Volume 30, Issue 174, August 2026

Bioceramic Materials and Guided Endodontics: A Breakthrough in Managing Complex Endodontic Cases - A Literature Review

Stanisław Janczarski^1♦, Katarzyna Cybulska¹, Julia Banaszczyk¹, Erwin Górski¹, Jakub Papierz¹, Gabriela Królczyk⁴, Aleksandra Pietrzyk², Mikołaj Cezary Krajewski³

¹Institute of Dentistry of the Central Clinical Hospital of the Medical University of Łódź, Pomorska 251, 92-213 Łódź, Poland
²Centralna Wojskowa Przychodnia Lekarska CePeLek SPZOZ, 78 Koszykowa Street, 00-911 Warszawa, Poland
³Independent Dentistry Researcher, Poland
⁴Zespół Przychodni Specjalistycznych Sp. z o.o., 1 Skłodowskiej-Curie Street, 33-100 Tarnów, Poland

^♦Corresponding author
Stanisław Janczarski, Institute of Dentistry of the Central Clinical Hospital of the Medical University of Łódź, Pomorska 251, 92-213 Łódź, Poland

ABSTRACT

This article is centered around the advancements in contemporary endodontic therapy that aim at introducing tissue preservation with the aid of computer-aided planning and bioresponsive substances. However, it faces difficult clinical situations, ranging from heavily calcified canals to cases of root resorption and perforations, and recognizes the great complexity of such cases for dental practice. The study considers how calcium silicate bioceramics and guided endodontics, consisting of 3D-printed templates and dynamic navigation, solve the problems stated. Calcium silicate bioceramics are distinguished by their high biocompatibility, dimensional stability, and osteogenic activity; all these increase the effectiveness of procedures such as single-cone obturation, perforation repair, and apexification. In the meantime, guided access techniques increase the chances of detection of calcified root canals and minimize the risk of damage to healthy pericervical dentin. This paper examines the basic physics and biology of calcium silicates as well as the precision, indications, and drawbacks of guided access techniques.

Keywords: bioceramics; calcium silicate sealers; guided endodontics; pulp canal obliteration; static navigation; dynamic navigation; micro-endodontic surgery

Medical Science, 2026, 30, e153ms3950

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Published: 16 August 2026