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Minimally invasive dentistry (MID) is a new paradigm in the field of dental health that has progressed rapidly in the last decade. The focus of this approach is to preserve tooth structure at the maximum level by preventing caries rather than surgical procedures. MID; It includes topics such as early caries detection and caries risk assessment, remineralization of demineralized enamel and dentin, optimal caries prevention, minimally invasive surgical interventions, and repair rather than replacement of restorations.
In fact, the process that begins with G.V.Black's principle of "extension for prevention" and continues with "minimally invasive dentistry" is based on advances in science.In recent years, rapid developments in technology and materials have accelerated the application of MID in all departments of dentistry. With the widespread use of minimally invasive practices in dentistry; It progresses in a direction that preserves the tooth structure, cares about the patient living a more comfortable life with their teeth, and uses multidisciplinary approaches for this purpose. In conclusion; In MID, problem detection, prevention, repair and follow-up processes become important.
Minimal Endodontic Access Cavities
Minimally Invasive Endodontics is a clinical approach that advocates minimal tooth structure loss in the use of endodontic procedures and instruments. The goal is to allow the tooth to function in the oral environment for a long time without fracture. While it was previously accepted to raise the ceiling of the pulp chamber and widen the access cavity to see the canals in the traditional access cavity, it has now been concluded that this protocol is excessive and unnecessary.
Various minimally invasive design concepts have been proposed to minimise the loss of tooth structure and preserve a portion of the pulp chamber roof and pericervical dentin. These are Conservative, Ultraconservative (Ninja, Truss), and Computer-assisted (Guided and Dynamic Navigation) access cavities.
The advent of advanced endodontic techniques, including ultra-flexible root canal instruments, dental operating microscopes, superior illumination, advanced root canal irrigation systems, and three-dimensional imaging technology cone beam computed tomography (CBCT), has enabled the preservation of pericervical dentin.
This presentation will discuss the design of minimally invasive access cavities, which have been introduced as an alternative to conventional access cavities. The presentation will also discuss the effect of this design on the success of endodontic treatment and the survival time of teeth.