Consideration about long-term process of dental pulp conservative treatment for the coronal pulp widely replaced with hard tissue

Abstract

In recent years, the lifetime of teeth has been extended with trends such as improvements in oral hygiene, advances in dental prophylaxis, and the promotion of tooth preservation. There have also been an increasing number of cases wherein root canal detection is difficult to perform because a growing number of teeth have recently demonstrated a tendency of having marked levels of calcification at the root canal orifice, stenosis, and closure as a result of encouraging all individuals, regardless of their age, to brush. Furthermore, with the advent of an aging society, the stenotic tendency is expected to accelerate further due to aging-related changes in the root canal as well as factors such as long-term mechanical, cold/heat, and chemical stimulation; dental caries; and periodontal disease. Endodontic treatment for such teeth is extremely difficult. However, the success of this treatment will most likely reflect the manner in which we would address subsequent prosthetic treatments, as well as the need for biting with one’s own teeth for as long a period as possible in one’s life. We should avoid completing unnecessary root canal treatments and instead, increase the success rate of necessary treatments, including prognosis. To this end, it is crucial to correctly determine whether endodontic treatment is a necessity.