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Age-dependent root canal instrumentation techniques: a comprehensive narrative review.
Michael Solomonov1, Hyeon-Cheol Kim2, Avi Hadad1
1Department of Endodontics, Israel Defense Forces (IDF) Medical Corps, Tel Hashomer, Israel.
Restorative Dentistry & Endodontics
|June 3, 2020
Summary
This review explores age-related root canal instrumentation techniques, finding age impacts root canal morphology and dentin. Clinicians should consider these age-related factors when selecting endodontic instruments for optimal treatment outcomes.
Area of Science:
- Dentistry
- Endodontics
- Dental Materials Science
Background:
- Root canal instrumentation techniques require adaptation based on patient age.
- Age-related changes in root canal morphology and dentin structure influence treatment outcomes.
- Existing literature lacks specific age-based clinical recommendations for instrumentation selection.
Purpose of the Study:
- To review age-dependent clinical recommendations for appropriate root canal instrumentation techniques.
- To propose a clinical algorithm for selecting instrumentation based on patient age.
- To highlight the influence of age on root canal morphology and dentin characteristics.
Main Methods:
- A comprehensive narrative review was conducted.
- Literature search included Medline (Ovid), PubMed, and Web of Science databases.
- Search terms focused on age-related aspects of root canal treatment and instrumentation.
Main Results:
- A significant lack of practical, age-based clinical recommendations for root canal instrumentation was identified.
- Age-related changes in root canal morphology and dentin structural characteristics were confirmed.
- An age-related clinical algorithm for choosing appropriate instrumentation was proposed based on the review.
Conclusions:
- Awareness of age-related changes in root canal morphology and dentin is crucial for clinicians.
- The proposed clinical algorithm can guide the selection of appropriate instrumentation techniques.
- Tailoring instrumentation to patient age can potentially improve endodontic treatment success.
Keywords:
AgeCanal morphologyDentinal structureGeriatric root canal treatment, Pediatric root canal treatmentProposed instrumentation algorithm
