Endodontia minimamente invasiva, sinônimo de sucesso? Revisão de literatura

Abstract

Coronary access is one of the most important steps for successful endodontic treatment. The conventional technique recommends the wear of dental structures to carry out preparation with a direct view of the entrance to the canals. Thus, proposals for a minimally invasive approach that seek to preserve the integrity of the pericervical dentin, for example, suggest improving the prognosis of the treated dental element. This study aims to analyze minimally invasive endodontics, seeking to understand its impacts on endodontic treatment, verifying factors such as resistance of different access cavities and decontamination index of root canals. This is a literature review, using databases such as MEDLINE/PubMed, Google Scholar and LILACS, which identified 192 publications between 2014 and 2024. After applying the inclusion and exclusion criteria, 26 articles met the relevance of this study. The results demonstrated that, although the minimally invasive technique can contribute to the conservation of the dental structure, there is not enough evidence to guarantee greater cavity resistance compared to traditional methods. He also noted difficulties with minimally invasive endodontic access cavities in terms of its effectiveness in reaching more complex areas of the root canals. Therefore, the minimally invasive access does not guarantee a structure that is more resistant to fracture, in addition to having limitations in the decontamination of the root canals that can compromise the long-term success of endodontic treatment.