Location, incidence and clinical implications of the root canal isthmus

Root canal isthmus(RCI) is defined as a narrow, ribbon-shaped communication between two root canals that contains pulp or tissue derived from pulp. Any root that contains two or more root canals has the potential to contain an isthmus. The incidence of RCI from different tooth positions varies, with...

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Main Authors: SUN Shuyu, WANG He
Format: Article
Language:zho
Published: Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 2021-01-01
Series:口腔疾病防治
Subjects:
Online Access:http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2021.01.002
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author SUN Shuyu
WANG He
author_facet SUN Shuyu
WANG He
author_sort SUN Shuyu
collection DOAJ
description Root canal isthmus(RCI) is defined as a narrow, ribbon-shaped communication between two root canals that contains pulp or tissue derived from pulp. Any root that contains two or more root canals has the potential to contain an isthmus. The incidence of RCI from different tooth positions varies, with the highest RCI incidences usually found in the mesial root of the mandibular first molar and the mesiobuccal root of the maxillary first molar. The presence of RCI increases the difficulty of root canal therapy and introduces uncertainty regarding the prognosis for dental treatment. It is recommended to use CBCT and dental microscopy to identify teeth with suspected RCI in clinical practice. At the same time, for treatment of teeth with RCI, appropriate instruments should be selected, and enhanced root canal irrigation assisted by ultrasound should be considered to improve the success rate of root canal treatment and endodontic root-end surgery. The current technology still has some limitations regarding the cleaning and filling of RCI and additional research and development. Improvement of the corresponding technology and equipment is a current research hotspot and a future research direction
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spelling doaj.art-41c01b836f0b432d848488f7ee0c70d42022-12-21T19:38:07ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562096-14562021-01-01291111910.12016/j.issn.2096⁃1456.2021.01.002Location, incidence and clinical implications of the root canal isthmusSUN Shuyu0WANG He1Department of Endodontics, Stomatological Hospital , Southern Medical UniversityDepartment of Endodontics, Stomatological Hospital , Southern Medical UniversityRoot canal isthmus(RCI) is defined as a narrow, ribbon-shaped communication between two root canals that contains pulp or tissue derived from pulp. Any root that contains two or more root canals has the potential to contain an isthmus. The incidence of RCI from different tooth positions varies, with the highest RCI incidences usually found in the mesial root of the mandibular first molar and the mesiobuccal root of the maxillary first molar. The presence of RCI increases the difficulty of root canal therapy and introduces uncertainty regarding the prognosis for dental treatment. It is recommended to use CBCT and dental microscopy to identify teeth with suspected RCI in clinical practice. At the same time, for treatment of teeth with RCI, appropriate instruments should be selected, and enhanced root canal irrigation assisted by ultrasound should be considered to improve the success rate of root canal treatment and endodontic root-end surgery. The current technology still has some limitations regarding the cleaning and filling of RCI and additional research and development. Improvement of the corresponding technology and equipment is a current research hotspot and a future research directionhttp://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2021.01.002root canal isthmus,root canal anatomy,root canal preparation,root canal filling,root canal irrigation ,permanent molar,cone-beam computed tomography,
spellingShingle SUN Shuyu
WANG He
Location, incidence and clinical implications of the root canal isthmus
口腔疾病防治
root canal isthmus,
root canal anatomy,
root canal preparation,
root canal filling,
root canal irrigation ,
permanent molar,
cone-beam computed tomography,
title Location, incidence and clinical implications of the root canal isthmus
title_full Location, incidence and clinical implications of the root canal isthmus
title_fullStr Location, incidence and clinical implications of the root canal isthmus
title_full_unstemmed Location, incidence and clinical implications of the root canal isthmus
title_short Location, incidence and clinical implications of the root canal isthmus
title_sort location incidence and clinical implications of the root canal isthmus
topic root canal isthmus,
root canal anatomy,
root canal preparation,
root canal filling,
root canal irrigation ,
permanent molar,
cone-beam computed tomography,
url http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2021.01.002
work_keys_str_mv AT sunshuyu locationincidenceandclinicalimplicationsoftherootcanalisthmus
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