Kapetanaki Ioanna, Dimopoulos Fotis, Gogos Christos
Department of Endodontology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Restor Dent Endod. 2021 Aug 13;46(3):e46. doi: 10.5395/rde.2021.46.e46. eCollection 2021 Aug.
The aim of this review was to evaluate the effects of different access cavity designs on endodontic treatment and tooth prognosis. Two independent reviewers conducted an unrestricted search of the relevant literature contained in the following electronic databases: PubMed, Science Direct, Scopus, Web of Science, and OpenGrey. The electronic search was supplemented by a manual search during the same time period. The reference lists of the articles that advanced to second-round screening were hand-searched to identify additional potential articles. Experts were also contacted in an effort to learn about possible unpublished or ongoing studies. The benefits of minimally invasive access (MIA) cavities are not yet fully supported by research data. There is no evidence that this approach can replace the traditional approach of straight-line access cavities. Guided endodontics is a new method for teeth with pulp canal calcification and apical infection, but there have been no cost-benefit investigations or time studies to verify these personal opinions. Although the purpose of MIA cavities is to reflect clinicians' interest in retaining a greater amount of the dental substance, traditional cavities are the safer method for effective instrument operation and the prevention of iatrogenic complications.
本综述的目的是评估不同开髓腔设计对根管治疗和牙齿预后的影响。两名独立评审员对以下电子数据库中包含的相关文献进行了无限制检索：PubMed、Science Direct、Scopus、Web of Science和OpenGrey。在同一时期，通过手动检索对电子检索进行了补充。对进入第二轮筛选的文章的参考文献列表进行了手工检索，以识别其他潜在文章。还联系了专家，以了解可能未发表或正在进行的研究。微创开髓（MIA）洞形的益处尚未得到研究数据的充分支持。没有证据表明这种方法可以取代传统的直线开髓洞形方法。引导式根管治疗是一种针对牙髓钙化和根尖感染牙齿的新方法，但尚未有成本效益调查或时间研究来验证这些个人观点。尽管MIA洞形的目的是反映临床医生对保留更多牙体组织的兴趣，但传统洞形对于有效的器械操作和预防医源性并发症而言是更安全的方法。
