“…Among these, coronal tissue and structure loss-removal due to previous damage (e.g., caries, traumatic dental injuries, tooth wear, and previous operative procedures), intra-operative procedures (e.g., access cavity preparation, root canal instrumentation, irrigants, medicaments and obturation-related forces plus intracanal post preparation, and subsequent remaining pericervical dentine, as well as postoperative factors [coronal restoration, occlusion, and parafunction]). [ 10 11 20 21 22 23 24 25 ] Therefore, irrigants solutions per se may be considered only as one of the factors associated with accumulative damage during root canal treatment.…”