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Depending on the extent of PCO, root canal treatment may be challenging even for experienced and well\u2010equipped endodontic specialists. The \u2018guided endodontics\u2019 (GE) technique was introduced 6\u00a0years ago as an alternative to conventional access cavity preparation for teeth with PCO and apical pathosis or irreversible pulpitis. Using three\u2010dimensional radiological imaging such as cone\u2010beam computed tomography and a digital surface scan, an optimal access to the orifice of the calcified root canal can be planned virtually with appropriate software. GE is implemented either with the help of templates analogous to guided implantology (= static navigation) or by means of dynamic navigation based on a camera\u2010marker system. GE has emerged as a field of research in the last 6\u00a0years with very promising laboratory\u2010based results regarding the accuracy of guided endodontic access cavities for both static and dynamic navigation. Clinical implementation seems to provide favourable results, but the evidence is mainly based on numerous case reports and a few case series. This narrative review aims to provide an update on the present status of GE and to identify relevant research areas that could contribute to further improvements of this technique.<\/jats:p>","DOI":"10.1111\/iej.13687","type":"journal-article","created":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T08:41:05Z","timestamp":1643100065000},"page":"995-1002","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":116,"title":["Present status and future directions \u2013 Guided endodontics"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4461-5835","authenticated-orcid":false,"given":"Thomas","family":"Connert","sequence":"first","affiliation":[{"name":"Department of Periodontology, Endodontology and Cariology University Center for Dental Medicine Basel UZB University of Basel  Basel 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