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Minimally Invasive Root Canal Instrumentation

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Minimally Invasive Approaches in Endodontic Practice

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Abstract

Despite the passionate way that some defend that conventional canal mechanical instrumentation decreases the resistance of teeth to fracture, the current literature is composed by a limited amount of laboratory studies, which means low-quality evidence to shape and guide the clinical decision-making process. Therefore, the idea of providing optimum dimensions for root canal mechanical preparation is one current ongoing concern in endodontic practice and science. Considering the as yet unclear situation of the minimal invasive approaches and rationales proposed to render an endodontically treated tooth predictably functional, the present text focuses on the optimal size/taper relationship necessary to avoid unnecessary overflared canals and, at the same time, to allow the turbulence and solution exchange indispensable for the minimal cleaning and disinfection conditions to assure healing. The big picture is to address and discuss the close-to-optimum operative conditions to maximize tooth strength and longevity. Moreover, advances and developments in nickel-titanium (NiTi) technology have allowed endodontics to move towards the minimally invasive dentistry paradigm.

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Authors and Affiliations

  1. Endodontics, Fluminense Federal University, Niterói, RJ, Brazil

    Gustavo De-Deus, Emmanuel J. N. L. Silva, Daniele Cavalcante & Felipe G. Belladonna

  2. Endodontics, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil

    Emmanuel J. N. L. Silva

  3. Endodontics, Grande Rio University, Rio de Janeiro, RJ, Brazil

    Emmanuel J. N. L. Silva

  4. Endodontics, Faculdade de Medicina Dentária da Universidade de Lisboa, Lisbon, Portugal

    Jorge N. R. Martins

  5. Private Practice, Grande, Plotino & Torsello – Studio di Odontoiatria, Rome, Italy

    Gianluca Plotino

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  1. Gustavo De-Deus
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  2. Emmanuel J. N. L. Silva
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  3. Jorge N. R. Martins
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  6. Gianluca Plotino
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  1. Studio di Odontoiatria, Grande Plotino Torsello, Rome, Italy

    Gianluca Plotino

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De-Deus, G., Silva, E.J.N.L., Martins, J.N.R., Cavalcante, D., Belladonna, F.G., Plotino, G. (2021). Minimally Invasive Root Canal Instrumentation. In: Plotino, G. (eds) Minimally Invasive Approaches in Endodontic Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-45866-9_4

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