Expert consensus on difficulty assessment of endodontic therapy

IF 10.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Dingming Huang, Xiaoyan Wang, Jingping Liang, Junqi Ling, Zhuan Bian, Qing Yu, Benxiang Hou, Xinmei Chen, Jiyao Li, Ling Ye, Lei Cheng, Xin Xu, Tao Hu, Hongkun Wu, Bin Guo, Qin Su, Zhi Chen, Lihong Qiu, Wenxia Chen, Xi Wei, Zhengwei Huang, Jinhua Yu, Zhengmei Lin, Qi Zhang, Deqin Yang, Jin Zhao, Shuang Pan, Jian Yang, Jiayuan Wu, Yihuai Pan, Xiaoli Xie, Shuli Deng, Xiaojing Huang, Lan Zhang, Lin Yue, Xuedong Zhou
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引用次数: 0

Abstract

Endodontic diseases are a kind of chronic infectious oral disease. Common endodontic treatment concepts are based on the removal of inflamed or necrotic pulp tissue and the replacement by gutta-percha. However, it is very essential for endodontic treatment to debride the root canal system and prevent the root canal system from bacterial reinfection after root canal therapy (RCT). Recent research, encompassing bacterial etiology and advanced imaging techniques, contributes to our understanding of the root canal system’s anatomy intricacies and the technique sensitivity of RCT. Success in RCT hinges on factors like patients, infection severity, root canal anatomy, and treatment techniques. Therefore, improving disease management is a key issue to combat endodontic diseases and cure periapical lesions. The clinical difficulty assessment system of RCT is established based on patient conditions, tooth conditions, root canal configuration, and root canal needing retreatment, and emphasizes pre-treatment risk assessment for optimal outcomes. The findings suggest that the presence of risk factors may correlate with the challenge of achieving the high standard required for RCT. These insights contribute not only to improve education but also aid practitioners in treatment planning and referral decision-making within the field of endodontics.

牙髓治疗难度评估专家共识
牙髓病是一种慢性传染性口腔疾病。常见的牙髓治疗理念是去除发炎或坏死的牙髓组织,并用古塔胶替代。然而,在根管治疗(RCT)后,清除根管系统内的细菌并防止根管系统再次感染对根管治疗非常重要。最近的研究包括细菌病因学和先进的成像技术,有助于我们了解根管系统错综复杂的解剖结构和根管治疗技术的敏感性。根管治疗的成功与否取决于患者、感染严重程度、根管解剖和治疗技术等因素。因此,改善疾病管理是防治牙髓病和根尖周病变的关键问题。RCT 的临床难度评估系统是根据患者情况、牙齿情况、根管构造和需要再治疗的根管情况建立的,强调治疗前的风险评估,以达到最佳治疗效果。研究结果表明,风险因素的存在可能与达到 RCT 所要求的高标准的难度相关。这些见解不仅有助于提高教育水平,还有助于牙髓病学领域的从业人员制定治疗计划和转诊决策。
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来源期刊
International Journal of Oral Science
International Journal of Oral Science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
31.80
自引率
1.30%
发文量
53
审稿时长
>12 weeks
期刊介绍: The International Journal of Oral Science covers various aspects of oral science and interdisciplinary fields, encompassing basic, applied, and clinical research. Topics include, but are not limited to: Oral microbiology Oral and maxillofacial oncology Cariology Oral inflammation and infection Dental stem cells and regenerative medicine Craniofacial surgery Dental material Oral biomechanics Oral, dental, and maxillofacial genetic and developmental diseases Craniofacial bone research Craniofacial-related biomaterials Temporomandibular joint disorder and osteoarthritis The journal publishes peer-reviewed Articles presenting new research results and Review Articles offering concise summaries of specific areas in oral science.
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