scholarly journals Common Temporization Techniques Practiced in Saudi Arabia and Stability of Temporary Restoration

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Fahda N. Algahtani ◽  
Reem M. Barakat ◽  
Bashayer S. Helaby ◽  
Manar A. Alhefdhi ◽  
Munirah S. Binshabaib ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Root Canal ◽  
Glass Ionomer Cement ◽  
Complete Loss ◽  
Root Canal Treatment ◽  
Online Questionnaire ◽  
Chi Square ◽  
Cotton Pellet ◽  
Research And Education ◽  
General Dentists

Introduction. Coronal leakage is detrimental to the long-term success of root canal treatment (RCT). While much emphasis is being placed on the quality of the final restoration, little attention is given to the temporary restoration placed in between root canal treatment appointments. The aim of this study was to survey temporization techniques practiced in Saudi Arabia and the frequency of observing temporary material breakdown or complete loss. Materials and Methods. An online questionnaire was distributed among general dentists, dental specialists, and clinical trainees in undergraduate and postgraduate dental programs. The sample size was estimated at 370 participants. Data were analyzed using descriptive statistics and chi-square tests. Results. The total number of participants who met the inclusion criteria was 525. The majority of them (94.6%) were practicing two-visit RCT. The most common temporization materials were Cavit (50.3%) followed by glass ionomer cement (32%). The majority (72.6%) of participants claimed they allow a thickness of 2-3 mm for temporary restorations. Many participants (60.4%) used a spacer material during temporization, and the cotton pellet was the most common spacer material. Temporary restoration breakdown or complete loss was a common observation. Although the duration between the two RCT visits was 2 weeks or less for 83.6% of participants, only 19.6% of participants claimed that they rarely observed temporization breakdown. Conclusion. Two-visit RCT is commonly practiced in Saudi Arabia, and endodontists performed significantly more single-visit procedures. Temporization practices may lack uniformity; however, clinicians were more likely to use calcium sulfate-derived material for two weeks or less. They allow for 2-3 mm thickness restoration and use a cotton pellet as a spacer. According to their clinical observation, temporary material breakdown or complete loss was frequent. This mandates further attention in research and education.

scholarly journals Characteristics, Treatment, and Prognosis of Cracked Teeth: A Comparison with Data from 10 Years Ago

2021 ◽  
Author(s):  
Tae Yeon Lee ◽  
Sung Eun Yang ◽  
Hye Min Kim ◽  
Min Joo Kye
Keyword(s):  
Root Canal ◽  
Statistical Significance ◽  
Treatment Method ◽  
Root Canal Treatment ◽  
Periodontal Pocket ◽  
P Value ◽  
Chi Square ◽  
Pocket Depth ◽  
Persistent Symptoms ◽  
Probing Depth

Abstract Objectives The purpose of this study was to analyze and to compare retrospectively the characteristics, the treatment process, and the prognosis of cracked teeth by comparing recent data with data from 10 years ago. Materials and Methods Sixty-eight cracked teeth from March 2009 to June 2010 (2009 data) and 185 cracked teeth from March 2019 to June 2020 (2019 data) were analyzed. The characteristics of cracked teeth and the treatment method depending on probing depth, caries, and symptoms, and prognosis depending on pocket depth and apical lesions were analyzed using R version 3.3.3 (R Foundation for Statistical Computing, Vienna, Austria) and T&F version 3.0 (YooJin BioSoft, Korea). To compare proportions, the two-sample proportion test was performed. The distribution of proportions within the samples from 2009 and 2019 data was analyzed using the Chi-square test or binomial test. A p-value <0.05 was considered to indicate statistical significance. Results Significantly fewer cracked teeth received root canal treatment before crown in 2019 than in 2009 (p = 0.032). In both 2009 and 2019, symptomatic cracked teeth and those with deep periodontal pockets (>6 mm) were significantly more likely to receive root canal treatment. In both years, cracked teeth with a probing depth less than 6 mm or without an apical lesion were significantly more likely to be asymptomatic at 3-month and 6-month follow-ups (p < 0.001). Conclusion Cracked teeth with a deep periodontal pocket or symptoms had a higher likelihood of endodontic treatment, and the presence of a deep periodontal pocket or apical lesion was associated with a higher risk of persistent symptoms. Therefore, clinicians should consider these factors when planning treatment and predicting patients’ prognosis.

Root Canal Retreatment and Intracoronal Bleaching on the Maxillary First Premolar

2020 ◽  
Vol 48 ◽  
pp. 10-14
Author(s):  
Cynthia Carissa ◽  
Tunjung Nugraheni ◽  
Yulita Kristanti
Keyword(s):  
Root Canal ◽  
Good Condition ◽  
Glass Ionomer Cement ◽  
Short Fiber ◽  
Root Canal Treatment ◽  
Glass Ionomer ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Root Canal Retreatment

Introduction. Inadequate root canal preparation and obturation are potential causes of endodontic failure. Failed root canal treatment with intrinsic discoloration requires root canal re-treatment and intracoronal bleaching. Due to the extensive loss of hard tissues on occlusal area, the restoration requires intracanal retention with short fiber-reinforced composite. Case report. A 17-year-old male patient came to the Clinic of Conservative Dentistry Dental Hospital Prof. Soedomo. He reported pain and discomfort on maxillary first premolar while chewing after root canal procedure had been performed few months before. He felt unconvinience with the discoloration happened on those tooth. Patient had endodontic treatment one year ago and the tooth was restored with glass ionomer cement. Objective examination showed glass ionomer restoration was still in good condition, the tooth was sensitive to percussion but not to palpation, and showed no mobility. Periapical radiograph showed incomplete obturation with radioluscent around periapical region. Retreatment followed by intracoronal bleaching was performed under rubber dam isolation. Tooth was restored with short fiber reinforced composite and composite resin. After 3 month, patient was recalled for examine the previous sign and symptomps. Periapical radiograph showed diameter of periapical lesion was smaller and tooth functioned normally. Conclusion. Root canal retreatment and intracoronal bleaching are suitable options for teeth with failed root canal treatment and intrinsic discoloration

scholarly journals Removal of a separated endodontic instrument by using the modified hollow tube–based extractor system: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090782
Author(s):  
Mothanna K AlRahabi ◽  
Hani M Ghabbani
Keyword(s):  
Saudi Arabia ◽  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Simple Method ◽  
Strict Adherence ◽  
System A ◽  
Rotary Instruments ◽  
Niti Rotary Instruments ◽  
Rotary Instrument

The frequency of separation of NiTi rotary instruments has increased with the increasing use of these instruments, and this error may result from inadequate experience of using these instruments. This iatrogenic error can complicate root canal treatment, and special experience is required to manage this problem. This case report describes the management of the separation of an F3 instrument from a ProTaper NiTi rotary system. A 30-year-old man was referred to the College of Dentistry, Taibah University (Saudi Arabia) with an intracanal separated NiTi rotary instrument (F3 of the ProTaper system; Dentsply Maillefer, Ballaigues, Switzerland) in the canal of the maxillary right canine. The separated instrument was removed by using the modified hollow tube–based extractor system. The present case revealed that sometimes a simple method can be an effective alternative of a professional method; using NiTi rotary instruments with strict adherence is important for the prevention of instrument separation.

scholarly journals A Survey of Standard Protocols for Endodontic Treatment in North of KSA

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Azhar Iqbal ◽  
Iftikhar Akbar ◽  
Beenish Qureshi ◽  
Mohd G. Sghaireen ◽  
Mahmoud K. AL-Omiri
Keyword(s):  
Saudi Arabia ◽  
Root Canal ◽  
Computer Software ◽  
Endodontic Treatment ◽  
Preparation Technique ◽  
Gutta Percha ◽  
Working Length ◽  
True Representation ◽  
Length Determination ◽  
General Dentists

The objective of this study was to collect information regarding methods, materials, and attitudes employed during the endodontic treatment by dentists in north of Saudi Arabia. A questionnaire was designed and distributed among 300 dentists in north of Saudi Arabia to collect the data about the standard protocols of endodontic treatment. The collected data was analyzed by using the SPSS 10 computer software. Out of a total of 300 surveyed dentists, the 66% response rate showed that this study was true representation of the endodontic treatment performed by the dentists in north of Saudi Arabia. 152 (76%) were general dentists and 48 (24%) were endodontists. 18 (9%) were using rubber dam as the method of isolation during endodontic treatment. 173 (86.5%) were using only measurement radiographs for working length determination and 27 (13.5%) were using both electronic apex locator and measurement radiographs. 95 (47.5%) of the respondents were using standardized technique and 25 (12.5%) were using step-down as a root canal preparation technique. 127 (63.5%) of the respondents were using lateral condensation technique, with gutta percha points for root canal obturation.

scholarly journals The Uptake of Nickel-Titanium Rotary Files in Saudi Arabia

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Emad AlShwaimi
Keyword(s):  
Developing Countries ◽  
Saudi Arabia ◽  
North America ◽  
Root Canal ◽  
Overall Response Rate ◽  
Response Rate ◽  
Correlation Coefficients ◽  
Nickel Titanium ◽  
Level Of Significance ◽  
General Dentists

Aim. We surveyed the uptake of nickel-titanium rotary files (NTRFs) among all dentists in Saudi Arabia.Methodology. A questionnaire encompassing endodontic performance and NTRF uptake was e-mailed to all members of the Saudi Dental Society. Data were collected from participants during a three-month period and were analyzed usingχ2tests and correlation coefficients. Level of significance was set atP=0.05.Results. The overall response rate was 30.6% (n=490), and 82.9% were found to perform root canal treatment (RCT). Among the 406 RCT performers, general dentists formed the bulk (45%). Among endodontists, 91.5% were using NTRF (P<0.001). Those who graduated between 1991 and 2000 used NTRF more than any other group did (78.4%,P=0.05). Graduates from Europe and Australia used NTRF most frequently (100%,P=0.001), followed by those from North America (87%,P=0.001), and finally by Saudi Arabian graduates (68.7%). Male respondents performed more endodontic procedures and used NTRF significantly more often than female respondents did (males: 73%; females: 56.2%) (P=0.001). The most significant reasons for not using NTRF were “unavailability” (64.7%,P≤0.05) and “lack of experience” (54.1%,P≤0.001).Conclusions. We found that NTRF usage was not as widespread in Saudi Arabia as in other developing countries. Therefore, we suggest an improved implementation of NTRF in undergraduate and postgraduate curriculums and the provision of educational courses with a greater focus on this development.

scholarly journals Association of type of file fracture and method of removal in a university setting

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1761-1765
Author(s):  
Preethi Mariona ◽  
Delphine Priscilla Antony S ◽  
Sreedevi Dharman
Keyword(s):  
Root Canal ◽  
Fracture Incidence ◽  
Common Method ◽  
Root Canal Treatment ◽  
Canal System ◽  
Chi Square ◽  
Chi Square Test ◽  
Root Canal System ◽  
University Setting

Some mishaps tend to occur during treatment in the root canal system, for example, file fractures. The challenge of the removal depends on the type of file fractured and the method which is used to remove it, generally it is decided based on the level of the fracture. Any file can fracture inside the root canal which is based on the curvature, anatomy. Specific techniques and measures have been employed to remove this file from the root canal system. The aim of the study is to find the association of file fracture with the method of removal. The details of all patients who underwent a root canal treatment where noted and the details of 16 patients with file fractures during the procedure were shortlisted. The type of file fractures was analyzed, such as K files, rotary files, H files, other instruments. The method of removal was usually ultrasonic, mechanical, manual or combination of any of the above. Excel tabulation was done and imported to SPSS for results. Chi-square test performed. The most common and used file to fracture in the root canal system was rotary files which had a fracture incidence of 31% and most common method used to retrieve was using ultrasonic of an incidence of 37.5. Chi-square test shows p>0.05, which is statistically not significant. The study concludes that rotary files fracture the most and the method used to retrieve them was mechanical, but as a whole, the most common method used was ultrasonic.

scholarly journals Knowledge and Awareness of root canal therapy for population in Saudi Arabia: A questionnaire-based study

2018 ◽  
Vol 5 (2) ◽  
pp. 3560-3564 ◽  
Author(s):  
Zeeshan H Ahamed ◽  
Abdulaziz Alwakeel ◽  
Abdulelah Alrshedan ◽  
Fahad Altimsah
Keyword(s):  
Saudi Arabia ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Saudi Population ◽  
Root Canal Therapy ◽  
Cross Sectional ◽  
The Past

Objective: The present study was planned with an aim to evaluate the knowledge and awareness regarding root canal treatment in a sample of Saudi population. Material and methods: A cross-sectional questionnaire-based survey was conducted among a sample of participants in the Saudi population. Participants were asked questions to assess their knowledge about endodontic treatment. Results: A total of 568 patients (343 males and 225 females) participated in the study. When the patient’s responses were analyzed regarding endodontic treatment, it was found that 68.55 % of participants had a good experience of root canal treatment in the past. 27.9% of the respondents describe their knowledge of root canal treatment as average. Spontaneous toothache was considered the most important factor to seek endodontic treatment in majority (40.1%) of the participants and 86.6% of the participants preferred a specialist to undergo a root canal treatment. Conclusion: Pain associated with root canal treatment was the most important factor that dithered the surveyed participants from root canal treatment. The results of the survey reveal an improvement of knowledge and awareness of patients about root canal treatment

scholarly journals Causes of root canal treatment failure: A prospective study in Makkah City, Saudi Arabia

2020 ◽  
Vol 7 (1) ◽  
pp. 40
Author(s):  
MohsenK Aljabri ◽  
JamalA Kensara ◽  
AymanO Mandorah ◽  
MonammedA Sunbul
Keyword(s):  
Saudi Arabia ◽  
Treatment Failure ◽  
Prospective Study ◽  
Root Canal ◽  
Root Canal Treatment ◽  
A Prospective Study ◽  
Makkah City

scholarly journals Self-declarative Performance of General Dentists in Prescribing Analgesics and Antibiotics for Patients Requiring Root Canal Treatment

2021 ◽  
Author(s):  
Fatemeh Dibaji ◽  
Reza Yazdani ◽  
Sara Sajadi ◽  
Elahe Mohamadi ◽  
Fatemeh Mohammadian ◽  
...  
Keyword(s):  
Root Canal ◽  
Antibiotic Prescription ◽  
Cross Sectional Study ◽  
The Self ◽  
Root Canal Treatment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Scientific Congress ◽  
General Dentists ◽  
Irreversible Pulpitis

Objectives: This study aimed to determine the self-declarative performance of general dentists in prescription of analgesics and antibiotics for patients requiring root canal treatment (RCT). Materials and Methods: In this cross-sectional study, 400 general dentists participating in the 55th International Annual Scientific Congress of the Iranian Dental Association (2015) were randomly selected, and requested to complete a questionnaire about their performance regarding prescribing analgesics and antibiotics for patients requiring RCT. The frequency and percentage of answers to each question were calculated and reported. Results: The most commonly prescribed analgesics included ibuprofen (100.0%), Gelofen (100.0%), Novafen (68.5%) and acetaminophen (24.8%). After RCT, dentists prescribed ibuprofen (100.0%), Gelofen (98.3%), dexamethasone (35.3%), Novafen (27.3%) and acetaminophen/codeine (15.8%) in decreasing order of frequency. Antibiotic prescription was minimum (48.5%) for cases with painful (moderate or severe) irreversible pulpitis (vital tooth) before the treatment and maximum for cases of pulp necrosis with acute apical periodontitis, edema, and preoperative symptoms (moderate or severe) (97.3%). For non-allergic patients, the most frequently prescribed antibiotics were amoxicillin 500 mg (93.3%), cefixime 400 mg (81.3%), amoxicillin/metronidazole 250 mg (71.8%), co-amoxiclav 265 mg (36.3%) and injectable penicillin (0.5%). For allergic patients, dentists prescribed clindamycin 300 mg (84.0%), cephalexin 500 mg (15.8%), azithromycin 500 mg (13.5%), and erythromycin 500 mg (10.8%). Sex and graduation date had no significant effect on the results (P>0.05). Conclusion: Antibiotic prescription is excessive by general dentists, and their performance regarding the proper and logical prescription of antibiotics in RCT should be improved.

scholarly journals Current Trends in Practice of Residents in the Saudi Board of Endodontics Program

2019 ◽  
Vol 13 (04) ◽  
pp. 619-624
Author(s):  
Mothanna K. AlRahabi ◽  
Ayman M. AlKady
Keyword(s):  
Saudi Arabia ◽  
Root Canal ◽  
Chi Square ◽  
Web Based ◽  
Current Trends ◽  
Western Area ◽  
Working Length ◽  
Chi Square Test ◽  
Materials Used ◽  
Level Of Significance

Abstract Objectives The purpose of the current study was to collect information about some techniques and armamentarium currently used by the Saudi Board of Endodontics residents in relation to the technical steps of root canal therapy. Materials and Methods A web-based survey was sent to the Saudi Board of Endodontics residents, based in the western area of Saudi Arabia. The survey assessed controversial concepts, and collected information regarding new instruments and materials, used in the technical steps of nonsurgical root canal treatment. A one-sample chi-square test, with a 95% level of significance, was applied to determine whether there were significant differences between respondents’ answers. Results A total of 45 out of 50 residents (90%) responded to the questionnaire. The majority of Saudi Board residents of Endodontics, who participated in this survey, used the mean of working length (ML) measured by periapical X-Ray and apex locator in the presence of a radiographic lesion (63.3%), and maintained apical patency in all cases (80.0%). ProTaper Universal (40%) and ProTaper Next (41.2%) were the most common NiTi rotary systems used for root canal instrumentation. Thirty percent of respondents used adjunct device with irrigation, and 80% advocated smear layer removal. Zinc oxide–eugenol-based sealers were the most common used sealers (70%), and most residents (86.6%) did not advocate sealer extrusion. Conclusions This study revealed that residents of the Saudi Board of Endodontics program adopt new endodontic technologies. There is, however, a need for more investigations regarding this objective, including responses from all residents in Saudi Arabia.

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