KMID : 1034420200450020021
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Restorative Dentistry & Endodontics 2020 Volume.45 No. 2 p.21 ~ p.21
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Age-dependent root canal instrumentation techniques: a comprehensive narrative review
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Solomonov Michael
Kim Hyeon-Cheol Hadad Avi Levy Dan Henry Itzhak Joe Ben Levinson Oleg Azizi Hadas
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Abstract
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The aim of this article was to review age-dependent clinical recommendations for appropriate root canal instrumentation techniques. A comprehensive narrative review of canal morphology, the structural characteristics of dentin, and endodontic outcomes at different ages was undertaken instead of a systematic review. An electronic literature search was carried out, including the Medline (Ovid), PubMed, and Web of Science databases. The searches used controlled vocabulary and free-text terms, as follows: ¡®age-related root canal treatment,¡¯ ¡®age-related instrumentation,¡¯ ¡®age-related chemo-mechanical preparation,¡¯ ¡®age-related endodontic clinical recommendations,¡¯ ¡®root canal instrumentation at different ages,¡¯ ¡®geriatric root canal treatment,¡¯ and ¡®pediatric root canal treatment.¡¯ Due to the lack of literature with practical age-based clinical recommendations for an appropriate root canal instrumentation technique, a narrative review was conducted to suggest a clinical algorithm for choosing the most appropriate instrumentation technique during root canal treatment. Based on the evidence found through the narrative review, an age-related clinical algorithm for choosing appropriate instrumentation during root canal treatment was proposed. Age affects the morphology of the root canal system and the structural characteristics of dentin. The clinician¡¯s awareness of root canal morphology and dentin characteristics can influence the choice of instruments for root canal treatment.
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KEYWORD
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Age, Canal morphology, Dentinal structure, Geriatric root canal treatment, Pediatric root canal treatment, Proposed instrumentation algorithm
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