Dynamic Navigation System - A New Era in Endodontics

Dentists are in search of newer technologies that would enhance the accuracy of their diagnosis. The Endodontists, in their routine practice, face clinical situations such as calcified canals, multiple canals, difficulty in locating root canals and unusual canal anatomies. Many complexities associated with Endodontic treatment can be solved to a greater extent with the introduction of technologies such as the Endodontic microscope and Cone Beam Computed Tomography. There is a need for guiding the Endodontist to navigate the canal complexities. So, the Dynamic Navigation technology used in Implant placement has come to aid the Endodontists, this technology could be uniquely suited for the treatment of complex cases of both conventional non-surgical and surgical endodontics. By creating a similar application with the Trace Registration method which allows the dentist to register the Cone Beam Computed Tomography (CBCT) onto the patient by selecting three to six radiographically distinct, accessible landmarks on the screen, then tracing them in the patient?s mouth. This Real-time (dynamic) navigation is a valuable alternative whereby one can avoid the fabrication of a stereolithographic template resulting in less expensive treatment. This system will be a beneficial adjunct for successfully treating root canal complexities safely and predictably. In addition, this technology can potentially be used to make smaller, less invasive access preparations and can be an effective option in apical surgery also. Hence this non-invasive, digitized, dynamic navigation system will be a promising digital method in times to come. This review article enlightens on the dynamic navigation system in Endodontics.