When should I use Oracle's Index Organized Table? Or, when shouldn't I?

Basically an index-organized table is an index without a table. There is a table object which we can find in USER_TABLES but it is just a reference to the underlying index. The index structure matches the table's projection. So if you have a table whose columns consist of the primary key and at most one other column then you have a possible candidate for INDEX ORGANIZED.

The main use case for index organized table is a table which is almost always accessed by its primary key and we always want to retrieve all its columns. In practice, index organized tables are most likely to be reference data, code look-up affairs. Application tables are almost always heap organized.

The syntax allows an IOT to have more than one non-key column. Sometimes this is correct. But it is also an indication that maybe we need to reconsider our design decisions. Certainly if we find ourselves contemplating the need for additional indexes on the non-primary key columns then we're probably better off with a regular heap table. So, as most tables probably need additional indexes most tables are not suitable for IOTs.

Coming back to this answer I see a couple of other responses in this thread propose intersection tables as suitable candidates for IOTs. This seems reasonable, because it is common for intersection tables to have a projection which matches the candidate key: STUDENTS_CLASSES could have a projection of just (STUDENT_ID, CLASS_ID).

I don't think this is cast-iron. Intersection tables often have a technical key (i.e. STUDENT_CLASS_ID). They may also have non-key columns (metadata columns like START_DATE, END_DATE are common). Also there is no prevailing access path - we want to find all the students who take a class as often as we want to find all the classes a student is taking - so we need an indexing strategy which supports both equally well. Not saying intersection tables are not a use case for IOTs. just that they are not automatically so.

I'd consider them for very narrow tables (such as the join tables used to resolve many-to-many tables). If (virtually) all the columns in the table are going to be in an index anyway, then why shouldn't you used an IOT.

Small tables can be good candidates for IOTs as discussed by Richard Foote here

I consider the following kinds of tables excellent candidates for IOTs:

• "small" "lookup" type tables (e.g. queried frequently, updated infrequently, fits in a relatively small number of blocks)
• any table that you already are going to have an index that covers all the columns anyway (i.e. may as well save the space used by the table if the index duplicates 100% of the data)