Abstract
We have come a long way in dentistry from “extension for prevention” to “prevention of extension”. Asimilar approach in endodontics is going to change the future of dental practice with Minimal Invasive Endodontics (MIE). MIE mainly includes preservation of structural integrity of tooth, alternate access cavity designs, guided endodontic access, modern burs, cleaning and shaping, 3D irrigation and disinfection, magnication aids like loupes and dental operating microscope. Survival of an endodontically treated tooth depends mainly on its remaining structural integrity after access preparation. The concept of Conservative endodontic cavities (CEC) was introduced to preserve the pericervical dentin (PCD), which is crucial to transfer the occlusal load to the root. In traditional endodontic cavities (TEC) much of PCD is lost which reduces the fracture resistance of tooth. Guided endodontic access was introduced as an attempt to preserve the PCD. It ensures predictable outcome without any procedural errors. The present paper attempts to narratively summarize the scope of Guided endodontic access in dental practice and explain its benets to the practitioners compared with conventional technique
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