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Minimally invasive dentistry prioritizes preserving tooth structure and patient care, focusing on maintaining dentine tissue and minimizing fractures. Traditional Endodontic Access Cavities can compromise tooth integrity, leading to unrepairable fractures. Modern techniques include conservative, ninja, orifice-directed, incisal, Cala Lilly, and micro-guided endo access. Technological advancements like dental operating microscopes and CBCT imaging enhance conservativeness and predictability. Dynamic access cavities in endodontic therapy preserve tooth structure while accommodating root canal system complexities.