@article{Huang2024, 
author = {Dingming Huang and Xiaoyan Wang and Jingping Liang and Junqi Ling and Zhuan Bian and Qing Yu and Benxiang Hou and Xinmei Chen and Jiyao Li and Ling Ye and Lei Cheng and Xin Xu and Tao Hu and Hongkun Wu and Bin Guo and Qin Su and Zhi Chen and Lihong Qiu and Wenxia Chen and Xi Wei and Zhengwei Huang and Jinhua Yu and Zhengmei Lin and Qi Zhang and Deqin Yang and Jin Zhao and Shuang Pan and Jian Yang and Jiayuan Wu and Yihuai Pan and Xiaoli Xie and Shuli Deng and Xiaojing Huang and Lan Zhang and Lin Yue and Xuedong Zhou},
title = {Expert consensus on difficulty assessment of endodontic therapy},
year = {2024},
journal = {International Journal of Oral Science},
volume = {16},
number = {1},
pages = {22},
url = {https://www.sciopen.com/article/10.1038/s41368-024-00285-0},
doi = {10.1038/s41368-024-00285-0},
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.}
}