Review of “Endodontic Microsurgery of Posterior Teeth with the Assistance of Dynamic Navigation Technology: A Report of Three Cases” by Fu and Colleagues in Journal of Endodontics 2022; Article in Press

Abstract

Implementation of pioneering technologies in surgical specialties is not an easy task and certainly needs a well-described manual. The article of Fu and colleagues is just a manual for the implementation of dynamic navigation-assisted endodontic microsurgery. The publication is prepared by four Chinese co-authors and highlighted on eight pages of precisely illustrated case series. Accordingly to literature there were no previous published cases of the application of dynamic navigation-assisted technology as a companion technology to endodontic microsurgery. The authors are first to report this technology applied to the posterior teeth of the maxilla (one case) and mandible (two cases). A preoperative diagnosis in all the presented cases was a chronic periapical periodontitis. Clinical procedures of the dynamic navigation technique included: (1) preoperative cone-beam computed tomography (CBCT) scanning, (2) a dynamic navigation system (DHC-ENDO1, DCARER Medical Technology, Suzhou, China) was used for the preoperative surgical path designing, (3) calibration and registration, and (4) real-time dynamic navigation. The endodontic microsurgery in all cases was performed using OPMI PICO microscope (Carl Zeiss, Gottingen, Germany) which I`m also using in my practice. In these three molar cases, the authors proved that the novel approach in dynamic navigation–assisted endodontic microsurgery is a feasible, predictable, and timesaving combination of technologies and surgical technique.