Marvaniya Jaydip, Agarwal Kishan, Mehta Dhaval N, Parmar Nirav, Shyamal Ritwik, Patel Jenee
Department of Conservative Dentistry and Endodontics, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, IND.
Department of Oral Medicine and Radiology, Narsinbhai Patel Dental College and Hospital, Sankalchand Patel University, Visnagar, IND.
Cureus. 2022 Jun 16;14(6):e25984. doi: 10.7759/cureus.25984. eCollection 2022 Jun.
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.
任何外科手术的目的都是将牙齿恢复到正常的形态和功能，并在适当的时候恢复牙齿的外观。牙髓治疗的主要目的之一是清除根管系统中的细菌、牙髓残余物和其他异物。为了实现这一目标，牙齿的生物力学性能必须受到损害；因此，牙齿修复成功的预后较差。剩余的牙齿结构和修复体对根管治疗后牙齿的长期生存能力有重大影响。微创牙髓治疗（MIE）是一种牙髓治疗技术，旨在尽可能多地保留健康的冠部、颈部和根部牙齿结构。进入开口、根管清理和成形以及外科牙髓治疗都是MIE在牙髓治疗中的可能应用。新时代牙髓治疗的目标是最小化干预，这篇综述文章探讨了在牙髓治疗的每个层面上可以结合使用的各种方法，以实现这一目标。通过仔细选择病例，在保留牙齿自然结构的同时，可以实现微创治疗的良好效果。
