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Digital Design of Minimally Invasive Endodontic Access Cavity

Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
Dental Department, King Abdulaziz Medical City, Jeddaah 14611, Saudi Arabia
Department of Therapeutic Dentistry, I.M. Sechenov First Moscow State Medical University, 119991 Moscow, Russia
Author to whom correspondence should be addressed.
Appl. Sci. 2020, 10(10), 3513;
Received: 3 May 2020 / Revised: 16 May 2020 / Accepted: 18 May 2020 / Published: 19 May 2020
(This article belongs to the Special Issue Innovative Techniques in Endodontics)
New minimally invasive endodontic cavities have been described and proposed to preserve dentin (and enamel) through strategic access, including point endodontic access cavity (PEAC). There is no consensus to what extent PEAC contributes to tooth’s resistance to fracture, because there is no agreement on how PEAC should be performed. The purpose of the present study is to describe and classify four different types of PEACs and to examine if a dynamic navigation system /DNS) could allow planning and precisely executing these cavities in vitro. Forty TrueTooth TM Replica # 3-001 models, were randomly divided into four identical groups of ten and scanned using a cone bean computed tomography (OP-Maxio 300, Instrumentarium-Kavo, Finland). Then, four different access cavities were planned and performed by using DNS (Navident dynamic navigation system, ClaroNav, Toronto, ON, Canada). For each tooth, a different PEAC was designed to obtain endodontic access to the main mesio-buccal canal (MB1), resulting in a different location of the entry point on the occlusal surface of the tooth. Precision was evaluated by comparing deviation in the inclinations between the planned and real cavity. Data were recorded and statistically analyzed. DNS allowed preparation of minimally invasive “straight line” cavities, with some differences in the accuracy. View Full-Text
Keywords: dynamic guide; digital planning; minimally invasive dentistry; conservative endodontic access dynamic guide; digital planning; minimally invasive dentistry; conservative endodontic access
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MDPI and ACS Style

Gambarini, G.; Galli, M.; Morese, A.; Abduljabbar, F.; Seracchiani, M.; Stefanelli, L.V.; Giovarruscio, M.; Di Nardo, D.; Testarelli, L. Digital Design of Minimally Invasive Endodontic Access Cavity. Appl. Sci. 2020, 10, 3513.

AMA Style

Gambarini G, Galli M, Morese A, Abduljabbar F, Seracchiani M, Stefanelli LV, Giovarruscio M, Di Nardo D, Testarelli L. Digital Design of Minimally Invasive Endodontic Access Cavity. Applied Sciences. 2020; 10(10):3513.

Chicago/Turabian Style

Gambarini, Gianluca, Massimo Galli, Antonio Morese, Fouad Abduljabbar, Marco Seracchiani, Luigi Vito Stefanelli, Massimo Giovarruscio, Dario Di Nardo, and Luca Testarelli. 2020. "Digital Design of Minimally Invasive Endodontic Access Cavity" Applied Sciences 10, no. 10: 3513.

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