Traditional and minimally invasive access cavities in endodontics: a literature review

Kapetanaki, Ioanna; Dimopoulos, Fotis; Gogos, Christos

doi:10.5395/rde.2021.46.e46

Cited by 10 publications

(6 citation statements)

References 22 publications

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“…Управляемая эндодонтия (guided endodontics) -новый метод лечения зубов с кальцификацией пульпового канала [ 42 ] . Он предназначен для лечения кальцификации пульпового канала в зубах с прямыми и тонкими корнями с использованием ККТ-сканирования для определения степени облитерации и печатного шаблона, который направляет бор к кальцифицированному корневому каналу.…”

Section: методы леченияunclassified

Denticles: study diagnostic and perspectives of treatment (a review, part II)

Осипова,

Молокова,

Антонова

et al. 2023

Clinical Dentistry (Russia)

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Проблема образования кальцификатов, дентиклей в пульпе, была описана еще в XIX в. Первоначально использовался термин «узелки» пульпы зуба (dental pulp nodules), позже он был изменен на «камни пульпы» («pulp stone») или «дентикли» («denticle»). В современных зарубежных исследованиях используются термины «pulp stone» и «denticle». Благодаря новым методам исследования стало возможно изучение химического состава, формы и строения дентиклей. В последние годы были усовершенствованы методы диагностики, появились способы безопасного извлечения дентиклей в процессе эндодонтического лечения. Актуальность исследования обусловлена недостаточным числом отечественных исследований, посвященных диагностике и лечению дентиклей. Цель — обзор исследований, посвященных современным методам диагностики и лечения дентиклей. Знания о клинических проблемах, связанных с дентиклями, современных методах диагностики и лечения помогут практикующему стоматологу в достижении успешных результатов. Диагностика камней пульпы может быть полезна для раннего выявления кальцификаций в других частях тела, включая сердечно-сосудистую систему и почки. The problem of the formation of calcifications, denticles in the pulp, was described as early as the 19th century. Initially, the term “dental pulp nodules” was used, later it was changed to “pulp stones” or “denticles”. In modern foreign studies, the terms “pulp stone” and “denticle” are used. Thanks to new research methods, it became possible to study the chemical composition, shape and structure of denticles. In recent years, diagnostic methods have been improved, and methods for safely extracting denticles during endodontic treatment have appeared. The relevance of the study is due to the insufficient number of domestic studies on the diagnosis and treatment of denticles. The purpose of the study is to review studies on modern methods of diagnosis and treatment of denticles. . Knowledge of the clinical problems associated with denticles, modern methods of diagnosis and treatment can help the dental practitioner achieve successful results. Diagnosis of pulpal stones may be useful for early detection of calcifications in other parts of the body, including the cardiovascular system and kidneys.

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Section: методы леченияunclassified

Denticles: study diagnostic and perspectives of treatment (a review, part II)

Осипова,

Молокова,

Антонова

et al. 2023

Clinical Dentistry (Russia)

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“…For example, extension for prevention is no longer found to be widely accepted, as it requires removal of the sound and intact tooth structure for only a potential chance of a future benefit. Understanding the biomechanical behavior of dentin as the weakest link in any restorative system is essential if we are to avoid causing more harm to it [ 5 , 6 ].…”

Section: Reviewmentioning

confidence: 99%

Minimal Invasive Endodontics: A Comprehensive Narrative Review

Marvaniya¹,

Agarwal²,

Mehta³

et al. 2022

Cureus

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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.

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“…Since samples were not adequately standardized and processed, no model has been verified to truly rank the materials and processes 6 . The knowledge of different access cavity designs is of the utmost importance, as the access cavity constitutes an integral and crucial part of endodontic treatment 16 . Considering these contradictory findings and methodological problems, better-controlled and well-designed ex vivo investigations employing novel methodological techniques are necessary to elucidate the effect of access cavity preparation on the fracture resistance of teeth.…”

Section: Introductionmentioning

confidence: 99%

Impact of Access Cavity Design on Fracture Resistance of Endodontically Treated Maxillary First Premolar: In Vitro

Daniel,

Saleh,

Al-Jadaa

et al. 2024

Braz. Dent. J.

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This study was designed to investigate the impact of access cavity designs on fracture resistance of endodontically treated maxillary first premolars. The study sample consisted of 72 intact maxillary first premolars, randomly divided into six groups (n = 12). A standardized proximal cavity preparation was prepared for all samples using standard bur. Groups I: control group with only standard proximal cavity and no endodontic access, group II: Truss access cavity, group III: Separated access to buccal and palatal canals without removal of dentine in between, group IV: Access to buccal and palatal canals with removal of dentine in between, group V: Traditional access cavity, group VI: Mesio-occlusal-distal cavity (MOD). For groups I and VI, only composite restoration was used to restore the proximal cavity, while for groups II- V, the access was prepared and endodontic treatment was performed on all teeth, then composite restoration was placed. The root canals were instrumented using nickel-titanium files, irrigated with sodium hypochlorite, and filled with AH plus sealer and gutta-percha using warm vertical condensation. All samples were then placed in an acrylic mold and underwent thermal aging for 10,000 cycles between 5 and 55°C. The samples were fixed in a universal testing machine with the long axis of the roots positioned at 20° to a load applied at a crosshead speed of 1 mm/min using a stainless steel semi-spherical indenter (Ø = 3 mm) until fracture occurred to determine the fracture resistance force in Newton. The normality test (Shapiro-Wilk) showed that data are normally distributed. Group II exhibited the highest mean fracture resistance, and group VI was the least likely to resist the fracture. No statistically significant differences between tested groups (p-value = 0.237). The MOD group showed a more unfavorable mode of fracture compared to other groups. No significant difference in fracture resistance between conservative and traditional access cavities. The missing marginal ridges, such as in MOD cavities played an important role in decreasing the fracture resistance of endodontically treated teeth.

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Traditional and minimally invasive access cavities in endodontics: a literature review

Cited by 10 publications

References 22 publications

Denticles: study diagnostic and perspectives of treatment (a review, part II)

Denticles: study diagnostic and perspectives of treatment (a review, part II)

Minimal Invasive Endodontics: A Comprehensive Narrative Review

Impact of Access Cavity Design on Fracture Resistance of Endodontically Treated Maxillary First Premolar: In Vitro

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