Department of Restorative Dental Sciences, The University of Hong Kong, Faculty of Dentistry, Hong Kong, China.
Eur Endod J. 2022 Mar;7(1):1-10. doi: 10.14744/eej.2022.62681.
Minimally invasive endodontic access cavities have gained popularity in academic discussions for their clinical applications in recent years. Although some studies showed an improved fracture resistance of endodontically-treated teeth accessed with a minimally invasive access cavity design, the resulting effectiveness and efficiency of subsequent root canal treatment procedures may be impaired. Aspects that may be impaired are canal detection and negotiation, chemomechanical debridement of the root canal system, quality of the obturation. These are potentially complicated by the increased incidence of procedural mishaps and compromised aesthetic outcomes. In addition, the inherent flaws presented in the methodology of some in vitro studies and the lack of a universal classification system are also of concern. This literature review aims to present a comprehensive overview of the development of the minimally invasive endodontic access cavity and summarise the currently available from a clinical context.
近年来，微创根管治疗术因其在临床应用中的优势而备受关注。尽管一些研究表明，微创根管治疗术在提高根管治疗牙抗折性方面具有一定优势，但可能会影响后续根管治疗程序的有效性和效率。可能受到影响的方面包括根管的探测和成形、根管系统的化学机械清创、以及根管封闭的质量。这些问题可能会因操作失误和美学效果受损的发生率增加而变得更加复杂。此外，一些体外研究方法中存在的固有缺陷以及缺乏通用分类系统也是令人关注的问题。本文旨在对微创根管治疗术的发展进行全面综述，并从临床角度对其进行总结。
