Robotics in endodontics: A comprehensive scoping review.

[BACKGROUND] Robotics in endodontics enhances precision, efficiency, and treatment success through AI, haptic feedback, and autonomous systems. Despite its potential, adoption is limited by cost, accessibility limitations, and training barriers. This scoping review explores applications, advancements, and comparative effectiveness of robotic-assisted endodontic procedures, highlighting their clinical benefits and challenges.

[SOURCES] A systematic search was conducted in PubMed, Scopus, Web of Science, and Google Scholar for peer-reviewed studies (2000-2024) on robotic-assisted root canal therapy, AI-driven diagnostics, and haptic guidance. Quality assessment was performed using the Modified Newcastle-Ottawa Scale (NOS) and Cochrane Risk of Bias Tool (ROB-2).

[STUDY SELECTION] From 1240 studies, 18 met the eligibility criteria. Robotics improved treatment accuracy, procedural efficiency, and clinical outcomes. AI-assisted diagnostics enhanced pathology detection, haptic systems improved instrumentation control, and nanorobotics facilitated minimally invasive disinfection. High costs and regulatory challenges remain key barriers to widespread adoption.

[CONCLUSION] Robotics in endodontics offers significant advancements in precision and efficiency, potentially transforming clinical practice. However, cost, integration, and training challenges must be addressed through further research and clinical validation.

[CLINICAL SIGNIFICANCE] Robotics in endodontics provides enhanced treatment accuracy, reduced operator fatigue, and improved long-term success rates. AI-guided diagnostics, haptic feedback, and nanorobotic disinfection can revolutionize root canal therapy. Addressing financial and regulatory barriers is crucial for broader clinical implementation and accessibility.