Vol. 10, Issue 3, Part B (2024)

Abstract: This literature review explores the concept of minimally invasive endodontics, emphasizing the preservation of natural tooth structure through reduced access cavity preparations. The traditional access cavity design has remained largely unchanged since its introduction, but technological advancements have enabled the development of minimally invasive techniques. These techniques prioritize preserving the pulp chamber roof, reducing dentine removal, and utilizing advanced materials and instruments. The review categorizes access cavity designs into eight types, highlighting their applications and benefits. Minimally invasive endodontics offers improved long-term survival of endodontically treated teeth, reduced risk of tooth fracture, and enhanced patient satisfaction. However, challenges include accurate case selection, operator skill, material limitations, and cost considerations. The review emphasizes the need for retraining dentists and educating the public on modern diagnostic, preventive, and minimal intervention techniques, aligning with the shift towards prevention and early intervention in dentistry.