AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2690-1919/411
1 Postgraduate Dental Student, Restorative and Esthetic Dentistry Department, Faculty of Dentistry, Sana’a University, Sana’a, Yemen.
2 Associate professor of Restorative Dentistry. Fixed Prosthodontics, Restorative and Esthetic Dentistry Department, Faculty of Dentistry, Thamar University, Yemen.
3 Assistant Professor of Endodontic, Restorative and Esthetic Dentistry Department, Faculty of Dentistry, Sana’a University, Yemen.
4 Professor of Restorative Dentistry, Dental Implant Consultant, Restorative and Esthetic Dentistry Department, Faculty of Dentistry, Sana’a University, Yemen.
*Corresponding Author: Abdulwahab Ismail Al-kholani, Professor of Restorative Dentistry, Dental Implant Consultant, Restorative and Esthetic Dentistry Department, Faculty of Dentistry, Sana’a University, Sana’a, Yemen.
Citation: Redha Mohammed Saleh Al-Nosra, Mohsen Ali Al-Hamzi, Basheer Hamed Al-Shameri, Abdulwahab Ismail Al-kholani, (2024), Root and Canal Morphology of Maxillary Incisors Teeth in a Sample of Yemeni Population Using Two Classification Systems: A CBCT Study, J Clinical Research and Reports, 16(5); DOI:10.31579/2690-1919/411
Copyright: © 2024, Abdulwahab Ismail Al-kholani. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 18 September 2024 | Accepted: 27 September 2024 | Published: 07 October 2024
Keywords: maxillary incisors; root canal morphology; cbct, yemeni population; endodontics; vertucci's classification; ahmed's classification
Objective: To determine the root and canal morphology of permanent maxillary central and lateral incisors in a sample of Yemeni population using cone-beam computed tomography (CBCT).
Materials and Methods: A retrospective CBCT analysis of 400 maxillary anterior teeth from a Yemeni adults (18-50 years) was conducted. Image evaluation in sagittal, axial, and coronal planes using Ez3D-i software assessed root number, canal orifice number, canal number, and canal configuration based on Vertucci's and Ahmed's classifications. Descriptive statistics and Chi-square test were employed (p < 0.05).
Results: All incisors exhibited a single root and canal with a single orifice. The predominant canal configuration was Type 1 according to both Vertucci's (93.5%) and Ahmed's (93.8%) classifications. Type 5 (bifurcation at the apex) was observed in 6.25% (Vertucci) and 6.0% (Ahmed) of cases, while Type 3 (canal division and reunion) was rare (0.25% Vertucci, 0.2% Ahmed).
Conclusion: Permanent maxillary central and lateral incisors in the Yemeni population primarily demonstrate a single root and canal. Although variations in canal configuration exist, they are infrequent.
A comprehensive understanding of root canal morphology is crucial for successful endodontic treatment. While clinicians are generally familiar with typical canal configurations, variations are common and can significantly impact treatment outcomes. Inadequate knowledge of root canal anatomy is a major contributing factor to treatment failures. Accurate identification, cleaning, shaping, and obturation of all existing canals are essential for optimal results.
Previous studies have reported that maxillary anterior teeth typically have a single root and canal, while mandibular anterior teeth often exhibit double canals (da Silva et al., 2016; Rankine-Wilson and Henry, 1965). Additionally, variations in canal morphology can be influenced by ethnic background (Karobari et al., 2021). Successful endodontic therapy requires a thorough knowledge of tooth anatomy and root canal morphology, which can vary significantly. Anomalies or deviations from the usual shape and root number in the adult human dentition may also occur. When an anomalous form of the tooth or root anatomy is relatively common in a specific population or ethnic group, it should be considered a variant form and recognized (Ilan Rotstein and John I. Ingle, 2019; Torabinejad and Walton, 2009).
Imaging technology has become an essential diagnostic tool in dentistry. Conventional or digital panoramic, intraoral periapical, and bitewing radiographs are commonly used. While these techniques are user-friendly, quick to perform, and relatively inexpensive, they have limitations, such as geometric distortion, superimposition of anatomical structures, and dependence on observer interpretation (Martins et al., 2014).
The advent of three-dimensional imaging techniques, particularly cone-beam computed tomography (CBCT), has revolutionized the study of root canal morphology. CBCT provides detailed, non-invasive visualizations of root canal systems, surpassing the limitations of conventional radiography. It allows for accurate assessment of canal configurations, including complex intercanal communications, lateral canals, and apical ramifications.
Various classification systems have been proposed to categorize root canal morphology, with Vertucci's classification being widely recognized. However, this system has limitations, particularly its inability to account for the number of roots present. The new classification system proposed by Ahmed et al. addresses this limitation, providing a comprehensive code that encompasses tooth number, number of roots, and canal configuration, leading to improved communication and documentation among dentists.
This study aims to evaluate the root and canal morphology of permanent maxillary anterior teeth in a Yemeni population using CBCT, employing both Vertucci's classification and the new classification system by Ahmed et al. This investigation seeks to provide detailed insights into the prevalence of different canal configurations and their implications for endodontic treatment.
Study Design and Participants
This retrospective cross-sectional study analyzed cone-beam computed tomography (CBCT) images of maxillary anterior teeth from a Yemeni population. A total of 400 teeth (200 from males and 200 from females) were included, with participants aged 18-50 years. The images were obtained from the database of Al-Waleed Digital Radiology Center in Sana'a, Yemen.
Inclusion and Exclusion Criteria
Teeth were included if they met the following criteria: fully erupted, sound without any damage or disease, complete root formation, and bilateral symmetry. Teeth were excluded if they had caries, restorations, periapical lesions, periodontal problems, orthodontic history, generalized bone loss, implants, fixed prostheses, developmental anomalies, trauma, or poor image quality.
CBCT Acquisition
CBCT images were acquired using a Pax-Flex3D (PHT-60CFO) imaging system (VATECH Global, Korea) with the following settings: 60 kVp, 4 mA, 9-15 seconds exposure time, and a voxel size of 80-120 μm. A medium field of view (FOV) was selected to capture the maxillary anterior teeth.
Image Analysis
Image analysis was conducted using Ez3D-i software (VATECH Global, Korea) in a dimmed room with a calibrated diagnostic display. The researcher was blinded to patient information during the evaluation. Axial, coronal, and sagittal slices were examined for each tooth, with image contrast and brightness adjusted as needed.
The following parameters were evaluated:
Statistical Analysis
Data were analyzed using SPSS (Version 27.0; SPSS Inc., Chicago, IL, USA). Descriptive statistics (frequencies and percentages) were calculated for all parameters. The Chi-square test was used to compare canal configurations between males and females, with a significance level set at p < 0>
External Root Morphology of maxillary anterior teeth
An analysis of 400 maxillary anterior teeth revealed a consistent single-root morphology. This finding suggests that a single root is a characteristic feature of these teeth, regardless of their position or the patient's gender. This information is crucial for understanding the anatomy of maxillary anterior teeth and has implications for clinical procedures, such as root canal treatments and orthodontic interventions.
Table 1: Root Number in the Maxillary anterior teeth for both male and female, right and left.
The distribution of root counts in maxillary anterior teeth, based on the tooth's position (left or right), location (central or lateral), and participant gender (female or male), as shown in Table 1 The table reveals that, in this sample of 400 teeth, a single root (n=1) was found in every case across all conditions. This finding indicates that the maxillary anterior teeth in this study sample consistently exhibit a single root morphology.
Internal Root Morphology of Incisors:
1.Number of Canal Orifices: A single canal orifice was observed in 100% of the teeth.
A thorough examination of 400 incisors (200 central and 200 lateral, from both sides of the mouth) consistently found a single canal orifice as shown in figure 1. This pattern was consistent across all genders and tooth types. The high prevalence of single canal orifices (100%) see figure 1 in incisors simplifies endodontic treatment by reducing the complexity of canal identification and negotiation. Dental professionals can confidently approach these teeth with the knowledge that they are primarily dealing with a single root canal system
Figure 1: axial view number of Canal Orifices: A single canal orifice was observed in 100% of the anterior incisors teeth.
| N=400 | Position | ||||||||
| Left | Right | ||||||||
| Central Female | Central male | Lateral Female | Lateral male | Central Female | Central male | Lateral Female | Lateral male | ||
Number of canal orifices
| Count | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
| Percentage | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | |
Table 2: Count and Percentage of Canal Orifices in Central and Lateral Incisors for Male and Female Subjects (N=400)
Table 2 a comprehensive analysis of 400 incisors revealed that all teeth, regardless of gender, position, or tooth type, consistently had a single canal orifice. This high percentage of single-canal orifices has significant implications for endodontic treatment, as dentists can approach these teeth with a simplified treatment plan, reducing the complexity of canal identification and negotiation.
1.Number of Canals: All maxillary anterior teeth (100%) presented with a single canal.
| N=400 | Position | ||||||||
| Left | Right | ||||||||
| Central Female | Central male | Lateral Female | Lateral male | Central Female | Central male | Lateral Female | Lateral male | ||
| Number of canals | Count | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
| % | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | |
Table 3: Number of Canals in Maxillary Anterior Teeth by Position and Gender.
The table 3 presents data on the number of canals in 400 individuals categorized by position (left, right, central, or lateral) and gender (male or female). Everyone has exactly one canal, regardless of their position or gender. The data shows no variation in canal count among the individuals in the sample, suggesting that these factors do not influence the number of canals. However, a larger sample size and consideration of additional variables would be necessary to draw more definitive conclusions.
Canal Count
All tooth types (central and lateral incisors) and positions (left and right) exhibited a uniform count of one canal per tooth, regardless of gender. This uniformity was confirmed by the percentages, showing that 100% of the teeth sampled in each category had a single canal.
Canal Configurations
Vertucci's Classification:
| N=400 | Position | Frequency | % | |||||||||||||||
| Left | Right | |||||||||||||||||
| Central Female | Central male | Lateral Female | Lateral male | Central Female | Central male | Lateral Female | Lateral male | |||||||||||
| Canal configurations Vertucci’s Classification | T1a | Count | 44 | 47 | 49 | 47 | 46 | 46 | 50 | 45 | 374 | 93.5% | ||||||
| T3b | Count | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0.25% | |||||||
| T5c | Count | 6 | 3 | 1 | 3 | 4 | 4 | 0 | 4 | 25 | 6.25% | |||||||
| Total | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 400 | 100% | ||||||||
a. Type one (single canal from the pulp chamber to the root apex.) b. Type three (one canal leaves the pulp chamber and divides into two smaller canals which later merge again to exit through one canal.) c. Type five (single canal exiting the pulp chamber which divides into two canals with separate apical foramina.) | ||||||||||||||||||
Table 4: Canal Configurations (Vertucci’s Classification) in Maxillary Anterior Teeth by Position and Gender.
Table 4 provides a detailed breakdown of canal configurations in maxillary anterior teeth, categorized by position (left and right) and gender. According to Vertucci's classification, Type 1 configuration (single canal from the pulp chamber to the root apex) is the most prevalent, observed in 93.5% of the sample. Type 5 configuration (single canal exiting the pulp chamber and dividing into two canals with separate apical foramina) accounts for 6.25% of cases, while Type 3 (one canal leaving the pulp chamber and dividing into two smaller canals which later merge) is scarce, seen in only 0.25% of the sample. This information is crucial for endodontic treatment planning and highlights the importance of thorough diagnostic imaging. See Figures (2 and 3).
Vertucci's Classification of Root Canal Morphology in Maxillary Anterior Teeth
A comprehensive analysis of root canal configurations in maxillary anterior teeth, categorized by position and gender, revealed a predominance of Type 1 morphology, as per Vertucci's classification. This configuration, characterized by a single canal extending from the pulp chamber to the root apex, was observed in 93.5% of the sample.
While Type 5 morphology, involving a single canal dividing into two with separate apical foramina, accounted for 6.25% of cases, type 3 morphology, where a single canal splits into two and later merges, was exceedingly rare, occurring in only 0.25% of the sample.
These findings underscore the importance of thorough diagnostic imaging for effective endodontic treatment planning, as variations in root canal anatomy can significantly influence treatment outcomes.
Figure 2: Vertucci's classification of root canal morphology from type I, type III, and type V.
Figure 3: Canal configurations in Vertucci's classification type I, III, and type III and type V.
Ahmed's classification, utilizing the notation "O" for orifice, "C" for canal, and "F" for foramen, corroborated Vertucci's findings. The most common configuration was O1C1F1 (single canal from pulp chamber to root apex), observed in 93.8% of cases.
O1C1F2 (single canal dividing into two with separate apical foramina) was present in 6.0% of cases, and O1C2F1 (one canal dividing into two and merging again) was found in only 0.2% of cases.
These results further emphasize the prevalence of Type 1 morphology and the relatively infrequent occurrence of Type 3 and Type 5 configurations in maxillary anterior teeth.
| N=400 | Position | Frequency | % | |||||||||
| Left | Right | |||||||||||
| Central Female | Central male | Lateral Female | Lateral male | Central Female | Central male | Lateral Female | Lateral male | |||||
| Canal configurations (Ahmed Classification) | O1C1F1 | Count | 45 | 48 | 49 | 47 | 46 | 45 | 50 | 45 | 375 | 93.8% |
| O1C1F2 | Count | 5 | 2 | 1 | 3 | 4 | 5 | 0 | 4 | 24 | 6% | |
| O1C2F1 | Count | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0.2% | |
| Total | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 50 | 400 | 100% | ||
| O=orifice, C=canal, F=foramen | ||||||||||||
Table 5. Canal Configurations (Ahmed Classification) in Maxillary Anterior Teeth by Position and Gender.
Table 5 presents a comprehensive analysis of canal configurations in maxillary anterior teeth, classified according to Ahmed's system. The data is categorized by position (left and right) and gender.
The most prevalent configuration, O1C1F1 (a single canal from the pulp chamber to the root apex), was observed in 93.8% of the sample (Figure 4a). While less common, the O1C1F2 configuration (6%, Figure 4b) and the rare O1C2F1 configuration (0.2%, Figure 4c) underscore the importance of thorough diagnostic imaging to identify these anatomical variations. This information is crucial for effective endodontic treatment planning and execution.
a= O1C1F1, b= O1C1F2, c= O1C2F1
Figure 4: Ahmed classification of root canal morphology from.
Figure 5: Canal configurations for maxillary anterior incisors teeth in Ahmed classification.
These findings suggest that the O1C1F1 configuration is the predominant type in maxillary anterior teeth. Although the O1C1F2 and O1C2F1 configurations are less frequent, their presence highlights the need for clinicians to be aware of these variations. Further research is required to investigate the underlying causes of these anatomical differences and their potential clinical implications.
No statistically significant differences were found in canal configuration based on gender (p > 0.05).
This study investigated the root and canal morphology of maxillary anterior teeth in a Yemeni population using cone-beam computed tomography (CBCT). The results revealed a high degree of consistency in these teeth, with a single root and a predominantly single canal configuration being the norm. These findings align with previous studies conducted in other populations, supporting the understanding that maxillary and mandibular incisors typically exhibit straightforward anatomy.
CBCT, a non-invasive radiographic tool, offers comprehensive external and internal features of the tooth and surrounding structures (Mozzo et al., 1998; Patel and Horner, 2009). It has a lower radiation dose and is cheaper than a CT scan. Additionally, CBCT voxels are isotropic, ensuring accurate measurements (Kaya et al., 2011; Patel and Horner, 2009). Previous investigations have demonstrated CBCT's reliability in visualizing root canal morphology and its suitability for cross-sectional studies with large sample sizes (Altunsoy et al., 2014; Blattner et al., 2010).
The utilization of CBCT imaging allowed for precise three-dimensional visualization and analysis of the root canal system, enabling accurate identification and categorization of different canal configurations. While variations were observed, the relatively infrequent occurrences of Type 3 and Type 5 configurations highlight the importance of acknowledging these possibilities while recognizing that the vast majority of these teeth present a simple canal morphology.
The new classification system by Ahmed et al. offers a valuable addition to existing systems. By combining the number of roots and canals into a single code, it provides a more comprehensive and informative description of root canal anatomy. This detailed classification can facilitate improved communication and documentation among dentists, ultimately contributing to enhanced treatment planning and outcomes.
The inclusion of two different classification systems in this study aimed to clarify aberrations and their specific regions of occurrence. The Vertucci classification system, while universal and widely known, may not provide exhaustive information about the tooth and its anomalies, and it does not classify the number of roots (Karobari et al., 2021). In contrast, the new classification system by Ahmed et al. offers a single code that classifies the tooth with the number of roots and canal morphology (Ahmed et al., 2017). Additionally, it helps us understand complex intercanal communications in teeth.
This CBCT study reveals that a majority of permanent maxillary anterior teeth in the Yemeni population exhibit a single root and a single root canal morphology. Although variations in canal configurations, as defined by Vertucci's and Ahmed's classifications, were observed, they were relatively uncommon. These findings emphasize the need for comprehensive diagnostic evaluations while recognizing that the majority of these teeth possess a simple canal anatomy. The novel classification system proposed by Ahmed et al., with its detailed coding system, offers a valuable tool for facilitating communication and documentation among dental professionals, ultimately contributing to enhanced endodontic treatment outcomes.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
