Abstract:

BACKGROUND: The choice of root canal filling materials can affect the quality of root canal filling. The quality of root canal filling is an important key factor that affects the long-term results of root canal treatment.
OBJECTIVE: To review the difficulty assessment of root canal treatment and research status of root canal filling materials at home and abroad in recent years.
METHODS: PubMed and VIP databases (1990/2011) were searched by the first author for papers concerning the risk factors for the difficulty of root canal treatment and the effect of root canal filling materials on the quality of root canal treatment.
RESULTS AND CONCLUSION: Root canal treatment is the most effective method for pulpal and periapical diseases, but its effectiveness is affected by many factors. Therefore, it is necessary to have a difficulty assessment of root canal treatment before treatment. During the treatment, difficult root canal treatment requires advanced therapeutic instruments to lay a good foundation for root canal filling technology. Root canal filling is a key step of the treatment, and the filling result directly influences the effectiveness and the prognosis of root canal treatment. The imprecision of filling can cause microleakage, which can result in the treatment failure due to the root canal reinfection. Therefore, the success or failure of root canal treatment largely depends on the tight filling or not. At present, there is not a kind of root canal material that can completely seal the root canal system. It is needed to further improve the difficulty assessment system of root canal treatment and to study the ideal root canal filling materials in future research.