Minimally invasive endodontics, an overview and current update

Abstract

Introduction: The small access cavities could make it more difficult to visualize the pulp chamber as well as to locate, shape, clean and fill the canals. At the same time, increase the risk of iatrogenic complications. (Silva et al., 2020) Objective: To analyze the literature concerning the influence of minimally invasive endodontic access in pulp therapy, in relation to the degree of disinfection, degree of conformation, quality of obturation and resistance to the fracture. Methodology: By searching in electronic databases such as PubMed, using keywords: “minimally invasive endodontics”, “degree of disinfection”, “shaping”, “obturation” and “resistance to fracture”. Results: A true compromise of the degree of conformation of the canal is not demonstrated, although neither a benefit, when performing a contracted endodontic cavity (CEC). It is not possible to reach an adequate conclusion about the degree of disinfection in a CEC; priority should be given to a traditional endodontic cavity (TEC). Efficient canal obturation in CEC is limited to a single obturation technique, but if it is not intended to work under this protocol, the use of a TEC is suggested. No noticeable change in fracture strength is demonstrated in a CEC over a TEC.Conclusions: Success of endodontic treatment is represented by each of the stages that make up the procedure. CECs are an alteration to the traditional protocol and with it to the rest of the treatment stages.