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In the wake of minimally invasive restorative dentistry, arguments for a minimally invasive approach in endodontics have been made. This includes practically nickel-titanium rotary instruments. However, although possessing the superior mechanical quality to their stainless-steel counterparts, NiTi alloys still have limitations and retain elastic memory that may cause canal deviation. Would the introduction of martensitic alloys be enough to compensate for that fact? Instrument design is also a key feature that is generally understated. Furthermore, the minimally invasive approach may be detrimental to the cleaning process and endanger the final treatment result. A lot of clinical and experimental data on minimally invasive endodontics are available, so applying the latest research findings to our daily clinical use can significantly impact treatment outcomes.
- Understand the concept of minimally invasive endodontics (MIE)
- Enumerate the pros and cons of MIE
- Know how to choose properly instrument size and taper as a function of root canal anatomy
- Learn how to bypass the shortcomings of MIE
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