Technical quality and associated iatrogenic errors of endodontic treatments performed in extracted anterior single-rooted teeth by preclinical undergraduate students

Dervenis, Konstantinos; Koutroulis, Andreas; Chatzopoulos, Georgios S.; Kapralos, Vasileios

doi:10.1515/bjdm-2015-0042

Cited by 7 publications

(9 citation statements)

References 11 publications

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“…The overall quality of the evaluate teeth fulfilled the three criteria was only 3.6% which is much lower than other previous studies [8, 11, 14, 18, 20, 26, 27]. These differences in the results might due to the variation in the evaluation criteria where some studies used only two criteria (length and density) [26, 28–31], most were conducted among clinical undergraduate students [8, 18, 20, 32–35], and others evaluated only one group of teeth [3, 12, 36, 37]. The curriculum of Endodontology in our dental school is given in two academic years (4 semesters).…”

Section: Discussionmentioning

confidence: 95%

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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Section: Discussionmentioning

confidence: 95%

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

et al. 2019

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“…All of these relate to endodontic mishaps that can affect prognosis and endanger patients or aggravate the disease even further. These errors in RCT may be related to access opening, in which several types of mishaps occur, such as accidental treatment of the wrong tooth due to incorrect diagnosis or inattention of the dentist, missing the root canal as not all the root canals are easily accessible, damaging the existing tooth with a porcelain crown, accidental perforation, or crown fracture [3] . Some mishaps are concerned with the instrumentation, where at times a ledge is formed in the root canal of the patient's tooth that restricts the penetration of the instrument, and when unnecessarily over-sized files are used, causing apical and/or cervical perforations [4] .…”

Section: Introductionmentioning

confidence: 99%

“…These errors in RCT may be related to access opening, in which several types of mishaps occur, such as accidental treatment of the wrong tooth due to incorrect diagnosis or inattention of the dentist, missing the root canal as not all the root canals are easily accessible, damaging the existing tooth with a porcelain crown, accidental perforation, or crown fracture. [3] Some mishaps are concerned with the instrumentation, where at times a ledge is formed in the root canal of the patient's tooth that restricts the penetration of the instrument, and when unnecessarily over-sized files are used, causing apical and/or cervical perforations. [4] During canal preparation, the instrument being used is sometimes separated, mostly because the instrument is stressed or there might be some manufacturing defects, and blockage of the canal may also occur due to the inadequate use of dental clips where the patent canal is disturbed.…”

Section: Introductionmentioning

confidence: 99%

Endodontic mishaps during root canal treatment performed by undergraduate dental students

et al. 2021

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Endodontic mishaps during root canal treatment (RCT) are considered to be one of the most commonly encountered errors, which affect the quality of treatment and may have dangerous health implications for patients.The present study was conducted to assess the frequency and types of endodontic mishaps in root canal-treated teeth performed by undergraduate dental students.A total 404 endodontically treated teeth were performed by undergraduate dental students of King Khalid University College of Dentistry, Abha, Kingdom of Saudi Arabia. The radiographs of the endodontically treated teeth were studied for a period of 6 months, and the related demographic data were collected from patient files.The most commonly identified mishaps were related to obturation, where the maximum number of cases (68.1%) had underobturated root canals. More endodontic mishaps were performed by students in level 9 education. The upper left 2nd molar teeth had a higher frequency of mishaps, and molars were found to have more access-related mishaps. Lastly, access-related and instrumentrelated mishaps had a low frequency of occurrence.The majority of endodontic mishaps found in the study sample were related to root canal obturation. The undergraduate students at level 9 were less proficient in conducting RCTs with many endodontic mishaps when compared to the cases performed by students at higher levels. The study suggests relevant guidance for dental students while performing RCTs, especially during obturation of the root canals.

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“…A presença de iatrogenia deu-se em 31,4% das radiografias examinadas, variando desde suposta perfuração da coroa com brocas em diversas localizações até fratura de instrumentos. Esses acidentes ocorrem em razão da falta de conhecimento ou prática clínica do profissional para a realização de uma correta abertura endodôntica [9,15]. O registro pormenorizado desses acidentes não foi feito na presente pesquisa, pois uma análise clínica complementar seria o ideal.…”

Section: Discussionunclassified

Análise radiográfica das aberturas endodônticas de dentes de pacientes referenciados a um Centro de Especialidades Odontológicas

Nascimento¹,

Zortéa²,

Marchiori³

et al. 2019

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A abertura coronária é a primeira etapa do tratamento endodôntico e visa ao acesso direto aos canais radiculares. Objetivo: Avaliar as aberturas endodônticas de dentes de pacientes referenciados ao Centro de Especialidades Odontológicas (CEO) Positivo, na cidade de Curitiba (PR), por análise radiográfica. Material e métodos: Um total de 226 radiografias periapicais tomadas previamente ao atendimento no CEO, de agosto de 2015 a agosto de 2017, foi analisado. Três examinadores treinados e calibrados verificaram os seguintes critérios: região da cavidade bucal, cárie remanescente, remoção do teto da câmara pulpar, desgaste compensatório mesiodistal, iatrogenia (sugestiva) e restauração temporária. Os dados foram tabulados e analisados quanto à distribuição, seguida de análise bivariada (Teste Exato de Fisher) com significância de 5%. Resultados: A região posterior prevaleceu em 70,3% da amostra. Constataram-se cárie remanescente em 14,2%, remoção insuficiente do teto em 25,2%, iatrogenia em 31,4% e altura inadequada da restauração temporária em 11,5% dos casos. Nos dentes posteriores, o desgaste compensatório mesiodistal insuficiente foi identificado em 35,4% dos exames. A análise bivariada não revelou diferença significativa quando verificada a variável região da cavidade bucal em relação a presença de cárie (p = 0,393), teto remanescente (p = 0,056) e presença de iatrogenia (p = 0,304). Conclusão: Há falhas relevantes nas aberturas endodônticas recebidas no CEO, o que indica a necessidade de treinamento profissional na atenção primária.

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Technical quality and associated iatrogenic errors of endodontic treatments performed in extracted anterior single-rooted teeth by preclinical undergraduate students

Cited by 7 publications

References 11 publications

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

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

Endodontic mishaps during root canal treatment performed by undergraduate dental students

Análise radiográfica das aberturas endodônticas de dentes de pacientes referenciados a um Centro de Especialidades Odontológicas

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