DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20214814
Published: 2021-12-27

Minimally invasive biological treatment in endodontics

Maha A. Abdulwahab, Almothana A. Almulhim, Zainab A. Alfardan, Anwar A. Alsaid, Zelal M. Alghamdi, Ahmed A. Alghamdi, Badr S. Muaddi, Abdulaziz H. Alshehri, Ibrahim A. Alhulibi, Anwar F. A. Mutairi, Ali M. A. Rowaily

Abstract


Functional forces might also lead to fracture after endodontic treatment. This might occur secondary to exposure to erosion, abrasion, physical trauma, and caries. Interventing against these events can be achieved by conducting long follow-up periods and enhancing the endodontic treatment approaches. The current endodontic treatment modalities aim at tissue preservation to enhance resistance to fractures and prevent potential post-treatment complications. In this context, evidence shows the validity of minimally invasive modalities in endodontic treatment with favorable outcomes and reduced frequency of complications. In the present literature review, we have discussed the efficacy of minimally invasive biological treatment in endodontics. It is vital to maintain the integrity of the structures of the tooth-related paracervical area, particularly when treating molars. This is attributed to enhancing the long-term survival rates of the pericervical dentin of these teeth. The current trends represent a revolution in the field of endodontic treatment. This is attributed to the novel development of the various disinfection modalities, which do not need to shape the canal into a round form and induce flaring reactions. Overall, the main advantages of vital pulp therapy include being simple, reduced cost, and reduced risk of treatment-related complications secondary to overcoming the difficulties with the anatomy of the root canals.


Keywords


Endodontics, Minimally-invasive, Treatment, Biological treatment, Outcomes, Efficacy, Root canal preparation

Full Text:

PDF

References


Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J. 2006;39(12):921-30.

Eliyas S, Jalili J, Martin N. Restoration of the root canal treated tooth. Br Dent J. 2015;218(2):53-62.

González-López S, De Haro-Gasquet F, Vílchez-Díaz MA, Ceballos L, Bravo M. Effect of restorative procedures and occlusal loading on cuspal deflection. Operative Dentistry. 2006;31(1):33-8.

Wolters WJ, Duncan HF, Tomson PL. Minimally invasive endodontics: a new diagnostic system for assessing pulpitis and subsequent treatment needs. Int Endod J. 2017;50(9):825-9.

Arbiya Anjum S, Hegde S, Mathew S. Minimally invasive endodontics-A review. JDOR. 2019;15(2):77-88.

Al-Obaida MI. Minimally invasive endodontics and permanent restorations of endodontically treated teeth: literature review. Egyptian Dent J. 2020;66(1):365-78.

Burke FJ. From extension for prevention to prevention of extension: (minimal intervention dentistry). Dent Update. 2003;30(9):492-8.

Al-Omiri MK, Mahmoud AA, Rayyan MR, Abu-Hammad O. Fracture resistance of teeth restored with post-retained restorations: an overview. J Endod. 2010;36(9):1439-49.

Reeh ES, Messer HH, Douglas WH. Reduction in tooth stiffness as a result of endodontic and restorative procedures. J Endod. 1989;15(11):512-6.

Plotino G, Grande NM, Isufi A. Fracture Strength of Endodontically Treated Teeth with Different Access Cavity Designs. J Endod. 2017;43(6):995-1000.

Clark D, Khademi J, Herbranson E. Fracture resistant endodontic and restorative preparations. Dentistry Today. 2013;32(2):118.

Clark D, Khademi J. Modern molar endodontic access and directed dentin conservation. Dent Clin North Am. 2010;54(2):249-73.

Anderson J, Wealleans J, Ray J. Endodontic applications of 3D printing. Int Endod J. 2018;51(9):1005-18.

Lenchner NH. Considering the "ferrule effect". Pract Proced Aesthetic Dentistry. 2001;13(2):102.

Clark D, Khademi JA. Case studies in modern molar endodontic access and directed dentin conservation. Dent Clin North Am. 2010;54(2):275-89.

Carr GB. Microscopes in endodontics. J California Dent Assoc. 1992;20(11):55-61.

Wu MK, Dummer PM, Wesselink PR. Consequences of and strategies to deal with residual post-treatment root canal infection. Int Endod J. 2006;39(5):343-56.

Levy G. Cleaning and shaping the root canal with a Nd: YAG laser beam: a comparative study. J Endod. 1992;18(3):123-7.

Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of non-surgical root canal treatment: part 2: tooth survival. Int Endod J. 2011;44(7):610-25.

Ericson D. What is minimally invasive dentistry? Oral Health Prev Dentistry. 2004;2(1):287-92.

Sedgley CM, Messer HH. Are endodontically treated teeth more brittle? J Endod. 1992;18(7):332-5.

Huang TJ, Schilder H, Nathanson D. Effects of moisture content and endodontic treatment on some mechanical properties of human dentin. J Endod. 1992;18(5):209-15.

Mukherjee P, Patel A, Chandak M, Kashikar R. Minimally invasive endodontics a promising future concept: a review article. Int J Sci Study. 2017;5(1):245-51.

Ørstavik D, Qvist V, Stoltze K. A multivariate analysis of the outcome of endodontic treatment. Eur J Oral Sci. 2004;112(3):224-30.

Yared GM, Dagher FE. Influence of apical enlargement on bacterial infection during treatment of apical periodontitis. J Endod. 1994;20(11):535-7.

Peters OA, Laib A, Rüegsegger P, Barbakow F. Three-dimensional analysis of root canal geometry by high-resolution computed tomography. J Dent Res. 2000;79(6):1405-9.

Walia HM, Brantley WA, Gerstein H. An initial investigation of the bending and torsional properties of Nitinol root canal files. J Endod. 1988;14(7):346-51.

Peters OA, Bardsley S, Fong J, Pandher G, Divito E. Disinfection of root canals with photon-initiated photoacoustic streaming. J Endod. 2011;37(7):1008-12.

Klyn SL, Kirkpatrick TC, Rutledge RE. In vitro comparisons of debris removal of the EndoActivator system, the F file, ultrasonic irrigation, and NaOCl irrigation alone after hand-rotary instrumentation in human mandibular molars. J Endod. 2010;36(8):1367-71.

Haapasalo M, Wang Z, Shen Y, Curtis A, Patel P, Khakpour M. Tissue dissolution by a novel multisonic ultracleaning system and sodium hypochlorite. J Endod. 2014;40(8):1178-81.

Ma J, Shen Y, Yang Y. In vitro study of calcium hydroxide removal from mandibular molar root canals. J Endod. 2015;41(4):553-8.

Sigurdsson A, Le KT, Woo SM. Six-month healing success rates after endodontic treatment using the novel GentleWave™ System: The pure prospective multi-center clinical study. J Clin Exp Dentistry. 2016;8(3):290-8.

Tomson PL, Lumley PJ, Smith AJ, Cooper PR. Growth factor release from dentine matrix by pulp-capping agents promotes pulp tissue repair-associated events. Int Endod J. 2017;50(3):281-92.

Simon S, Perard M, Zanini M, et al. Should pulp chamber pulpotomy be seen as a permanent treatment? Some preliminary thoughts. Int Endod J. 2013;46(1):79-87.

Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod. 2011;37(5):581-7.

Asgary S, Kemal Çalışkan M. Vital Pulp Therapy of a Mature Molar with Concurrent Hyperplastic Pulpitis, Internal Root Resorption and Periradicular Periodontitis: A Case Report. Iran Endod J. 2015;10(4):284-6.

Taha NA, Ahmad MB, Ghanim A. Assessment of Mineral Trioxide Aggregate pulpotomy in mature permanent teeth with carious exposures. Int Endod J. 2017;50(2):117-25.

Prati C, Gandolfi MG. Calcium silicate bioactive cements: Biological perspectives and clinical applications. Dent Materials. 2015;31(4):351-70.

Ulusoy Ö, Nayır Y, Darendeliler-Yaman S. Effect of different root canal sealers on fracture strength of simulated immature roots. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(4):544-7.

Ghoneim AG, Lutfy RA, Sabet NE, Fayyad DM. Resistance to fracture of roots obturated with novel canal-filling systems. J Endod. 2011;37(11):1590-2.

Topçuoğlu HS, Tuncay Ö, Karataş E, Arslan H, Yeter K. In vitro fracture resistance of roots obturated with epoxy resin-based, mineral trioxide aggregate-based, and bioceramic root canal sealers. J Endod. 2013;39(12):1630-3.

Magne P. Immediate dentin sealing: a fundamental procedure for indirect bonded restorations. J Esthetic Restorative Dentistry. 2005;17(3):144-54.

Dietschi D, Monasevic M, Krejci I, Davidson C. Marginal and internal adaptation of class II restorations after immediate or delayed composite placement. J Dentistry. 2002;30(5-6):259-69.

Duarte S, de Freitas CR, Saad JR, Sadan A. The effect of immediate dentin sealing on the marginal adaptation and bond strengths of total-etch and self-etch adhesives. J Prosthetic Dentistry. 2009;102(1):1-9.

Magne P, Kim TH, Cascione D, Donovan TE. Immediate dentin sealing improves bond strength of indirect restorations. J Prosthetic Dentistry. 2005;94(6):511-9.

Biacchi GR, Basting RT. Comparison of fracture strength of endocrowns and glass fiber post-retained conventional crowns. Operative Dentistry. 2012;37(2):130-6.

Zarone F, Sorrentino R, Apicella D, et al. Evaluation of the biomechanical behavior of maxillary central incisors restored by means of endocrowns compared to a natural tooth: a 3D static linear finite elements analysis. Dental Materials. 2006;22(11):1035-44.

Scotti N, Coero Borga FA, Alovisi M, Rota R, Pasqualini D, Berutti E. Is fracture resistance of endodontically treated mandibular molars restored with indirect onlay composite restorations influenced by fibre post insertion? J Dentistry. 2012;40(10):814-20.

Belleflamme MM, Geerts SO, Louwette MM, Grenade CF, Vanheusden AJ, Mainjot AK. No post-no core approach to restore severely damaged posterior teeth: An up to 10-year retrospective study of documented endocrown cases. J Dentistry. 2017;63:1-7.

Sedrez-Porto JA, Rosa WL, da Silva AF, Münchow EA, Pereira-Cenci T. Endocrown restorations: A systematic review and meta-analysis. J Dentistry. 2016;52:8-14.