Minimally invasive endodontics, an overview and current update

Cureus, 2022

It is the aim of any surgical procedure to restore the tooth to its normal form and function, as well as to restore the tooth's appearance when it is appropriate to do so. One of the primary purposes of endodontic therapy is to clear out the root canal system of germs, pulpal remains, and other foreign matter. A tooth's biomechanical properties have to be compromised in order to achieve this goal; hence the tooth has a poor prognosis for restorative success. The remaining dental structure and restorations have a significant impact on the long-term viability of an endodontically treated tooth. Minimally invasive endodontics (MIE) is an endodontic technique that aims to maintain as much of the healthy coronal, cervical, and radicular tooth structure as possible. Access opening, root canal cleaning and shaping, and surgical endodontics are all possible applications for MIE in endodontic treatment. The objective of new-age endodontics is minimum intervention, and this review article examines a variety of methods that may be combined at each level of endodontics to reach this goal. A favorable outcome with minimally invasive treatment may be achieved while preserving the tooth's natural structure with careful case selection.

BDJ, 2014

VERIFIABLE CPD PAPER endodontically treated tooth with the intent that it will last the patient's lifetime. Just as in medicine, the dental surgeon treating endodontic disease must develop new skills and dexterity in order to adapt to a limited working environment within the confines of the pulpal space. These skills include working with new instruments and irrigants for cleaning the system; utilising advanced imaging modalities and computer software for demonstrating both the complexities of the root canal system and improving the accuracy of techniques; employing increased magnification and lighting for visualising the pulpal space as well as applying new materials that enhance the prognosis for restoring structure and retaining the natural dentition. There are, however, currently no developed protocols for minimally invasive endodontics. The aim of this review is to illustrate the current status of non-surgical endodontic procedures highlighting the conservation of tooth structure to enhance longevity after root canal treatment.

2017

Introduction: Complete remove the irritants, pathogenic microorganisms and other by-products from the root canal space followed by complete shaping and filling of pulp space with a bio-compatible material with appropriate obturating technique is necessary for the success of root canal therapy. Recent researches in the field of endodontic focuses mainly on the search of ideal obturating technique despite of prevalence of numerous techniques for obturating the canal space after completion of pulp therapy. Hence, we undertook the present study to assess the percentage of gutta-percha filled area (GFA) in the teeth filled with Thermafil technique, Warm Vertical Compaction (WC) technique and cold lateral condensation (CC) technique. Material and Methods: The present study included assessment of a total of 75 permanent teeth. All the samples were divided randomly into three study groups. Group I, II and III included samples which were obturated using CC technique, Thermafil and WC techniq...

Journal of Dentistry and Oral Hygiene, 2014

The primary goal of endodontic therapy is the long-term retention of a functional tooth by preventing or treating apical periodontitis. However, there are many other factors that impact endodontic outcomes such as the quality of the restoration and structural integrity of the tooth after root canal preparation. Contemporary research efforts are currently directed to better understanding dentine behaviour and structure during aging and function. An alternative approach is to minimize structural changes during root canal therapy, which may result in a new strategy that can be labeled 'minimally invasive endodontics'. This paper focuses on describing minimally invasive dentistry in endodontics from a conceptual perspective, relating to diagnosis, access opening, instrumentation and obturation of the root canal system.

2012

Pulp canal obliteration (PCO) is defined as a deposition of hard tissue within the root canal space. These tissues can eventually produce the radiographic appearance of a root canal space that has become partial or completely calcified. Success in root canal treatment is based on proper debridement, disinfection and obturation of the root canal system. However, this procedure may be difficult or even impossible to achieve if the pulpal space is calcified. The endodontic treatment performed under these circumstances pose the risk of root perforating, a complication that seriously affects the long-term prognosis of tooth. The present article discusses a series of cases of endodontic treatment in teeth with partially or completely PCO and methods for the clinical management of these cases using contemporary endodontic techniques.

SciDoc Publishers, 2021

This review comprises various methods of minimally invasive treatment approaches along with traditional approaches that are used in Endodontics.Searches were based on MEDLINE, PubMed databases and bibliographies of all relevant articles and textbooks. The main focus should be on perpetual preservation of what remains rather than meticulous replacement of what is missing which is achieved by the form extension for prevention to the minimal invasion. Minimally invasive approach requiresknowledge about the root canal anatomy,diagnosis,decision making, along with preservation of structural integrity of tooth, alternate access designs,image guided endodontic access, dynamically guided endodontic access, microguided endodontic access, modern bur designs, cleaning and shaping, 3D irrigation and disinfection, root strengthening and magnification aids like the loupes and surgical operative microscope.With the help of the following methods mentioned in this article one can preserve the structural integrity of the tooth with minimal invasion and maximum appropriateness.

Endodontic Topics, 2005

Restorative Dentistry & Endodontics

Does minimally invasive canal preparation provide higher fracture resistance of endodontically treated teeth? A systematic review of in vitro studies Review Article

Dental Update, 2016

Once cleaning and shaping is complete the clinician must obturate the canal. There are many different materials and techniques available each with their own discrete advantages and disadvantages. Whichever technique is used, the goal is to seal the entire prepared length of the root canal. This paper describes how best this may be achieved. CPD/Clinical Relevance: It is incumbent on the clinician to ensure that once the canal has been prepared it is sealed from bacterial re-entry.