Restorative Dentistry & Endodontics

Review Article

Traditional and minimally invasive access cavities in endodontics: a literature review: Ioanna Kapetanaki, Fotis Dimopoulos, Christos Gogos; Restor Dent Endod 2021;46(3):e46. Published online August 13, 2021; DOI: https://doi.org/10.5395/rde.2021.46.e46

The aim of this review was to evaluate the effects of different access cavity designs on endodontic treatment and tooth prognosis. Two independent reviewers conducted an unrestricted search of the relevant literature contained in the following electronic databases: PubMed, Science Direct, Scopus, Web of Science, and OpenGrey. The electronic search was supplemented by a manual search during the same time period. The reference lists of the articles that advanced to second-round screening were hand-searched to identify additional potential articles. Experts were also contacted in an effort to learn about possible unpublished or ongoing studies. The benefits of minimally invasive access (MIA) cavities are not yet fully supported by research data. There is no evidence that this approach can replace the traditional approach of straight-line access cavities. Guided endodontics is a new method for teeth with pulp canal calcification and apical infection, but there have been no cost-benefit investigations or time studies to verify these personal opinions. Although the purpose of MIA cavities is to reflect clinicians' interest in retaining a greater amount of the dental substance, traditional cavities are the safer method for effective instrument operation and the prevention of iatrogenic complications.

Citations

Citations to this article as recorded by

Benefits of Using Magnification in Access Cavity Preparation by Undergraduate Dental Students: A Micro‐Computed Tomography Study
Manal Almaslamani, Okba Mahmoud, Aya Ali, Mawada Abdelmagied
European Journal of Dental Education.2025;[Epub] CrossRef
Effect of access cavity design on canal instrumentation efficiency and fracture resistance in mandibular molars: A cone-beam computed tomography study
Dalia Al-Harith, Rawan Meshal AlOtaibi
Saudi Journal of Oral Sciences.2025; 12(1): 72. CrossRef
Full-coverage Porcelain-fused-to-metal Crown with Guided Access for Future Endodontic Treatment: A Comparative Pilot In Vitro Study
Mohammed Mashyakhy, Hemant Chourasia, Hafiz Adawi, Abdulaziz Abu-Melha, Elham Khudhayr, Rafif Bakri, Taif Kameli, Khalid Moashy, Hitesh Chohan
The Journal of Contemporary Dental Practice.2025; 26(3): 234. CrossRef
Comparative evaluation of root canal morphology in mandibular first premolars with deep radicular grooves using direct vision, dental operating microscope, 2D radiographic visualisation and micro-computed tomography
Mohmed Isaqali Karobari, Hany Mohamed Aly Ahmed, Mohd Fadhli Bin Khamis, Norliza Ibrahim, Tahir Yusuf Noorani, Miriam Fatima Zaccaro Scelza
PLOS One.2025; 20(7): e0329439. CrossRef
Impact of conservative and traditional endodontic accesses on the strength of maxillary zirconia crowns
Carlos A. Jurado, Gustavo Morrice, Mark Antal, Silvia Rojas‐Rueda, Francisco X. Azpiazu‐Flores, Brian R. Morrow, Franklin Garcia‐Godoy, Damian J. Lee
Journal of Prosthodontics.2025;[Epub] CrossRef
A Finite Element Method Study of Stress Distribution in Dental Hard Tissues: Impact of Access Cavity Design and Restoration Material
Mihaela-Roxana Boțilă, Dragos Laurențiu Popa, Răzvan Mercuț, Monica Mihaela Iacov-Crăițoiu, Monica Scrieciu, Sanda Mihaela Popescu, Veronica Mercuț
Bioengineering.2024; 11(9): 878. CrossRef
Impact of Access Cavity Design on Fracture Resistance of Endodontically Treated Maxillary First Premolar: In Vitro
Anju Daniel, Abdul Rahman Saleh, Anas Al-Jadaa, Waad Kheder
Brazilian Dental Journal.2024;[Epub] CrossRef
Management of Traumatized Teeth With Severely Calcified Canals and Minimally Invasive Access Cavity Using the AReneto® System: A Case Report
Pucha Sai Manaswini, Varun Prabhuji, Champa C, Srirekha A, Veena S Pai
Cureus.2024;[Epub] CrossRef
Exploring the Impact of Access Cavity Designs on Canal Orifice Localization and Debris Presence: A Scoping Review
Mario Dioguardi, Davide La Notte, Diego Sovereto, Cristian Quarta, Andrea Ballini, Vito Crincoli, Riccardo Aiuto, Mario Alovisi, Angelo Martella, Lorenzo Lo Muzio
Clinical and Experimental Dental Research.2024;[Epub] CrossRef
The effect of computer aided navigation techniques on the precision of endodontic access cavities: A systematic review and meta-analysis
P. R. Kesharani, S. D. Aggarwal, N. K. Patel, J. A. Patel, D. A. Patil, S. H. Modi
Endodontics Today.2024; 22(3): 244. CrossRef
Minimally Invasive Access Cavity Designs: A Review
Sushmita Rane, Varsha Pandit, Ashwini Gaikwad, Shivani Chavan, Rajlaxmi Patil, Mrunal Shinde
Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 3): S1971. CrossRef
Influence of Cavity Designs on Fracture Resistance: Analysis of the Role of Different Access Techniques to the Endodontic Cavity in the Onset of Fractures: Narrative Review
Mario Dioguardi, Davide La Notte, Diego Sovereto, Cristian Quarta, Angelo Martella, Andrea Ballini, Cornelis H. Pameijer
The Scientific World Journal.2024;[Epub] CrossRef
Digital precision meets dentin preservation: PriciGuide™ system for guided access opening
Varun Prabhuji, A. Srirekha, Veena Pai, Archana Srinivasan, S. M. Laxmikanth, Shwetha Shanbhag
Journal of Conservative Dentistry and Endodontics.2024; 27(8): 884. CrossRef
Minimal Invasive Endodontics: A Comprehensive Narrative Review
Jaydip Marvaniya, Kishan Agarwal, Dhaval N Mehta, Nirav Parmar, Ritwik Shyamal , Jenee Patel
Cureus.2022;[Epub] CrossRef

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Research Article

Ten years of minimally invasive access cavities in Endodontics: a bibliometric analysis of the 25 most-cited studies: Emmanuel João Nogueira Leal Silva, Karem Paula Pinto, Natasha C. Ajuz, Luciana Moura Sassone; Restor Dent Endod 2021;46(3):e42. Published online July 21, 2021; DOI: https://doi.org/10.5395/rde.2021.46.e42

Abstract PDF PubReader ePub

Objectives

This study aimed to analyze the main features of the 25 most-cited articles in minimally invasive access cavities.

Materials and Methods

An electronic search was conducted on the Clarivate Analytics' Web of Science ‘All Databases’ to identify the most-cited articles related to this topic. Citation counts were cross-matched with data from Elsevier's Scopus and Google Scholar. Information about authors, contributing institutions and countries, year and journal of publication, study design and topic, access cavity, and keywords were analyzed.

Results

The top 25 most-cited articles received a total of 572 (Web of Science), 1,160 (Google Scholar) and 631 (Scopus) citations. It was observed a positive significant association between the number of citations and age of publication (r = 0.6907, p < 0.0001); however, there was no significant association regarding citation density and age of publication (r = −0.2631, p = 0.2038). The Journal of Endodontics made the highest contribution (n = 15, 60%). The United States had the largest number of publications (n = 7) followed by Brazil (n = 4), with the most contributions from the University of Tennessee and Grande Rio University (n = 3), respectively. The highest number of most-cited articles were ex vivo studies (n = 16), and ‘fracture resistance’ was the major topic studied (n = 10).

Conclusions

This study revealed a growing interest for researchers in the field of minimally invasive access cavities. Future trends are focused on the expansion of collaborative networks and the conduction of laboratory studies on under-investigated parameters.

Citations

Citations to this article as recorded by

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Oscar Alejandro Gutiérrez-Alvarez, Luis Alberto Pantoja-Villa, Benigno Miguel Calderón-Rojas
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Journal of Endodontics.2025;[Epub] CrossRef
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Mehmet Eskibağlar, Serkan Erdem, Büşra Karaağaç Eskibağlar, Mete Onur Kaman
PeerJ.2024; 12: e17921. CrossRef
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Thaine Oliveira Lima, Aurélio de Oliveira Rocha, Lucas Menezes dos Anjos, Nailson Silva Meneses Júnior, Marco Antonio Hungaro Duarte, Murilo Priori Alcalde, Mariane Cardoso, Rodrigo Ricci Vivan
Journal of Endodontics.2024; 50(1): 10. CrossRef
Novel method for augmented reality guided endodontics: An in vitro study
Marco Farronato, Andres Torres, Mariano S. Pedano, Reinhilde Jacobs
Journal of Dentistry.2023; 132: 104476. CrossRef
Contribution of Türkiye to the Field of Endodontology: A Visualized Bibliometric Analysis Based on Web of Science
Olcay ÖZDEMİR, Yağız ÖZBAY, Neslihan YILMAZ ÇIRAKOĞLU
Medical Records.2023; 5(1): 91. CrossRef
Effect of access cavities on the biomechanics of mandibular molars: a finite element analysis
Xiao Wang, Dan Wang, Yi-rong Wang, Xiao-gang Cheng, Long-xing Ni, Wei Wang, Yu Tian
BMC Oral Health.2023;[Epub] CrossRef
Contemporary research trends on nanoparticles in endodontics: a bibliometric and scientometric analysis of the top 100 most-cited articles
Sıla Nur Usta, Zeliha Uğur-Aydın, Kadriye Demirkaya, Cumhur Aydın
Restorative Dentistry & Endodontics.2023;[Epub] CrossRef
Evolving trend of systematic reviews and meta-analyses in endodontics: A bibliometric study
GalvinSim Siang Lin, JiaZheng Leong, WenXin Chong, MikoChong Kha Chee, ChinSheng Lee, Manahil Maqbool, TahirYusuf Noorani
Saudi Endodontic Journal.2022; 12(3): 236. CrossRef
Global research trends on photodynamic therapy in endodontics: A bibliometric analysis
Lucas Peixoto de Araújo, Wellington Luiz de Oliveira da Rosa, Leandro Bueno Gobbo, Tamares Andrade da Silva, José Flávio Affonso de Almeida, Caio Cezar Randi Ferraz
Photodiagnosis and Photodynamic Therapy.2022; 40: 103039. CrossRef
Minimal Invasive Endodontics: A Comprehensive Narrative Review
Jaydip Marvaniya, Kishan Agarwal, Dhaval N Mehta, Nirav Parmar, Ritwik Shyamal , Jenee Patel
Cureus.2022;[Epub] CrossRef

2,888 View
28 Download
8 Web of Science
12 Crossref

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