Outcome of Root Canal Treatments Provided by Endodontic Postgraduate Students. A Retrospective Study

Abstract

The aim of this study was to assess the preoperative, intraoperative, and postoperative factors that influenced complete periapical healing in teeth that underwent primary root canal treatment (RCT), in patients treated by postgraduate students in endodontics. Factors were retrieved and compared with the periapical status during the follow-up visit. Healing was considered as the absence of clinical and radiological symptoms. Variables significantly associated by the chi-squared test were included in a logistic regression model (LRM). Preoperative factors associated with healing were: American Society of Anesthesiology (ASA) status (p = 0.01); the absence of preoperative pain (p = 0.04); positive response to pulp tests; when the RCT cause was caries, pain, abscess, or sinus tract; probing depth <4 mm; the absence of mobility; absence or <4 mm periapical lesion (p < 0.01). In the LRM, the factors included were: absence or <4 mm periapical lesion; probing depths <4 mm; RCT caused by caries, pain, abscess, or sinus tract; the tooth was not a bridge abutment. Postoperative factors were: teeth with direct restoration; teeth that did not act as a support for a fixed prosthetic restoration; the favorable condition of the coronal restoration (p < 0.01). In the LRM, only the status of the coronal restoration was included. Preoperative conditions and the adequate fit of the coronal restoration influenced the outcome of RCT.

Assessment of the Current Endodontic Practices among General Dental Practitioners in the Kingdom of Saudi Arabia

“…For this purpose, strict aseptic procedures and high technical measurements are required [ 1 , 2 ]. It is also evident that the outcomes of root canal treatment are based on various pre-operative, intraoperative, and postoperative clinical factors along with the practitioner’s knowledge, attitude, practices, and education level [ 3 , 4 ].…”

Effects of an individualized training course on technical quality and periapical status of teeth treated endodontically by dentists in the Public Dental Service in Norway: An observational intervention study

“…Root canal treatment performed at dental educational institutions or in specialist practice has a success rate of 75%-85% in teeth with apical periodontitis and regularly more than 90% in teeth without pre-operative apical lesions (Llena et al, 2020;Ng et al, 2011;Ricucci et al, 2011;Sjögren et al, 1990). However, epidemiological studies of endodontically treated teeth show that up to 50% are associated with apical pathosis, detected by conventional periapical radiography (Fransson et al, 2016;Kirkevang et al, 2000;Koch et al, 2015;Meirinhos et al, 2020;Ridell et al, 2006;Skudutyte-Rysstad & Eriksen, 2006).…”

Perfil sociodemográfico e clínico dos usuários atendidos na disciplina de Endodontia da Universidade Estadual de Ponta Grossa entre 2010-2017

“…Além dos serviços privados e públicos, as Faculdades de Odontologia têm atuado de forma conjunta com o Sistema Único de Saúde (SUS), constituindo-se em mais um ponto de atendimento odontológico (Maia et al, 2016). As instituições de ensino ajudam a reduzir o descompasso entre a alta demanda de usuários e baixa capacidade instalada, principalmente no atendimento especializado dos Centros de Especialidades Odontológicas (CEO) do SUS, como no caso dos procedimentos endodônticos (Silva et al, 2018;Costa et al, 2019;Santos et al, 2010;Llena et al, 2020).…”

“…Ao considerar o ensino das boas práticas clínicas, os cursos de Odontologia podem usar os dados gerados dentro das clínicas como forma de planejar as suas ações. No entanto, a maioria dos estudos nas faculdades de Odontologia avaliaram apenas a qualidade clínica e/ou radiográfica dos tratamentos endodônticos realizados por graduandos (Silva et al, 2018;Costa et al, 2019;Gatto et al, 2019) ou pós-graduandos (Santos et al, 2010;Llena et al, 2020). Sendo pouco explorado as particularidades da população atendida (Pereira, Carvalho & Carvalho, 2017).…”