Digital guided therapy (DGT) has been advocated as a contemporary computer-aided technique for treating endodontic diseases in recent decades. The concept of DGT for endodontic diseases is categorized into static guided endodontics (SGE), necessitating a meticulously designed template, and dynamic guided endodontics (DGE), which utilizes an optical triangulation tracking system. Based on cone-beam computed tomography (CBCT) images superimposed with or without oral scan (OS) data, a virtual template is crafted through software and subsequently translated into a 3-dimensional (3D) printing for SGE, while the system guides the drilling path with a real-time navigation in DGE. DGT was reported to resolve a series of challenging endodontic cases, including teeth with pulp obliteration, teeth with anatomical abnormalities, teeth requiring retreatment, posterior teeth needing endodontic microsurgery, and tooth autotransplantation. Case reports and basic researches all demonstrate that DGT stand as a precise, time-saving, and minimally invasive approach in contrast to conventional freehand method. This expert consensus mainly introduces the case selection, general workflow, evaluation, and impact factor of DGT, which could provide an alternative working strategy in endodontic treatment.

近几十年来，数字引导治疗（DGT）被提倡作为治疗牙髓疾病的当代计算机辅助技术。用于牙髓疾病的 DGT 概念分为需要精心设计模板的静态引导牙髓病 (SGE) 和利用光学三角测量跟踪系统的动态引导牙髓病 (DGE)。根据叠加或不叠加口腔扫描 (OS) 数据的锥形束计算机断层扫描 (CBCT) 图像，通过软件制作虚拟模板，然后将其转换为 SGE 的 3 维 (3D) 打印，同时系统指导钻孔DGE 中具有实时导航的路径。据报道，DGT 解决了一系列具有挑战性的牙髓病例，包括牙髓闭塞的牙齿、解剖异常的牙齿、需要再治疗的牙齿、需要牙髓显微手术的后牙和牙齿自体移植。病例报告和基础研究都表明，与传统徒手方法相比，DGT 是一种精确、省时、微创的方法。该专家共识主要介绍了DGT的病例选择、一般流程、评估和影响因素，为牙髓治疗提供了一种替代的工作策略。