none 10.31254/dentistry.2025.10208 BioMed Research Publishers BioMed Research Publishers 16195 194914238 314763 20260515021110050 10.31254 2026-05-15T02:11:27Z 2026-05-15T02:11:17Z 0 International Journal of Dentistry Research Int J Dentistry Res 25813218 10.31254/dentistry https://dentistryscience.com/ 8 31 2025 10 2 Pallavi Senior Lecturer, Department of Conservative Dentistry & Endodontics, Swami Devi Dyal Hospital and Dental College, Panchkula- 134118, Haryana, India Sidakpreet Singh Bhalla BDS, Clinician, Haryana, India Aishwarya Arya Senior Lecturer, Department of Conservative Dentistry and Endodontics, Awadh Dental College and Hospital, Jamshedpur- 831012, Jharkhand, India Divya Mishra MDS, Private practioner, Varanasi, Uttar Pradesh, India S Vishnu MDS, Private practioner, Calicut, Kerala, India Simran Virdy MDS, Private practioner, Indore, Madhya Pradesh, India As global life expectancy increases, the aging population is expanding, leading to a significant rise in dental care demands among geriatric patients. Root canal treatment (RCT) in elderly individuals poses unique challenges due to age-related anatomical, physiological, and systemic changes. This review explores the complexities associated with performing endodontic therapy in geriatric patients, including altered pulp chamber morphology, calcification, reduced salivary flow, comorbidities such as diabetes or cardiovascular diseases, polypharmacy-related complications, and limited physical and cognitive abilities. It also discusses advancements in technology and treatment protocols that enable clinicians to deliver safe and effective RCT for elderly patients. Understanding these specific considerations is essential for achieving successful endodontic outcomes and improving the quality of life in the aging population. 8 31 2025 65 70 1 10.31254/biomed-crossmark-policy www.biomedresearch.org false 10.31254/dentistry.2025.10208 https://www.dentistryscience.com/IJDR_2025102_08.pdf