Minimally Invasive Access to the Root Canal System

Chaniotis, Angelos; Plotino, Gianluca

doi:10.1007/978-3-030-45866-9_3

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…The Munce discovery burs are useful when it is necessary to discover canals deep inside the root (Chaniotis & Plotino, 2021). Rhodium surface mirrors allow for great visibility and light transmission, especially through small access cavities or indirect restorations avoiding double image and refraction.…”

Section: Anatomy Of the Pulp Chamber And Coronal Access To The Calcif...mentioning

confidence: 99%

“…Ultrasonic tips are also useful to remove calcifications in the pulp chamber without damaging the access walls or the pulp chamber floor. Furthermore, when ultrasonic tips are used under the microscope to locate root canal orifices, the accessory anatomy can be revealed with minimal dentine removal (Chaniotis & Plotino, 2021).…”

Section: Anatomy Of the Pulp Chamber And Coronal Access To The Calcif...mentioning

confidence: 99%

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Present status and future directions: Management of curved and calcified root canals

Chaniotis

Ordinola‐Zapata

2022

Int Endodontic J

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Root canal curvature and calcification introduce factors that increase the risk of procedural accidents during root canal treatment. The inability to achieve patency to the apical third, asymmetrical dentine removal leading to transportation, perforation, and instrument fracture inside the curved trajectories are some of the procedural problems that might jeopardize the management of intraradicular infection and result in poor treatment outcomes. In fact, curved and constricted canals introduce such complexity that total instrumentation concepts and specially designed instruments have been developed to deal with the challenge. This narrative review seeks to provide and consolidate the principles necessary for understanding the dynamics of curved and constricted canal management and to improve the understanding for future developments in this field.

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Section: Anatomy Of the Pulp Chamber And Coronal Access To The Calcif...mentioning

confidence: 99%

Section: Anatomy Of the Pulp Chamber And Coronal Access To The Calcif...mentioning

confidence: 99%

Present status and future directions: Management of curved and calcified root canals

Chaniotis

Ordinola‐Zapata

2022

Int Endodontic J

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Minimally Invasive Endodontics

Neelakantan¹,

Chaniotis²,

Banerjee³

2022

Endodontic Advances and Evidence‐Based Clinical Guidelines

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Influence of endodontic access cavity design on mechanical properties of a first mandibular premolar tooth: a finite element analysis study

Özyürek,

Uslu,

Arıcan

et al. 2024

Clin Oral Invest

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Objectives This study aimed to investigate the influence of access cavity designs on the mechanical properties of a single-rooted mandibular first premolar tooth under various static loads using a finite element analysis. Materials and methods 3-dimensional FEA designs were modeled according to the access cavity designs: an intact tooth (control), traditional access cavity (TEC-I), traditional access cavity with Class-II mesio-occlusal cavity design (TEC-II), conservative access cavity (CEC), ninja access cavity (NEC), caries-driven access cavity (Cd-EC), buccal access cavity (BEC) and bucco-occlusal access cavity (BOEC). After the simulated access cavity preparations, root canal treatment was simulated and three different static loads which mimicked oblique and vertical mastication forces were applied to the models. The stress distribution and maximum Von Misses stress values were recorded. The maximum stress values were obtained on both enamel and dentin under multi-point vertical loads. Results The maximum stress values were obtained on both enamel and dentin under multi-point vertical loads. Under all load types, the minimum stress distribution was observed in the control group, followed by CEC, NEC and BEC designs. The highest stress concentration was detected in Cd-EC and TEC-II designs. Under single-point vertical loading, the stress was mostly concentrated in the lingual PCD area, while under multi-point vertical loading, the entire root surface was stress-loaded except for the lingual apical third of the root. Conclusion Preserving tooth tissue by simulating CEC, NEC and BEC access cavities increased the load capacity of a single-rooted mandibular first premolar following simulated endodontic treatment.

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Minimally Invasive Access to the Root Canal System

Cited by 3 publications

References 34 publications

Present status and future directions: Management of curved and calcified root canals

Present status and future directions: Management of curved and calcified root canals

Minimally Invasive Endodontics

Influence of endodontic access cavity design on mechanical properties of a first mandibular premolar tooth: a finite element analysis study

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