Expert consensus on difficulty assessment of endodontic therapy

作     者：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 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

作者机构：State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Department of Operative Dentistry and EndodonticsWest China Hospital of StomatologySichuan UniversityChengduChina Department of Cariology and EndodontologyPeking University School and Hospital of Stomatology&National Center of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Laboratory for Digital and Material Technology of Stomatology&Beijing Key Laboratory of Digital Stomatology&Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health&NMPA Key Laboratory for Dental MaterialsBeijingChina Department of EndodonticsShanghai Ninth People’s HospitalShanghai Jiao Tong University School of MedicineCollege of StomatologyShanghai Jiao Tong UniversityNational Clinical Research Center for Oral DiseasesNational Center for StomatologyShanghai Key Laboratory of StomatologyShanghaiChina Department of Operative Dentistry and EndodonticsHospital of StomatologyGuanghuaSchool of StomatologySun Yat-Sen University&Guangdong Provincial Key Laboratory of StomatologyGuangzhouChina The State Key Laboratory Breeding Base of Basic Science of Stomatology(Hubei-MOST)&Key Laboratory of Oral Biomedicine Ministry of EducationSchool and Hospital of StomatologyWuhan UniversityWuhanChina Department of Operative Dentistry&EndodonticsSchool of StomatologyThe Fourth Military Medical UniversityXi’anChina Department of EndodonticsBeijing Stomatological HospitalSchool of StomatologyCapital Medical UniversityBeijingChina State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Department of Preventive DentistryWest China Hospital of StomatologySichuan UniversityChengduChina State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Department of Geriatric dentistryWest China Hospital of StomatologySichuan UniversityChengduChina Department of StomatologyFirst Medical CenterChinese PLA General HospitalBeijingChina Department of EndodonticsSchool of StomatologyChina Medical UniversityShenyangChina College of StomatologyHospital of StomatologyGuangxi Medical UniversityNanningChina Department of EndodonticsSchool and Hospital of StomatologyNanjing Medical UniversityNanjingChina Department of EndodonticsStomatological Hospital and Dental School of Tongji UniversityShanghai Engineering Research Center of Tooth Restoration and RegenerationShanghaiChina Department of EndodonticsStomatological Hospital of Chongqing Medical UniversityChongqingChina Department of EndodonticsFirst Affiliated Hospital of Xinjiang Medical Universityand College of Stomatology of Xinjiang Medical UniversityUrumqiChina Department of EndodonticsSchoolof StomatologyFirst Affiliated Hospital of Harbin Medical UniversityHarbinChina Department of EndodonticsThe Affiliated Stomatological Hospital of Nanchang UniversityNanchangChina Key Laboratory of Oral Disease ResearchSchool of StomatologyZunyi Medical UniversityZunyiChina Department of EndodonticsSchool and Hospital of StomatologyWenzhou Medical UniversityWenzhouChina Department of Cariology and EndodonticsXiangya Stomatological SchoolCentral South UniversityChangshaChina Stomatology HospitalSchool of StomatologyZhejiang University School of MedicineZhejiang Provincial Clinical Research Center for Oral DiseasesKey Laboratory of Oral Biomedical Research of Zhejiang ProvinceCancer Center of Zhejiang UniversityHangzhouChina School and Hospital of StomatologyFujian Medical UniversityFuzhouChina 

出 版 物：《International Journal of Oral Science》 (国际口腔科学杂志（英文版）)

年 卷 期：2024年第16卷第1期

页      面：15-25页

核心收录：

学科分类：1003[医学-口腔医学] 100302[医学-口腔临床医学] 10[医学] 

主　　题：anatomy difficulty treatment 

摘      要：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.