EC Dental Science

Minimally invasive endodontics (MIE) stands as a revolution in modern dentistry that allows for managing endodontic diseases while retaining as much tooth tissue as possible. This systematic review and meta-analysis offer a systematic and methodical appraisal of the literature concerning MIE regarding its clinical efficacy, patient-centered advantage, and cost feasibility. The review also concluded that MIE techniques, which have conservative access cavity preparation, targeted instrumentation, and peri-cervical dentin preservation, are more effective than traditional endodontic procedures. MIE on the anterior teeth demonstrated better tooth survival rates, improved properties of the fractured structure, decreased pain sensations after the operation, and a shorter recovery period. These results emphasize the significance of maintaining tooth tissue and avoiding undue substrate destruction in endodontic surgeries because this may significantly affect the outcomes and biomechanical behavior of the treated teeth. However, the economic analysis showed the prospect of longer-term savings by MIE compared with treatment failures and more rational use of resources. The review showed that there are major advantages in terms of clinical efficiency and patient experience, although employing a specialized train for MIE may require additional funds in comparison to the basic price. However, the research also presents some gaps in existing literature, especially the lack of long-term clinical trial results, comparisons between different MIE methods, and ways to make MIE less expensive to overcome barriers that hinder its implementation.

 Keywords: Minimally Invasive Endodontics (MIE); Vital Pulp Treatment (VPT); CBCT

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