Radiographic Evaluation of Root Canal Fillings in a Selected Yemeni Population: A Retrospective Study.

Madfa, Ahmed A.; Al-Hamzi, Mohsen Ali; Al‐Sanabani, Fadhel A.; Saeed, M.K.; Senan, Elham M.

doi:10.17126/joralres.2016.033

Cited by 5 publications

(6 citation statements)

References 25 publications

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“…22 Obviously, this explains why the poorly quality of root canal fillings and high prevalence of apical periodontitis were associated with molar teeth than those in anterior region among Yemeni population in previous publications. 23,24 These findings are consistent with the results of other authors. 20,25, 26 Bartlett et al,20 indicated that dental schools might have the opinion that students can develop their skills in challenging cases better in general practice rather than the clinical environment offered by dental schools; therefore, they might prefer to provide students with the knowledge of basic principles of these cases only.…”

Section: Discussionsupporting

confidence: 93%

Perception and confidence levels among dental students and interns in performing various endodontic procedures.

Madfa

Senan

2019

J Oral Res

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Resumen: Objetivo: El presente estudio tuvo como objetivo recopilar información de estudiantes de último año y nuevos pasantes inscritos en la Facultad de Odontología, Universidad de Ciencia y Tecnología (UST), con respecto a sus niveles de confianza en la realización de tratamientos de endodoncia. Materiales y métodos: se distribuyeron encuestas anónimas a 40 estudiantes de último año y 37 nuevos pasantes en UST, en Sana'a, Yemen. Se les pidió que indicaran su nivel de confianza en sí mismos utilizando un sistema de puntuación Likert que oscilaba entre 1 y 5. Se utilizaron la prueba U de Mann-Whitney y la prueba de ji al cuadrado para determinar la significación estadística entre los grupos estudiados. Resultados: el 37.5% de los estudiantes y el 35.1% de los pasantes calificaron la práctica de endodoncia como difícil. Solo el 55% de los estudiantes encontró que el número de casos tratados fue satisfactorio, similar al reportado por los pasantes (56.8%). No hubo diferencias estadísticamente significativas entre ambos grupos con respecto a los niveles de autoconfianza para la mayoría de los procedimientos de endodoncia (p<0.05). La colocación de una presa de goma, seguida de la gestión de brotes entre citas, fueron procedimientos en los que ambos grupos informaron la menor confianza. Por otro lado, ambos grupos sintieron la menor confianza en el tratamiento del maxilar seguido de los molares mandibulares. Se informaron Abstract: Aim: The present study aimed to collect information from senior students and new interns enrolled at the College of Dentistry, University of Science and Technology (UST), regarding their confidence levels in performing endodontic treatments. Materials and Methods: Anonymous surveys were distributed to 40 senior students and 37 new interns at UST, in Sana'a, Yemen. They were asked to indicate their self-confidence level using a Likert scoring system ranging from 1 and 5. Mann-Whitney U test and chi-squared test were used to determine statistical significance between the studied groups. Results: 37.5% of students and 35.1% of interns rated endodontic practice as difficult. Only 55% of students found that the number of treated cases were satisfactory, similar to that reported by interns (56.8%). There were no statistically significant differences between both groups regarding self-confidence levels for most endodontic procedures (p<0.05). Placing of a rubber dam, followed by managing inter-appointment flare-ups were procedures in which both groups reported the lowest confidence. On the other hand, both groups felt the lowest confidence in the treatment of maxillary followed by mandibular molars. Statistically significant differences were reported between the two groups for performing root canal treatments (RCT) (p< 0.05). Self-confidence levels on the management of most different indications showed no statistically significant differences between both groups (p>0.05) with exception to the management of irreversible pulpitis, necrotic pulp, asymptomatic apical periodontitis, chronic abscess, ...

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Section: Discussionsupporting

confidence: 93%

Perception and confidence levels among dental students and interns in performing various endodontic procedures.

Madfa

Senan

2019

J Oral Res

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“…Underfilling of root canals in maxillary molars can be explained by their more complex anatomy with narrow and curved root canals and an increased probability of ledge formation compared to maxillary premolars [ 29 ]. Discrepancies between the present results and some previous studies [ 34 , 35 ] might reflect differences in the training and expertise of clinicians, as well as different methodologies of evaluation. Alrahabi [ 34 ] evaluated the root canal treatments done by undergraduate students using periapical images, and Madfa et al [ 35 ] evaluated the root canal treatments done by general dentists using panoramic images.…”

Section: Underfillingcontrasting

confidence: 99%

“…Discrepancies between the present results and some previous studies [ 34 , 35 ] might reflect differences in the training and expertise of clinicians, as well as different methodologies of evaluation. Alrahabi [ 34 ] evaluated the root canal treatments done by undergraduate students using periapical images, and Madfa et al [ 35 ] evaluated the root canal treatments done by general dentists using panoramic images. In the study of Alrahabi, the prevalence of underfilling was less than that of overfilling in maxillary molars.…”

Section: Underfillingcontrasting

confidence: 99%

Cone‐Beam Computed Tomography Assessment of Prevalence of Procedural Errors in Maxillary Posterior Teeth

Nouroloyouni,

Nazi,

Mikaieli Xiavi

et al. 2023

BioMed Research International

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A range of procedural errors can occur when performing endodontic treatment on posterior teeth. These errors may decrease the success rate in endodontic practice. This study assessed the prevalence of procedural errors and the quality of endodontic treatments in maxillary molars and premolars using cone-beam computed tomography (CBCT). CBCT scans from two private radiology centers were assessed retrospectively to ensure the same calculated sample size of 327 teeth for each of the four maxillary posterior tooth types (a total of 1,308 endodontically treated teeth). Image sets were evaluated for procedural errors categorized as follows: obturation length (overfilling or underfilling by >2 mm short of the root apex), missed canals, perforations, strip perforations (with extrusion of material into the furcation area), separated instruments in the root canal space, and root fracture. Data were analyzed with SPSS version 20 (SPSS Inc., Chicago, IL, USA), and frequency data was assessed using the Monte Carlo test at the 0.05 level of significance. The procedural errors most commonly reported in the present study were from most frequent to least frequent: underfilled canals (50.0%), missed canals (27.5%), overfilled canals (12.5%), apical perforations (5.0%), separated instruments (3.1%), and root fractures (1.9%). No strip perforations (with extrusion of material into the furcation area) were seen in the study (0%). Underfilled and missed root canals were the most frequent procedural errors identified in the present study. These findings underline the importance of more consideration of critical working length management during all stages of root canal treatment, greater awareness of root canal anatomy, and the use of imaging and diagnostic devices that enhance the ability to identify and treat root canals both safely and effectively.

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“…The regular assessment of dental students’ outcomes in endodontics at the preclinical level will help to improve dental education as well as improving the quality of students’ clinical performance [16]. In Yemen, Madfa et al [17] evaluated the quality of RCT performed by general dental practitioners and found that the RCT quality was poor. On the other hand, no previous studies in Yemen has been conducted to evaluate the quality of RCT performed by dental students.…”

Section: Introductionmentioning

confidence: 99%

An audit of root canal filling quality performed by undergraduate pre-clinical dental students, Yemen

et al. 2019

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Background Dental students are future dentists. Continuous assessment and improving of the educational curricula will ensure excellent academic performance of dental students and thus providing the community with the best treatment modalities. The aim of this study was to evaluate the root canal filling quality performed in extracted teeth by preclinical undergraduate Yemeni dental students. Methods Root canal treatment was performed by undergraduate preclinical dental students on 331 extracted human teeth including 741 roots. The teeth were then collected and evaluated radiographically based on three criteria of quality (length, density, and taper). Cohen’s Kappa test was used to assess the agreement between the examiners and Chi-squared test was used for the association between the study variables. The level of significant was set at α < 0.05. Results The results of the study revealed that the overall quality of roots canals fillings was poor. However, more than half of the study sample (53.4%) had adequate length, 13.1% had adequate density, and 14.2% had adequate taper. Anterior as well as single-rooted teeth had significantly better quality than posterior and multi-rooted teeth, respectively. The root canal fillings quality mandibular teeth was better than of maxillary teeth with no significant difference (P > 0.05). Conclusion The findings of the study emphasize the need of improving the endodontic course in the preclinical level and more advanced techniques and instruments should be incorporated.

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Radiographic Evaluation of Root Canal Fillings in a Selected Yemeni Population: A Retrospective Study.

Cited by 5 publications

References 25 publications

Perception and confidence levels among dental students and interns in performing various endodontic procedures.

Perception and confidence levels among dental students and interns in performing various endodontic procedures.

Cone‐Beam Computed Tomography Assessment of Prevalence of Procedural Errors in Maxillary Posterior Teeth

An audit of root canal filling quality performed by undergraduate pre-clinical dental students, Yemen

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