3D Endodontics: The Future of Dentistry
Journal Title: Journal of Dentistry and Oral Sciences - Year 2020, Vol 2, Issue 3
Abstract
In today's era, using the terms like "digital" or "digitization" or "3D" is not a new phenomenon. Keeping in view the exceptional innovations and an extensive research going on, the subject of "ENDODONTICS" seems to be the most blessed one out of all. Apart from the medical field, dentistry has also done wonders. The credit can be given to the researchers coming up in great numbers to prove their worth particularly in the field of Endodontics. The various advents in digital technology, such as three-dimensional (3D) printing and hapticsimulators, in dentistry have influenced almost all fields and have proven their worth in managing cases related to dental implants, maxillofacial prosthesis etc. In fact, the role of 3D imaging, printing and virtual planning for successful management of the various endodontic procedures is exceptional. This may involve managing non-complicated as well as complicated endodontic cases, which are not suitable to be managed otherwise with the conventional approach. One such example is the use of CBCT (Cone Beam Computed Tomography) which has shown wonderful results. As compared to the conventional two-dimensional (2D) images, CBCT has improved the understanding and interpretation particularly in terms of complex anatomical structures; thereby improving skills in relation to teaching, treatment planning and follow-up. With this 3D approach in the subject, the accuracy in any endo treatment is immense. The complex canal anatomies as well as various surgical endodontic procedures can now be performed with so much of ease and comfort to both dental surgeon as well as the patient. This has led to a gradual shift from 2D to 3D approach in the subject. Not only pertaining to 3D imaging, but the additive manufacturing process i.e. 3D printing and its types i.e. Stereo lithography (SLG), Digital light processing (DLP), Multi-jet modelling (MJM), Plaster-based 3D printing (PBP), Selective laser sintering (SLS) etc. have taken the field of endodontics to the Next Level. The dynamic navigation systems including 3D surgical guides have helped in proper placement and angulation of the endodontic implants. Not only this, 3D printed directional guides have successfully helped in locating the canal orifices in a more accurate way without causing any further procedural error thereby improving the outcome of the endodontic therapy. Furthermore, 3D guides have been used as a tool for teaching students as well as for patient education and motivation towards the endo treatment. This has also led to more research orientation in the areas of 3D Endodontics. In addition to this, 3D guided surgical endodontics in combination with haptic stimulators and 3D imaging (CBCT) has helped to successfully carry out root resection procedures. Various endodontic failures have been treated successfully with the 3D technology with best accuracy and comfort and reduced working time. There has been a continuous improvement in terms of the various 3D endodontic strategies. Hence, 3D Endodontics is gradually shifting from "Virtuality to Reality".
Authors and Affiliations
Jyotsana Sikri1 and Arpit Sikri2
Keywords
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