GUIDED ENDODONTICS: A PARADIGM SHIFT TOWARD PRECISION AND MINIMALLY INVASIVE ROOT CANAL THERAPY

Guided Endodontics is a modern, digitally assisted technique that integrates cone beam computed tomography (CBCT), intraoral scanning, and computer-aided design/manufacturing (CAD/CAM) to achieve precise and minimally invasive access to root canals. This review article explores the historical evolution of endodontic practice leading to guided approaches, defines the core principles of digital planning and precision navigation, and highlights its clinical applications in managing calcified canals,retreatments, complex anatomical variations, and microsurgical procedures. Evidence from recent studies demonstrates that guided endodontics improves accuracy, reduces iatrogenic risks, and preserves tooth structure compared to conventional freehand methods [1-3,6,7]. Advantages include predictability, efficiency, and enhanced patient outcomes, while limitations such as cost, technical demands, and restricted applicability in certain anatomical situations remain challenges. Future perspectives emphasize the integration of artificial intelligence, dynamic navigation systems, advanced guide materials, and broader accessibility, alongside its growing role in dental education. This review aims to summarize the historical evolution, core principles, clinical applications, advantages, limitations, and future perspectives of guided endodontics, supported by evidence from recent studies.[8,12]