Medi e anean Jou nal o www.mjmm .pe iodikos.com.b
Medicine & Medical Sciences Medi e J Med Med Sci
Ra i IK (2025) Medi e J Med Med Sci. 1(3): 1-3. Page 1
COMMENTARY a icle
C i ical aspec s and u u e di ec ions o oo canal ea men
o know in den al educa ion: A policy b ie
I ea Kazim Ra i
Depa men o Pha macy, Jahangi naga Uni e si y, Sa a , Dhaka-1342, Bangladesh
A icle numbe : 11, Recei ed: 10-09-2025, Accep ed: 02-10-2025, Published online: 07-10-2025
HOW TO CITE THIS
Ra i IK. C i ical aspec s and u u e di ec ions o oo canal ea men o know in den al educa ion: A policy b ie .
Medi e J Med Med Sci. 2025; 1(3): 1-3. [A icle numbe : 11]. h ps://doi.o g/10.5281/zenodo.17281553
Keywo ds: AI in eg a ion, endodon ics, den al p ocedu e, RCT
Pa ien s equen ly iew oo canal he apy (RCT) as a igh ening and pain ul den al p ocedu e. Howe e ,
due o de elopmen s in con empo a y endodon ics, his ea men is now a compa a i ely mo e success ul and
somewha com o able echnique aimed a p ese ing na u al den i ion [1, 2]. Roo canal he apy p e en s
p oblems like abscess o ma ion and oo h loss by add essing he unde lying pa hophysiology o pulpal
in ec ion and pe iapical illness a he han only ea ing symp oms. RCT's unc ion in oo h p ese a ion is
one o i s no ewo hy ea u es. RCT enables pa ien s o keep hei na u al ee h, imp o ing speech, mas ica ion,
and sel -con idence, as opposed o ex ac ion, which i e e sibly changes o al unc ion and appea ance.
Mo eo e , wi h he addi ion o ull-co e age es o a ions such as c owns, ea ed ee h can main ain
unc ionali y o many yea s [3]. To asce ain whe he RCT is success ul, den al p o essionals mus use he
app op ia e compe ence and judgmen while assessing endodon ic ou comes. A e a oo - illed oo h has
unde gone a ious unc ional ac i i ies h oughou ime, endodon ic success is assessed. Adop ing pa icula
c i e ia is necessa y o e alua e such success. In e es ingly, se e al s udies ha e used o e lapping c i e ia [4,
5]. Despi e i s ad an ages, RCT is s ill equen ly con o e sial. Fea o pain o excessi e expense causes
many pa ien s o hold o on ea men , which equen ly esul s in a wo sening in ec ion and sys emic e ec s.
Pa ien educa ion is essen ial om a public heal h s andpoin , s essing ha un ea ed o al in ec ions may no
s ay localized bu ins ead migh lead o mo e se ious heal h issues, including sys emic in lamma ion and
ca dio ascula di icul ies [6, 7]. T ea men accu acy and success a es ha e inc eased signi ican ly as a esul
o echnological ad ancemen s, including o a y endodon ics, apex loca o s, and h ee-dimensional imaging.
Howe e , pa ien case selec ion, asep ic p o ocol adhe ence, and p ac i ione expe ise all ha e a signi ican
impac on clinical ou comes. Rein ec ion and ea men ailu e highligh he need o ongoing e inemen in
echniques and pa ien compliance wi h ollow-up ca e.
Al hough he e ha e been signi ican b eak h oughs in RCT in ecen decades, p oblems such as ein ec ion,
insu icien disin ec ion, and es o a ion ailu es s ill exis . Nume ous exci ing a enues o he u u e a e being
explo ed o u he enhance pa ien ou comes and success a es [8]. Resea ch is being done on issue
enginee ing sca olds, g ow h ac o s, and s em cell-based ea men s o help he pulp-den in complex egain
i s na u al unc ion and i ali y. Bioac i e and an ibac e ial nanopa icles can imp o e canal sealing and
disin ec ion. Real- ime ea men planning and accu a e canal mapping may be made possible by diagnos ics
powe ed by a i icial in elligence (AI) and cone-beam compu ed omog aphy (CBCT) [9, 10]. T ends a e
mo ing owa d p ese ing maximum oo h s uc u e h ough ul aconse a i e access ca i ies and selec i e
Copy igh © 2025. This open-access a icle is dis ibu ed unde he C ea i e Commons A ibu ion License, which
pe mi s un es ic ed use, dis ibu ion, and ep oduc ion in any medium, p o ided he o iginal wo k is p ope ly ci ed.
Medi e anean Jou nal o www.mjmm .pe iodikos.com.b
Medicine & Medical Sciences Medi e J Med Med Sci
Ra i IK (2025) Medi e J Med Med Sci. 1(3): 1-3. Page 2
canal ins umen a ion. Combined wi h imp o ed i iga ion sys ems (e.g., sonic, ul asonic, o lase -assis ed),
his app oach educes s uc u al weakening. By using gene ic and mic obiome analysis, den is s may be able
o cus omize ma e ial selec ion and disin ec ion p ocedu es acco ding o he isk ac o s o each pa ien [11,
12].
Mos esea ch on RCT ocuses on ins umen a ion, ma e ials, o pain managemen . Bu he e a e se e al less-
explo ed o eme ging opics ha could open new esea ch di ec ions. The majo i y o esea ches concen a es
on ge ing id o in ec ions, bu hey ha dly e e alk abou how he balance o he o al mic obio a changes
ollowing RCT [13]. The e is cu en ly li le in o ma ion on he e ec s o RCT on sys emic heal h and he
o al mic obial en i onmen . The e is no enough esea ch on he connec ions be ween unsuccess ul RCTs and
sys emic illnesses such as au oimmune diso de s and ca dio ascula disease. In es iga ing oo canal
in ec ions as sou ces o sys emic in lamma ion may yield no el he apeu ic unde s andings. While sealing
ma e ials a e well s udied ini ially, li le is known abou hei long- e m in e ac ion wi h den in, pulp emnan s,
and hos immuni y. Resea ch on mic oleakage and biodeg ada ion o e decades is a e. Al hough den al
anxie y associa ed wi h oo canal he apy is widesp ead, li le is known abou he psychological e ec s o
pa ien anxie y, pain pe cep ion, and compliance. The e a e no many s udies on communica ion echniques
and beha io al in e en ions. Li le esea ch has been done on how en i onmen al pollu an s, luo ide, o
hea y me als a ec pulp i ali y and oo canal healing. While egene a i e echniques a e s udied
expe imen ally, clinical ansla ion and long- e m ou comes a e s ill poo ly unde s ood. E hical and cos -
ela ed ba ie s emain less explo ed. The goal o den al educa ion is o gi e s uden s he p o essional
compe encies, knowledge, and abili ies needed o deli e comple e o al heal hca e. Roo canal he apy, also
known as endodon ic ea men , is an essen ial componen o he as a ay o clinical augh o ea men s
augh in den is y schools. In o de o p ese e o al unc ion and a oid oo h ex ac ion, his ea men is
equen ly he only way o sal age ee h ha ha e i epa able pulpi is o pulp in ec ions. RCT is a co ne s one
o den al educa ion, blending science, a , and clinical judgmen . T aining in RCT equips u u e den is s wi h
he abili y o p ese e na u al ee h, elie e pain, and imp o e pa ien s’ quali y o li e. As den is y con inues
o ad ance, he in eg a ion o mode n echnologies and inno a i e eaching me hods will u he s eng hen
he compe ence o den al g adua es in p o iding high-quali y endodon ic ca e. The u u e o oo canal he apy
lies in me ging biology, echnology, and ma e ials science o mo e beyond con en ional ea men .
Regene a ion, nano echnology, AI in eg a ion, and biomime ic app oaches ha e he po en ial o ans o m
RCT om a epa a i e p ocedu e in o a uly es o a i e and egene a i e he apy ha p ese es oo h s uc u e
and i ali y. Less-explo ed a eas could help expand oo canal esea ch beyond con en ional mechanical and
chemical me hods in o pa ien -cen e ed, sys emic, and en i onmen al pe spec i es.
Conclusion: Roo canal ea men should no be seen as a p ocedu e o las eso , bu a he as a co ne s one
o conse a i e den is y. P omo ing awa eness o i s sa e y, e icacy, and ole in long- e m o al heal h
p ese a ion is essen ial in bo h clinical p ac ice and pa ien educa ion.
Re e ences
1. Zah an S, Pa el S, Kolle G, Mannocci F. The impac o an enhanced in ec ion con ol p o ocol on mola oo
canal ea men ou come - a andomized clinical ial. In e na ional Endodon ic Jou nal. 2021; 54(11): 1993-
2005. doi: 10.1111/iej.13605
2. Fleming CH, Li ake MS, Alley LW, Eleaze PD. Compa ison o classic endodon ic echniques e sus
con empo a y echniques on endodon ic ea men success. Jou nal o Endodon ics. 2010; 36(3): 414-418. doi:
10.1016/j.joen.2009.11.013
3. El-Ma'ai a AM, Qual ough AJ, Da cey J, Hun e MJ. Re hinking oo canal ea men : Unde s anding he
di e ence be ween p e en ing and ea ing endodon ic in ec ion. B i ish Den al Jou nal. 2015; 219(1): 13-16.
doi: 10.1038/sj.bdj.2015.527
Medi e anean Jou nal o www.mjmm .pe iodikos.com.b
Medicine & Medical Sciences Medi e J Med Med Sci
Ra i IK (2025) Medi e J Med Med Sci. 1(3): 1-3. Page 3
4. Eu opean Socie y o Endodon ology. Quali y guidelines o endodon ic ea men : consensus epo o he
Eu opean Socie y o Endodon ology. In e na ional Endodon ic Jou nal. 2006; 39(12): 921-30. doi: 10.1111/
j.1365-2591.2006.01180.x
5. Cha zopoulos GS, Koidou VP, Lunos S, Wol LF. Implan and oo canal ea men : Su i al a es and ac o s
associa ed wi h ea men ou come. Jou nal o Den is y. 2018; 71: 61-66. doi: 10.1016/j.jden . 2018.02.005
6. Mokahel LM, E ida IB. Libyan pa en s' knowledge and awa eness o p ima y ee h and hei impo ance: A
s udy in Misu a a Ci y. Medi e anean Jou nal o Medical Resea ch. 2025; 2(3): 114-119. doi: 10.5281/zenodo.
16790655
7. She i FM. Ma e nal pe iodon al disease and p egnancy ou comes. Resea ch in Medical and Enginee ing
Sciences. 2018; 4(3):1-2. doi: 10.31031/RMES.2018.04.000591
8. Tabassum S, Khan FR. Failu e o endodon ic ea men : The usual suspec s. Eu opean Jou nal o Den is y.
2016; 10(1): 144-147. doi: 10.4103/1305-7456.175682
9. Alo hman FA, Hakami LS, Alnasse A, AlGhamdi FM, Alam i AA, Almu ai ii BM. Recen ad ances in
egene a i e endodon ics: A Re iew o Cu en Techniques and Fu u e Di ec ions. Cu eus. 2024; 16(11):
e74121. doi: 10.7759/ cu eus.74121
10. Luise o M, Fe aiuolo A, Fiazza C, Cabianca L, Edbey K, Masho i G, La yshe OY (2025) A i icial
in elligence in he pha maceu ical galenic ield: A use ul ins umen and isk conside a ion. Medi e anean
Jou nal o Medical Resea ch. 2025; 2(2): 11-19. doi: 10.5281/zenodo.15259824
11. Lima CO, Ba bosa AFA, Fe ei a CM, Fe e i MA, Aguia FHB, Lopes RT, Fidel SR, Sil a EJNL. In luence
o ul aconse a i e access ca i ies on ins umen a ion e icacy wi h XP-endo Shape and Recip oc, illing
abili y and load capaci y o mandibula mola s subjec ed o he momechanical cycling. In e na ional Endodon ic
Jou nal. 2021; 54(8): 1383-1393. doi: 10.1111/iej.13525
12. Ba bosa AFA, Lima CO, Sa men o EB, Cunha GGD, Sassone LM, Lopes RT, Noguei a Leal da Sil a EJ.
Impac o Minimally In asi e Endodon ic P ocedu es on he De elopmen o Den inal Mic oc acks. Jou nal o
Endodon ics. 2022; 48(9): 1146-1151. doi: 10.1016/j.joen.2022.05.006
13. Gulabi ala K, Ng YL. Fac o s ha a ec he ou comes o oo canal ea men and e ea men -A e aming o
he p inciples. In e na ional Endodon ic Jou nal. 2023; 56 Suppl 2: 82-115. doi: 10.1111/ iej.13897
Con lic o in e es : The au ho decla es he absence o any comme cial o inancial ela ionships ha could be cons ued as a
po en ial con lic o in e es .
E hical issues: The au ho comple ely obse ed e hical issues, including plagia ism, in o med consen , da a ab ica ion o
alsi ica ion, and double publica ion o submission.
Da a a ailabili y s a emen : The aw da a ha suppo he indings o his a icle a e a ailable om he co esponding au ho
upon easonable eques .
Au ho decla a ions: The au ho con i ms ha hey ha e ollowed all ele an e hical guidelines and ob ained any necessa y
IRB and/o e hics commi ee app o als.
