Minimally Invasive Endodontic Techniques: Balancing Tooth Preservation and Treatment Outcomes

Abstract

Minimally invasive endodontic techniques represent a paradigm shift in the management of dental caries and pulpal diseases, emphasizing tooth preservation while ensuring optimal treatment outcomes. Traditional endodontic procedures often involved extensive tooth structure removal, leading to compromised tooth integrity and increased risk of fracture. In contrast, minimally invasive approaches utilize advanced diagnostic tools, such as cone-beam computed tomography (CBCT), and innovative instrumentation techniques that allow for precise access to the root canal system while preserving healthy dental tissues. This review critically evaluates various minimally invasive endodontic strategies, including the use of magnification, ultrasonic instrumentation, and bioceramic materials, which contribute to enhanced clinical efficacy and patient comfort. Furthermore, it discusses the integration of biological principles, such as the concept of the “biologically based” endodontic treatment, which aims to maintain the vitality of the pulp tissue whenever possible. The implications of these techniques for long-term tooth survival and function are analyzed, highlighting the importance of preserving tooth structure not only for aesthetic and functional purposes but also to minimize the potential need for complex restorative procedures. Overall, the adoption of minimally invasive endodontic techniques can lead to significant improvements in patient outcomes, reducing the need for retreatment and ensuring higher rates of success. This paper advocates for the continued evolution of endodontic practice toward less invasive modalities that align with contemporary principles of tooth preservation and minimally invasive dentistry.