If you're willing to take a look at the front bank of cylinders only, it should be essentially as easy as doing the I-4.
The dental mirror thing won't work on this engine (I've owned two 1MZs myself, one from the sludge era). It has a baffle inside the valve/cam cover that completely blocks the view into the space below. I'm not sure about your 98, but later xMZ engines also have a coating of some sort on the baffle (reportedly, it's there to help absorb valve train noise). This thin, spongy layer is black right from the factory, and is often confused for sludge. This issue has come up several times over on Toyota Nation. If you want to see for yourself, stop by any Toyota dealer and open up the oil filler in a brand new 3MZ vehicle (only Siennas and V-6 Highlanders still have this engine, other models have moved to the xGR series).
But I digress -- to inspect this engine, you will have to get at least one cover off, which should not be too much of a PITA.