Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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Age-dependent root canal instrumentation techniques: a comprehensive narrative review

  • Solomonov, Michael (Department of Endodontics, Israel Defense Forces (IDF) Medical Corps) ;
  • Kim, Hyeon-Cheol (Department of Conservative Dentistry, School of Dentistry, Dental Research Institute, Pusan National University) ;
  • Hadad, Avi (Department of Endodontics, Israel Defense Forces (IDF) Medical Corps) ;
  • Levy, Dan Henry (Department of Endodontics, Israel Defense Forces (IDF) Medical Corps) ;
  • Itzhak, Joe Ben (Department of Endodontics, Israel Defense Forces (IDF) Medical Corps) ;
  • Levinson, Oleg ;
  • Azizi, Hadas (Department of Endodontics, Israel Defense Forces (IDF) Medical Corps)
  • Received : 2019.09.04
  • Accepted : 2019.11.20
  • Published : 2020.05.31
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Abstract

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.

Keywords

References

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