para possibilitar um tratamento cada vez mais eficiente, conservador, vencendo as dificuldades diante de casos mais complexos, reduzindo as iatrogenias. Assim surgiu o conceito endodontia guiada, inicialmente com a técnica estática que associa tomografia computadorizada de feixe cônico (CBCT), escaneamento intraoral e impressão tridimensional 3D ao tratamento endodôntico. Recentemente a técnica usando o sistema de navegação dinâmica, dispensa o uso das guias endodônticas e é realizada através do planeamento virtual em um software próprio com as imagens do CBCT e equipamentos que possibilitam guiar o profissional durante todo tratamento em tempo real. As técnicas guiadas tem principal indicação de uso nos casos de calcificação pulpar. O objectivo desta revisão é avaliar a literatura atual sobre o sistema de navegação dinâmico, destacando sua técnica de realização, indicações, limitações, vantagens e desvantagens, comparando com a endodontia guiada estática e a endodontia convencional.
Endodontics constantly seeks technological and scientific innovations to enable an increasingly efficient, conservative treatment, overcoming the difficulties facing more complex cases, reducing iatrogenesis. Thus emerged the concept of guided endodontics, initially with the static technique that associates cone beam computed tomography (CBCT), intraoral scanning and three-dimensional 3D printing to the endodontic treatment. Recently the technique using the dynamic navigation system, dispenses with the use of endodontic guides and is performed through virtual planning in a software itself with CBCT images and equipment that allow guiding the professional throughout the treatment in real time. The guided techniques have main indication of use in cases of pulp calcification. The aim of this review is to evaluate the current literature on the dynamic navigation system, highlighting its technique, indications, limitations, advantages and disadvantages, comparing with static guided endodontics and conventional endodontics.
Endodontics constantly seeks technological and scientific innovations to enable an increasingly efficient, conservative treatment, overcoming the difficulties facing more complex cases, reducing iatrogenesis. Thus emerged the concept of guided endodontics, initially with the static technique that associates cone beam computed tomography (CBCT), intraoral scanning and three-dimensional 3D printing to the endodontic treatment. Recently the technique using the dynamic navigation system, dispenses with the use of endodontic guides and is performed through virtual planning in a software itself with CBCT images and equipment that allow guiding the professional throughout the treatment in real time. The guided techniques have main indication of use in cases of pulp calcification. The aim of this review is to evaluate the current literature on the dynamic navigation system, highlighting its technique, indications, limitations, advantages and disadvantages, comparing with static guided endodontics and conventional endodontics.
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Keywords
Endodontia Tratamento endodôntico digital Calcificação pulpar Acesso endodôntico guiado Endodontic Digital endodontic treatment Pulpal calcification Guided access endodontics