Bio-minimalistic trends in Endodontics: Are they really Bio-Logical ?

Biominimalistic trends in Endodontics gained a lot of popularity among clinicians throughout the last decade. Conservation during Endodontic access and root canal shaping is a practice that has its roots in the axiomatic assumption that such preservation can extend the survival rate of Endodontically treated teeth. However, the biological objectives of root canal treatment should never be put in jeopardy since the main objective of Endodontics remains disinfection and minimizing the microbiological load.

Conservative and Ultra conservative access cavity designs, as well as root canal preparations of minimal taper have been topics of interest in the scientific community recently. Our aim is to discuss the rationale, requirements, challenges and outcomes of such bio-minimalistic trends in light of the recent evidence-based research.

Objectives

  1. Identification of different aspects of minimally invasive endodontic practices.
  2. Reviewing available evidence and providing a justified critique of the topic.
  3. Pointing out gaps of knowledge that require further research.

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