Microrobotics in endodontics: A perspective

Int Endod J. 2024 Jul;57(7):861-871. doi: 10.1111/iej.14082. Epub 2024 May 18.

Abstract

Microorganisms are the primary aetiological factor of apical periodontitis. The goal of endodontic treatment is to prevent and eliminate the infection by removing the microorganisms. However, microbial biofilms and the complex root canal anatomy impair the disinfection process. Effective and precise endodontic therapy could potentially be achieved using advanced multifunctional technologies that have the ability to access hard-to-reach surfaces and perform simultaneous biofilm killing, removal, and detection of microorganisms. Advances in microrobotics are providing novel therapeutic and diagnostic opportunities with high precision and efficacy to address current biofilm-related challenges in biomedicine. Concurrently, multifunctional magnetic microrobots have been developed to overcome the disinfection challenges of current approaches to disrupt, kill, and retrieve biofilms with the goal of enhancing the efficacy and precision of endodontic therapy. This article reviews the recent advances of microrobotics in healthcare and particularly advances to overcome disinfection challenges in endodontics, and provides perspectives for future research in the field.

Keywords: antimicrobials; biofilm(s); canal disinfection; diagnostic systems; drug delivery; nanotechnology.

Publication types

  • Review

MeSH terms

  • Biofilms*
  • Dental Pulp Cavity / microbiology
  • Disinfection* / methods
  • Endodontics / instrumentation
  • Endodontics / methods
  • Humans
  • Periapical Periodontitis / microbiology
  • Periapical Periodontitis / therapy
  • Robotics
  • Root Canal Therapy / instrumentation
  • Root Canal Therapy / methods