Conservative endodontic cavities and their impacts on endodontically treated teeth: literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.18701

Keywords:

Endodontics; Dental pulp cavity; Conservative treatment.

Abstract

Objective: The aim of this study is to carry out a literature review about the impacts caused by endodontic treatment by conservative endodontic cavities compared to traditional endodontic cavities. Methodology: A bibliographic search on the topic was carried out in the Pubmed and Scielo database, collecting articles between 2014 and 2020. Results: In incisor teeth with conservative endodontic cavities there is no increase in resistance compared to traditional cavities, but there is still no consensus in the literature regarding posterior teeth. Oval canals of teeth with conservative endodontic cavities showed more non-instrumented areas. Reports of apical transportation, change in the curvature canals, residual debris in the pulp chamber, difficulty in locating canals and increased treatment time in teeth with conservative cavities were also observed. Final Considerations: There is no evidence of increased fracture resistance in incisor teeth with conservative cavities and there is no consensus regarding posterior teeth. Because of this and the fact that this type of cavity brings some limitations to endodontic treatment, there is no reason to recommend it to the detriment of the traditional cavity, mainly without the use of magnification and ultrasound.

References

Abou-Enalga, M. Y., Alkhawas, M. A. M., Kim, H., & Refai, A. S. (2019). Effect of truss access and artificial truss restoration on the fracture resistance of endodontically treated mandibular first molars. Journal of Endodontics, 45(6), 813-817. https://doi.org/10.1016/j.joen.2019.02.007

Allen, C., Meyer, C. A., Yoo, E., Vargas, J. A., Liu, Y., & Jalali, P. (2018). Stress distribution in a tooth treated through minimally invasive access compared to one treated through traditional access: a finite element analysis study. Journal of Conservative Dentistry, 21(5), 505-509. https://doi.org/10.4103/JCD.JCD_260_18

Alovisi, M., Pasqualino, D., Musso, E., Bobbio, E., Giuliano, C., Mancino, D., Scotti, N., & Berutti, E. (2018). Influence of contracted endodontic access on root canal geometry: an in vitro study. Journal of Endodontics, 44(4), 614-620. https://doi.org/10.1016/j.joen.2017.11.010

Corsentino, G., Pedullà, E., Castelli, L., Liguori, M., Spicciarelli, V., Martignoni, M., Ferrari, M., & Grandini, S. (2018). Influence of access cavity preparation and remaining tooth substance on fracture strength of endodontically treated teeth. Journal of Endodontics, 44(9), 1416-1421. https://doi.org/10.1016/j.joen.2018.05.012

Estrela, C. (2018). Metodologia Científica: ciência, ensino, pesquisa. Editora Artes Médicas.

Ivanoff, C. S., Marchesan, M. A., Andonov, B., Hottel, T. L., Dandarov, Y., Mandova, S., & Iftikhar, H. (2017). Fracture resistance of mandibular premolars with contracted or tradicional endodontic acess cavities and class II temporary composite restorations. ENDO-Endodontic Practice Today, 11(1), 7-14. http://www.quintpub.com/userhome/endo/endo-ept_11_1_ivanoff_p7.pdf

Jiang, Q., Huang, Y., Tu, X., Li, Z., He, Y., & Yang, X. (2018). Biomechanical properties of first maxillary molars with different endodontic cavities: a finite element analysis. Journal of Endodontics, 44(8), 1283-1288. https://doi.org/10.1016/j.joen.2018.04.004

Krishan, R., Paqué, F., Ossareh, A., Kishen, A., Dao, T., & Friedman, S. (2014). Impacts of conservative endodontic cavity on root canal instrumentation efficacy and resistance to fracture assessed in incisors, premolars, and molars. Journal of Endodontics, 40(8), 1160-1166. https://doi.org/10.1016/j.joen.2013.12.012

Marchesan, M. A., Lloyd, A., Clement, D. J., McFarland, J. D., & Friedman, S. (2018). Impacts of contracted endodontic cavities on primary root canal curvature parameters in mandibular molars Journal of Endodontics, 44(10), 1558-1562. https://doi.org/10.1016/j.joen.2018.07.008

Moore, B., Verdelis, K., Kishen, A., Dao, T., & Friedman, S. (2016). Impacts of contracted endodontic cavities on instrumentation efficacy and biomechanical responses in maxillary molars. Journal of Endodontics, 42(12), 1779–1783. https://doi.org/10.1016/j.joen.2016.08.028

Neelakantan, P., Khan, K., Ng G. P. H., Yip, C. Y., Zhang, C. F., & Cheung, G. S. P. (2018). Does the orifice-directed dentin conservation access design debride pulp chamber and mesial root canal systems of mandibular molars similar to a traditional access design? Journal of Endodontics, 44(2), 274-479. https://doi.org/10.1016/j.joen.2017.10.010

Özyürek, T., Ülker, Ö., Demiryürek, E. Ö., & Yilmaz, F. (2018). The effects of endodontic access cavity preparation design on the fracture strength of endodontically treated teeth: traditional versus conservative preparation. Journal of Endodontics, 44(5), 800-805. https://doi.org/10.1016/j.joen.2018.01.020

Plotino, G., Grande, N. M., Isufi, A., Ioppolo, P., Pedullà, E., Bedini, R., Gambarini, G. & Testarelli, L. (2017). Fracture strength of endodontically treated teeth with different access cavity designs. Journal of Endodontics, 43(6), 995-1000. https://doi.org/10.1016/j.joen.2017.01.022

Roperto, R., Sousa, Y. T. S., Dias, T. R., Machado, R., Perreira, R. D., Leoni G,B., Palma-Dibb, R. G., Rodrigues, M. P., Soares, C. J., Teich, S., & Sousa-Neto, M. D. (2019). Biomechanical behavior of maxillary premolars with conservative and traditional endodontic cavities. Quintessence International, 50(5), 350-356. https://doi.org/10.3290/j.qi.a42369

Rover, G., Belladonna, F.G., Bortoluzzi, E.A., De-Deus, G., Silva, E.J.N.L., & Teixeira, C.S. (2017). Influence of access cavity design on root canal detection, instrumentation efficacy, and fracture resistance assessed in maxillary molars. Journal of Endodontics, 43(10), 1657-1662. https://doi.org/10.1016/j.joen.2017.05.006

Rover, G., Lima, C. O., Belladonna, F. G., Garcia, L. F. R., Bortoluzzi, E. A., Silva, E. J. N. L., & Teixeira, C. S. (2020). Influence of minimally invasive endodontic access cavities on root canal shaping and filling ability, pulp chamber cleaning and fracture resistance of extracted human mandibular incisors. International Endodontic Journal, 53(11), 1530-1539. https://doi.org/10.1111/iej.13378

Saber, S. M., Hayaty, D. M., Nawar, N. N., & Kim, H. (2020). The effect of access cavity designs and sizes of root canal preparations on the biomechanical behavior of an endodontically treated mandibular first molar: a finite element analysis. Journal of Endodontics, 46(11), 1675-1681. https://doi.org/10.1016/j.joen.2020.06.040

Sabeti, M., Kazem, M., Dianat, O., Bahrololumi, N., Beglou, A., Rahimipour, K., & Dehnavi, F. (2018). Impact of access cavity design and root canal taper on fracture resistance of endodontically treated teeth: an ex vivo investigation. Journal of Endodontics, 44(9), 1402-1406. https://doi.org/10.1016/j.joen.2018.05.006

Silva, A. A., Belladona, F. G., Rover, G., Lopes, R. T., Moreira, E. J. L., De-Deus G., & Silva, E. J. N. L. (2020). Does ultraconservative access affect the efficacy of root canal treatment and the fracture resistance of two-rooted maxillary premolars? International Endodontic Journal, 53(2), 265-275. https://doi.org/10.1111/iej.13219

Silva, E. J. N. L., Rover, G., Belladonna, F. G., De-Deus, G., Teixeira, C. S., & Fidalgo, T. K. S. (2018). Impact of contracted endodontic cavities on fracture resistance of endodontically treated teeth: a systematic review of in vitro studies. Clinical Oral Investigations, 22, 109-118. https://doi.org/10.1007/s00784-017-2268-y

Vieira, G. C. S., Pérez, A. R., Alves, F. R. F., Provenzano, J. C., Mdala, I., Siqueira, J. F. J. & Rôças, I. N. (2020). Impact of contracted endodontic cavities on root canal disinfection and shaping. Journal of Endodontics, 46(5), 655-661. https://doi.org/10.1016/j.joen.2020.02.002

Xia, J., Wang, W., Li, Z., Lin, B., Zhang, Q., Jiang, Q., & Yang, X. (2020). Impacts of contracted endodontic cavities compared to traditional endodontic cavities in premolars. BMC Oral Health, 20, 250. https://doi.org/10.1186/s12903-020-01237-w

Zhang, Y., Liu, Y., She, Y., Liang, Y., Xu, F., & Fang, C. (2019). The effect of endodontic access cavities on fracture resistance of first maxillary molar using the extended finite element method. Journal of Endodontics, 45(3), 316-321. https://doi.org/10.1016/j.joen.2018.12.006

Downloads

Published

07/08/2021

How to Cite

CORRENTE, F. L. S. da; OLIVEIRA, D. P. de; PEREIRA, P. L. R. .; BUENO, C. S. P. .; SILVA, L. C. .; VASCONCELOS, D. dos S. F. de; RAMALHO, C. L. G. . Conservative endodontic cavities and their impacts on endodontically treated teeth: literature review. Research, Society and Development, [S. l.], v. 10, n. 10, p. e128101018701, 2021. DOI: 10.33448/rsd-v10i10.18701. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18701. Acesso em: 16 apr. 2024.

Issue

Vol. 10 No. 10

Section

Health Sciences

License

Copyright (c) 2021 Fernanda Leão Souza da Corrente; Daniel Pinto de Oliveira; Phillip Lucas Ricardo Pereira; Clóvis Stephano Pereira Bueno; Leopoldo Cosme Silva; Dyana dos Santos Fagundes de Vasconcelos; Cicero Lucas Gomes Ramalho

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.