Solomonov Michael, Kim Hyeon-Cheol, Hadad Avi, Levy Dan Henry, Ben Itzhak Joe, Levinson Oleg, Azizi Hadas
Department of Endodontics, Israel Defense Forces (IDF) Medical Corps, Tel Hashomer, Israel.
Department of Conservative Dentistry, School of Dentistry, Dental Research Institute, Pusan National University, Yangsan, Korea.
Restor Dent Endod. 2020 Mar 4;45(2):e21. doi: 10.5395/rde.2020.45.e21. eCollection 2020 May.
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.
本文旨在综述针对合适根管预备技术的年龄依赖性临床建议。我们进行了一项关于根管形态、牙本质结构特征以及不同年龄牙髓治疗结果的综合性叙述性综述，而非系统性综述。开展了电子文献检索，包括Medline（Ovid）、PubMed和Web of Science数据库。检索使用了如下控制词汇和自由文本词：“年龄相关的根管治疗”、“年龄相关的预备”、“年龄相关的化学机械预备”、“年龄相关的牙髓临床建议”、“不同年龄的根管预备”、“老年根管治疗”以及“儿童根管治疗”。由于缺乏关于基于年龄的合适根管预备技术的实用临床建议的文献，我们进行了叙述性综述以提出根管治疗期间选择最合适预备技术的临床算法。基于通过叙述性综述发现的证据，提出了根管治疗期间选择合适预备方法的年龄相关临床算法。年龄会影响根管系统的形态以及牙本质的结构特征。临床医生对根管形态和牙本质特征的认识会影响根管治疗器械的选择。
