Acesso conservador e suas implicações no tratamento endodôntico: uma revisão de literatura

Abstract

Introduction: Endodontic access is a fundamental step in endodontic treatment, allowing access to the pulp cavity to remove infected or inflamed tissue. Traditionally, endodontic access has been associated with excessive removal of healthy dentin, which can compromise tooth strength. In this context, the conservative approach to endodontic access has emerged as an alternative in seeking to preserve the greatest possible amount of tooth structure during endodontic treatment. Objective: The objective of this work is to carry out a literature review on the implications caused in endodontic treatment by conservative endodontic accesses in relation to traditional endodontic accesses. Methodology: A search was performed in the PubMED databases, using the terms “Root canal treatment”, “Dental Pulp Cavity” and “Conservative Treatment”. Articles from the last ten years in English from the journals “Journal of Endodontics” and “International Endodontic Journal” were prioritized. Materials and methods: Despite the pursuit of conservative Endodontics to preserve healthy structures, unwanted results may occur in the stages subsequent to endodontic access, such as difficulty in accessing the pulp chamber, limitations in visualization, instrumentation, obturation and cleaning of root canals, and also resistance to fracture without significant difference compared to traditional access. Conclusion: Although conservative endodontic access is a promising approach, it is important to highlight that it may have limitations, since there is no evidence of increased fracture resistance in teeth with conservative accesses when compared to traditional accesses, as well as other relevant disadvantages during treatment, therefore there is no reason to opt for it, traditional access being preferable.