Swathi UB, Sindhu Ramesh, Pradeep.S. Clinical Practical Guidelines On Minimally Invasive Endodontics. Int J Dentistry Oral Sci. 2021;8(8):3601-3606. 3601 OPEN ACCESS https://scidoc.org/IJDOS.php Clinical Practical Guidelines On Minimally Invasive Endodontics Review Article International Journal of Dentistry and Oral Science (IJDOS) ISSN: 2377-8075 *Corresponding Author: Sindhu Ramesh, Professor, Department of Conservative Dentistry and Endodontics, Clinical Genetics Lab, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600077, India. Tel: 9840136543 E-mail: sindhuramesh@saveetha.com Received: May 03, 2021 Accepted: July 29, 2021 Published: August 02, 2021 Citation: Swathi UB, Sindhu Ramesh, Pradeep.S. Clinical Practical Guidelines On Minimally Invasive Endodontics. Int J Dentistry Oral Sci. 2021;8(8):3601-3606. doi: http://dx.doi.org/10.19070/2377-8075-21000737 Copyright: Sindhu Ramesh © 2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distri- bution and reproduction in any medium, provided the original author and source are credited. Swathi UB 1 , Sindhu Ramesh 2* , Pradeep.S 3 1 Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sci- ences, Saveetha University, Chennai, India. 2 Professor, Department of Conservative Dentistry and Endodontics, Clinical Genetics Lab, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600077, India. 3 Reader, Department of Conservative Dentistry and Endodontics, Clinical Genetics Lab, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600077, India. Introduction The objective of root canal treatment is to eliminate microor- ganisms and pathologic debris from the root canal system,to seal the root canal three dimensionally and to prevent any rein- fection [1]. Herbert Schielder in 1974, listed certain mechanical objectives of cleaning and shaping to promote the success of the root canal therapy. During root canal therapy,with the aim of eliminating the microorganisms pathologic debris from the root canal system one should also make sure that there is no ex- tensive loss of tooth structure during the process.Correct diag- nosis ,decision making, minimal access openings depending on anatomical challenges,minimal removal of dentin, cleaning and shaping of the root canal by retaining as much sound dentin as possible,performing a crown lengthening procedures to establish sound tooth margins for core/crown restorations rather than planning for a tooth extraction and implant or bridge placement helps in preserving the structural integrity of the tooth structure. [2-7]. Previously our team has a rich experience in working on various research projects across multiple disciplines [8-22] Now the growing trend in this area motivated us to pursue this project. The article lists out a few approaches of Minimally Invasive En- dodontics (MIE) which can preserve the structural integrity of the tooth with minimal invasion and maximum appropriateness. Diagnosis And Treatment Planning Many factors favor caries progression such as endodontic and restorative factors and should be considered while treating car- ies lesions [23-26]. Proper endodontic diagnosis plays an im- portant role for the success of treatment [27-29]. Mature teeth with irreversible pulpitis or apical periodontitis require root canal treatment,during which excessive loss of dental hard tissue can Abstract This review comprises various methods of minimally invasive treatment approaches along with traditional approaches that are used in Endodontics.Searches were based on MEDLINE, PubMed databases and bibliographies of all relevant articles and textbooks. The main focus should be on perpetual preservation of what remains rather than meticulous replacement of what is missing which is achieved by the form extension for prevention to the minimal invasion. Minimally invasive approach requiresknowledge about the root canal anatomy,diagnosis,decision making, along with preservation of structural integrity of tooth, alternate access designs,image guided endodontic access, dynamically guided endodontic access, microguided endodon- tic access, modern bur designs, cleaning and shaping, 3D irrigation and disinfection, root strengthening and magnifcation aids like the loupes and surgical operative microscope.With the help of the following methods mentioned in this article one can preserve the structural integrity of the tooth with minimal invasion and maximum appropriateness. Keywords: Dynamically Guided Endodontic Access; Image Guided Endodontic Access; Magnifcation; Micro Guideden- dodontic Access; Minimally Invasive Endodontics.