Endodontic accesses: what every endodontist should know

Emmanuel João Nogueira Leal da SILVA, Ana Flávia Almeida BARBOSA, Rafael Santos ATTADEMO, Carolina Oliveira de LIMA, Daniel de Almeida DECURCIO, Leandro Augusto Pinto PEREIRA

Introduction: Minimally invasive access cavities emerged aiming to maintain the fracture resistance of endodontically treated teeth through the preservation of dental structure. Starting with the first study in 2010, several others were developed to evaluate the influence of minimally invasive access cavities in the fracture resistance of endodontically treated teeth. However, the coronal interference caused by those access cavities could impair the subsequent procedures of root canal treatment, such as the location, instrumentation, cleaning, disinfection and filling of the root canals. Objective: Based on this premise, the aim of the present review was to answer some questions so that the clinician knows the main modalities of minimally invasive access cavities, the impacts of this approach and the real role of endodontic treatment in the tooth loss. Results: Considering the available data, there is a lack of robust evidence in literature to support the claim that the minimally invasive access cavities preserve the fracture resistance of endodontically treated teeth better than the traditional one. In addition, these access cavities can interfere in other stages of endodontic treatment, making it unpredictable. Conclusion: Thus, it can be concluded that there is a lack of evidence to support the use of minimally invasive access cavities in routine clinical practice and/or in the process of training undergraduate and graduate students.

Keywords: Endodontic. Coronary access. Minimally invasive dentistry

How to cite: Silva EJNL, Barbosa AFA, Attademo RS, Lima CO, Decurcio DA, Pereira LAP. Endodontic accesses: what every endodontist should know. Dental Press Endod. 2021 Jan-Apr;11(1):16-28.

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