scholarly journals Accidental perforations during root canal treatment: an 8-year nationwide perspective on healthcare malpractice claims

2020 ◽  
Vol 24 (10) ◽  
pp. 3683-3690 ◽  
Author(s):  
Miira M. Vehkalahti ◽  
Outi Swanljung
Keyword(s):  
Clinical Practice ◽  
Root Canal ◽  
Tooth Extraction ◽  
Service Sector ◽  
Good Clinical Practice ◽  
Root Canal Treatment ◽  
Background Information ◽  
Malpractice Claims ◽  
Tooth Type ◽  
Over Time

Abstract Objectives To assess occurrence and its variation over time of serious accidental perforations during endodontic treatment and the fate of perforated teeth by tooth type and characteristics of patients and dentists. Materials and methods Data, based on patient documents on healthcare malpractice claims, comprised all endodontic injuries (n = 970) verified by the Patient Insurance Centre in Finland in 2002–2006 and 2011–2013. Two specialists in endodontics scrutinized the documents. Accidental perforations were recorded by location (tooth type, chamber/canals) and dichotomized as avoidable (could have been avoided by following good clinical practice) or unavoidable (normal treatment-related risks). Fate of perforation cases was recorded as treatment discontinued, root canal(s) filled, or tooth extracted. Background information included patients’ and dentists’ sex and age and the service sector. Statistical evaluation used Chi-square tests. Results Serious accidental perforations comprised 29% of all verified injuries. Most perforations were judged as avoidable: 93% in patients aged below 35 years, 87% when located in the pulp chamber or in molars (84%); 70% of all perforations and 75% of those in molars resulted in tooth extraction. The overall rate of serious accidental perforations was 17.6 cases per 100,000 endodontic patients per year. Conclusions The rate of serious accidental perforations increased over time. The majority was in molars and resulted in tooth extraction. Clinical relevance Accidental perforations comprise almost a third of serious injuries during root canal treatment. However, four of five perforations could be avoided by following good clinical practice. Therefore, training is needed before adopting new working equipment and methods.

scholarly journals Intentional Replantation – The novel technique for the management of separated instrument in apical third of tooth: A case report

2022 ◽  
Vol 7 (4) ◽  
pp. 250-253
Author(s):  
Harshal V Basatwar ◽  
Balaji S Kapse ◽  
Pradnya S Nagmode ◽  
Sharmika B Chechare ◽  
Aniruddha G Mundhe ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Tooth Extraction ◽  
Treatment Approach ◽  
Root Canal Treatment ◽  
The Novel ◽  
Second Molar ◽  
Novel Technique ◽  
Mandibular Second Molar

Intentional replantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth into its own alveolus. In this article, intentional replantation is described and discussed as a treatment approach for failed root canal treatment with broken instrument periapically in mandibular second molar.

scholarly journals Reframing Perceptions in Restorative Dentistry: Evidence-Based Dentistry and Clinical Decision-Making

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Ayah A Al-Asmar ◽  
Ahmad S Al-Hiyasat ◽  
Motasum Abu-Awwad ◽  
Hakam N Mousa ◽  
Nesreen A Salim ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Root Canal ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Root Canal Treatment ◽  
Evidence Based ◽  
Dental Practice ◽  
Restorative Dentistry ◽  
Evidence Based Dentistry

Objectives. The worldwide interest of both dentists and patients in esthetic dentistry has affected decision-making in dental practice. The aim of this study was to investigate contemporary dental practice in restorative dentistry and the relationship between evidence-based dentistry in caries research and decision-making in clinical practice in restorative dentistry. Methods. The study was conducted through a structured questionnaire distributed randomly at the Jordanian Dental Association registered dentists in Jordan. The questionnaire aimed to clarify the degree of knowledge and practice of evidence-based dentistry in caries research the dentists hold regarding clinical decision-making in restorative dentistry. Results. The majority of the surveyed dentists (77%) treat teeth with irreversible pulpitis with root canal treatment rather than vital pulp therapy. 13.8% routinely insert a post and 23% routinely crown the tooth after root canal treatment regardless of the remaining tooth structure. Badly damaged teeth are treated with full crowns in 72% of the cases. Regarding Hollywood smile or smile makeover, the majority of dentists choose conservative approaches, and implants were the first choice to replace missing teeth for 93.8% of the surveyed dentists. Conclusion. A higher degree of implementation of evidence-based dentistry in clinical decision-making was found in Prosthetic Dentistry than in Endodontics. Yet, the gap between evidence-based data and clinical practice needs bridging. More emphasis on communicating these data to educators to integrate them into the dental curriculum is a must.

scholarly journals Comparing Quality of Life of Patients Undergoing Root Canal Treatment or Tooth Extraction

2020 ◽  
Vol 46 (1) ◽  
pp. 19-28.e1 ◽  
Author(s):  
Emma Wigsten ◽  
Thomas Kvist ◽  
Peter Jonasson ◽  
Thomas Davidson ◽  
Lars Bjørndal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Root Canal ◽  
Tooth Extraction ◽  
Root Canal Treatment

scholarly journals Restorasi Mahkota Jaket Porselin Fusi Metal dan Crown Lenghtening pada Gigi 11 dan 21 Pasca Trauma

2015 ◽  
Vol 1 (2) ◽  
pp. 140
Author(s):  
Dimas Cahya Saputra ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Tooth Extraction ◽  
Root Canal Treatment ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Post Traumatic ◽  
Crown Lengthening

Laporan kasus ini bertujuan untuk melaporkan perawatan kasus fraktur subgingival dua gigi anterior maksila dengan pendekatan konservatif pada sisa jaringan keras gigi yang sehat. Perawatan pada gigi 11 dan 21 didahului perawatan saluran akar kemudian dilanjutkan dengan prosedur crown lenghtening dan restorasi mahkota penuh porselin fusi metal yang diperkuat dengan pasak metal customized. Perawatan ini merupakan alternatif untuk menghindari pencabutan gigi dan mengoptimalkan jaringan keras gigi tersisa untuk membangun sebuah restorasi estetis yang fungsional. ABSTRACT: Restoration Using Jacket Crown of Porcelain Fused-to-Metal and Crown Lengthening on Post-Traumatic Teeth 11 and 21. The aim of this case report was to describe the restoration of subgingival fractured two maxillary anterior teeth conservatively on healthy remaining tooth structure. Teeth #11 and #21 were initially treated by root canal treatment followed by crown lengthening and restored using porcelain fused-to-metal full crown retained by metal customized post. This treatment was an alternative to avoid tooth extraction and designed to optimize the remaining tooth structure in order to obtain a fully functional and esthetic restoration.

SAF file: It's really three dimensional file

2018 ◽  
Vol 14 (1) ◽  
pp. 1
Author(s):  
Prof. Dr. Jamal Aziz Mehdi
Keyword(s):  
Cross Section ◽  
Root Canal ◽  
Three Dimensional ◽  
Circular Cross Section ◽  
Circular Motion ◽  
Root Canal Treatment ◽  
Metal Core ◽  
Rotating Blade

The biological objectives of root canal treatment have not changed over the recentdecades, but the methods to attain these goals have been greatly modified. Theintroduction of NiTi rotary files represents a major leap in the development ofendodontic instruments, with a wide variety of sophisticated instruments presentlyavailable (1, 2).Whatever their modification or improvement, all of these instruments have onething in common: they consist of a metal core with some type of rotating blade thatmachines the canal with a circular motion using flutes to carry the dentin chips anddebris coronally. Consequently, all rotary NiTi files will machine the root canal to acylindrical bore with a circular cross-section if the clinician applies them in a strictboring manner

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