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 Experts were also contacted in an effort to learn about possible unpublished or ongoing studies.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
• 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