Conservative endodontics: A truss access case series

Abstract

The prime objective of this case report is to obtain access cavity designs that is strategic dentin preservation (ie, leaving a truss of dentin between the 2 cavities thus prepared). Three permanent teeth with an indication for endodontic treatment were treated via the truss access cavity design rather than traditional access cavity protocol using copious irrigation. The teeth were then given post-endodontic restorations. Endodontically treated teeth did not show any post-operative symptoms or any presence of post-operative periapical radiolucency or flare-up. Truss access approach mainly emphasizes on the preservation of the healthy tooth structure with the minimally invasive approach. This minimal invasive approach in access opening avoids the need for conventionally placed crowns.