How does a Truss conservative endodontic access cavity impact the degree of intra-canal disinfection and postoperative pain?

Endodontic access cavity design impacts reduction in bacterial load following chemo-mechanical preparation. The TEC allowed for greater reduction in bacterial levels compared to the TREC. This is likely due to reduced access restricting effective debridement. There are benefits to retaining more dentine with regards to improved fracture resistance following treatment, so further research is required in this area. Additionally, neither the TEC nor TREC had any impact on postoperative pain levels.

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Publication Details

Journal
Evidence-Based Dentistry
Published
2026-03-09
DOI
https://doi.org/10.1038/s41432-026-01212-4
Primary Topic
Endodontics and Root Canal Treatments
Type
article
Field-Weighted Citation Impact
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article

How does a Truss conservative endodontic access cavity impact the degree of intra-canal disinfection and postoperative pain?

David Edwards, Christopher Rae, David Lynch
Evidence-Based Dentistry
Endodontics and Root Canal Treatments
article

How does a Truss conservative endodontic access cavity impact the degree of intra-canal disinfection and postoperative pain?

David Edwards, Christopher Rae, David Lynch
article en

Abstract

Endodontic access cavity design impacts reduction in bacterial load following chemo-mechanical preparation. The TEC allowed for greater reduction in bacterial levels compared to the TREC. This is likely due to reduced access restricting effective debridement. There are benefits to retaining more dentine with regards to improved fracture resistance following treatment, so further research is required in this area. Additionally, neither the TEC nor TREC had any impact on postoperative pain levels.

Evidence-Based Dentistry
Newcastle Dental Hospital (GB)
Openalex Percentile: Top 27%
Endodontics and Root Canal Treatments
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