scholarly journals Radiographic Assessment of the Quality of Root Canal Treatments Performed by Practitioners with Different Levels of Experience

2018 ◽  
Vol 11 (3) ◽  
pp. 1609-1616 ◽  
Author(s):  
Abdulrahman Mudaysh Bajawi ◽  
Sharafi Abdullah AL-Sagoor ◽  
Ahmed Abdullah Alhadi ◽  
Mohammed Abdullah Alhadi ◽  
Mahmoud Y. Almasrahi ◽  
...  
Keyword(s):  
Root Canal ◽  
Cross Sectional Study ◽  
Dental Service ◽  
Standards Of Care ◽  
Technical Quality ◽  
Cross Sectional ◽  
Dental Practitioners ◽  
Chi Square Analysis ◽  
Different Levels

This retrospective cross-sectional study was conducted to radiographically evaluate the quality of root canal treatment (RCT) performed by practitioners with different levels of experience at the Arar Dental Center, North Region, Saudi Arabia. A total of 170 periapical radiographs of root canal fillings (RCFs) were used to assess the technical quality of 376 root canal performed by the practitioners at Arar Dental Center. The length of each RCF was categorized as acceptable, overfilled, and underfilled on the basis of their relationship to the radiographic apex and surrounding structures. The density and taper of the fillings were evaluated on the basis of the presence of voids and the uniform tapering of the fillings, respectively. Root canal obturation (RCOs) was compared between practitioners. Chi-square analysis was then conducted to determine significant differences between RCF length, density and tapering in different areas of dental arches, different canal positions, and different levels of practitioner experience. Of the total number of canals, 202 (53.7%) were found in males, and 219 (58.2%) were in the maxillary arch. A total of (267; 71%) of the RCFs were located in the posterior reign. All of the parameters of the RCFs significantly differed among various areas of dental arches, canal locations, and practitioners with different levels of experience (P < 0.001) except the RCO density between different arches (P = 0.137). The technical quality of RCFs performed at the Arar Dental Center was acceptable in 63% of all cases. The length of RCFs was acceptable in the majority of cases performed by consultants and specialists, but this parameter was acceptable only in 46.4% cases carried out by general dental practitioners (GDPs). The underfilling rates reported by GDPs (43.6%) were higher than those presented by consultants (13%) and specialists (18.8%). Almost all of the cases were acceptable in terms of density and tapering among all of the practitioners. The poor density and tapering qualities of RCFs were respectively found in 24.2% and 22.3% of the cases performed by GDPs. Evaluating the quality of RCTs delivered by practitioners in any dental service center offers vital information for health service authorities. This evaluation helps improve the trend in RCT services provided by endodontists with the aid of additional new endodontic equipment and materials. This study provides insights into relevant services in terms of the standards of care in endodontic treatment.

Technical Quality Assessment of Root Canal Treatment on ETP by Pre-Clinical Students at Fatima Jinnah Dental College

2021 ◽  
Vol 15 (12) ◽  
pp. 3281-3284
Author(s):  
Rafia Ruaaz ◽  
Muhammad Bilal Bashir ◽  
Maryam Basim ◽  
Zohra Allana ◽  
Hussain Askary ◽  
...  
Keyword(s):  
Root Canal ◽  
Dental Students ◽  
Root Canal Treatment ◽  
Treatment Quality ◽  
Teaching Methodology ◽  
Kappa Statistics ◽  
Technical Quality ◽  
Cross Sectional ◽  
Chi Square Analysis

Background: Students at pre clinical level at Fatima Jinnah Dental College are taught root canal treatment on endodontic typodonts. Technical quality of the root canal treatments performed by these students was assessed to determine success of teaching methodology and reinforcement of tooth morphology concepts. Methodology: In this cross-sectional study, obturation quality of 20 anterior and 30 posterior endodontic typodonts were evaluated on the parameters of length, density and taper. The collected data was evaluated using SPSS software, version 20.0. Chi square analysis was applied to compare the quality of root canal obturation between types of tooth. Kappa statistics was used for inter examiner reliability. Results: After assessing the three variables, adequate length control was observed in (92.9%), while 7.1% of under filling was seen in both groups. Percentage of teeth showed homogeneity in obturation density that is 30%, 60% teeth showed acceptable, whereas 10% showed unacceptable obturation homogeneity. 55.6% teeth showed perfect obturation taper and 4% showed acceptable. Conclusion: The obtained results showed root canal treatment quality done by Fatima Jinnah Dental College undergraduate dental students to be adequate on anterior endodontic typodont teeth as compared to posterior endodontic teeth. This will guide us in utilizing further demonstration hours and more practice time on posterior endodontic teeth. Our study also displayed the need of incorporating hands on practice of root canal treatments on extracted teeth before students are allowed to work on patients. Keywords: Root Canal Treatment, Endodontic Typodont, Obturation, Preclinical.

scholarly journals Radiographic evaluation of the quality of root canal treatment in a Bangladeshi population

2020 ◽  
Vol 13 (2) ◽  
pp. 59-64
Author(s):  
Rafia Nazneen ◽  
Rajesh Karmaker ◽  
Gulnar Begum ◽  
Nurul Amin
Keyword(s):  
Root Canal ◽  
Cross Sectional Study ◽  
High Rate ◽  
Root Canal Treatment ◽  
Radiographic Evaluation ◽  
Filling Material ◽  
Technical Quality ◽  
Cross Sectional ◽  
Standard Quality

Background and objective: Root canal treatment (RCT) has a high rate of success, when performed by properly trained dental surgeons. However, the failure rate is inappreciably high when the same procedure is done by less experienced dental graduates having no specialization on endodontics. This study was conducted to evaluate the technical quality of RCT performed by practicing dental graduates on Bangladeshi patient. Methods: This cross-sectional study was conducted in the Department of Dentistry of BIRDEM General Hospital Dhaka over a period of 6 months from January to June 2019. Radiographs of patients who had undergone RCT in last 6 months were included in the study. Parameters used to evaluate the obturation of the root canal were presence of root-filled, posts and voids. The RCT was assessed for filling at the end of the root with radiographic apex, the density of the filling material and taper from the orifice to apex. The quality of RCT was evaluated as totally unacceptable (score: 0-2), poorly acceptable (score: 3-4), acceptable (score: 5) and perfect (score: 6) based on the treatment score. Post-treatment complications were determined by furcation and cavity wall perforation, transportation, root perforation, instrument breakage, ledge formation, voids and missed canal. Result: A total of 180 postoperative readable radiographs with post root-canal treatment were evaluated. Evaluation of the technical quality of RCT revealed that 56% of the RCTs were of standard quality (41.7% were of perfect quality and 14.4% were of acceptable quality). The rest 23.3% were poorly acceptable and 20.6% were totally unacceptable. Majority (92.8%) of the obturation of the root canal revealed that roots were filled with sealing materials; however, 8.9% exhibited posts and 36.7% demonstrated voids. A sizable portion of the root canal obturation was unacceptable in terms of its length (12.2%), density (20%) and tapering (16.7%). Total 132 (73.3%) teeth developed at least one complication. Under filling and voids were predominant complications (42.8% and 41.1% respectively) followed by root perforation (12.2%), transportation (11.7%), ledge formation (5%), instrument breakage (2.8%) and missed canal (3.3%). Conclusion: The study concluded that over forty percent of the RCTs performed by dental graduates having no specialization on endodontics are of substandard quality and hence not acceptable. Ibrahim Med. Coll. J. 2019; 13(2): 59-64

scholarly journals Prevalence of apical periodontitis and quality of root canal fillings in population of Zagreb, Croatia: a cross-sectional study

2011 ◽  
Vol 52 (6) ◽  
pp. 679-687 ◽  
Author(s):  
Jurica Matijević ◽  
Tina Čižmeković Dadić ◽  
Goranka Prpić Mehičić ◽  
Ivica Anić ◽  
Mladen Šlaj ◽  
...  
Keyword(s):  
Root Canal ◽  
Cross Sectional Study ◽  
Apical Periodontitis ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals The quality of Alginate Impressions for fabrication of Fixed Partial Dentures Received by Commercial Dental Laboratories in Bangladesh

2013 ◽  
Vol 2 (1) ◽  
pp. 02-07
Author(s):  
Aleya Begum ◽  
ASM Shahin ◽  
Md Ali Afzal Khan ◽  
Md Saiful Islam ◽  
Rubaba Ahmed
Keyword(s):  
Treatment Plan ◽  
Cross Sectional Study ◽  
Good Choice ◽  
Finish Line ◽  
Cross Sectional ◽  
Impression Material ◽  
Dental Practitioners ◽  
Model Preparation ◽  
Line P

The study was conducted to evaluate the quality of alginate impression sent to commercial dental laboratories for fabrication of Fixed partial dentures (FPD), to describe the frequency of clinically detectable errors and to determine correlation between factors. A Cross-sectional Study in eight commercial dental laboratories was conducted and a sample of 171 impressions was examined. For each impression, type of tray used, number of prepared units per jaw, model preparation time, manipulation quality, impression of arch, tray showing through impression material and utilization of embedded retraction cord were recorded. Over half of the specimens (58%) inspected were found to be unsatisfactory as they contained at least one detectable error. These errors included alginate manipulation with granularity (5.8%), Impression of partial arch (26.3%), Bubbles at finish line (4.1%) Presence of tears along the margin (6.4%), Tray showing through material (43.9%), Delayed model prepared (29.8%) and Did not used Retraction cord (78.4%). Significant associations were found between manipulation of impression material and presence of tearing at the margin line ( p=.007) and presence of bubbles at the margin line (p=.011). Selecting alginate impression material as a final impression is not a good choice for fabricating FPD. Therefore, the dental practitioners need to revise their treatment plan before taking impression. DOI: http://dx.doi.org/10.3329/updcj.v2i1.13950 Update Dent. Coll. j: 2012; 2 (1): 02-07

scholarly journals Apical periodontitis in relation to radiographic quality of endodontic treatment in a selected adult Turkish population: A cross-sectional study

2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Güzide Pelin Sezgin ◽  
Sema Sönmez Kaplan ◽  
Tuna Kaplan
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Turkish Population ◽  
Cross Sectional Study ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Treatment Quality ◽  
Endodontically Treated Teeth ◽  
Cross Sectional

Objective: The aim of this study was to examine the quality of root canal fillings and their relationship with apical periodontitis (AP) in a selected Turkish population. Material and Methods: The cases in this study was formed of patients attending routine dental treatment at the Faculty of Dentistry, University of Birun. 1024 patients were examined with panoramic radiographs and 1780 endodontically treated teeth with present periapical radiographs. Endodontic treatment quality was evaluated by obturation length, density, taper quality and iatrogenic errors. Presence of AP was analysed according to Ørstavik’s periapical index (PAI). The chi-square test was used for statistical analyses. Results: Statistically significant relationship was found between both the tooth type and location with obturation quality (p: 0.000; p < 0.05). Obturation quality of maxillary and mandibular molars are significantly less than the other tooth types in the same location. Apical periodontitis were noticed in 740 teeth (41.6%). Inadequate obturation quality was found to be significantly effective on the periapical status of tooth types both in maxilla and mandible (p < 0.05). Conclusion: The frequency of inadequate root canal obturations of endodontically treated teeth of the selected Turkish population was high, especially in molar teeth and women. Even though radiographic obturation quality is not the only success criteria in endodontic treatment, it is still one of the most important criteria regarding the positive correlation of “inadequate” obturations with AP.KEYWORDSPeriapical periodontitis; Radiography; Root canal obturation; Root canal theraphy.

scholarly journals Attitude of General Dental Practitioners toward Root Canal Treatment Procedures in India

2013 ◽  
Vol 14 (3) ◽  
pp. 528-531 ◽  
Author(s):  
Sarvesha Bhondwe ◽  
Deepak Jain ◽  
Ashwini Gaikwad ◽  
Prasad Rane ◽  
Saurabh Doshi
Keyword(s):  
Root Canal ◽  
Cross Sectional Study ◽  
Root Canal Treatment ◽  
Cross Sectional ◽  
Posterior Teeth ◽  
Rubber Dam ◽  
Rotary Instruments ◽  
Dental Practitioners ◽  
Treatment Procedures ◽  
Structured Questionnaire

ABSTRACT Objective The percentage of general dental practitioners is very common in India, so the purpose of this study was to assess attitude of general dental practitioners toward root canal treatment (RCT) procedures. Materials and methods In a cross-sectional study, 178 dentists (96 males and 82 females) were surveyed using a selfadministered, structured questionnaire pretested through a pilot survey. The questionnaire collected information regarding RCT procedures among participants. Data were analyzed using SPSS version 15. Frequency and percentage distributions were calculated. Results In the present study most of the participants, i.e. 86.4% reported that they perform (RCT) procedures in posterior teeth. Isolation is mainly done with cotton rolls only (74.6%) and very few are using rubber dam in their practice (3.2%). Radiographs were not taken after every step in most of the cases. Rotary instruments were used in less number of cases and K-files were the most popular instruments (66.2%). Also single sitting RCT was not commonly seen. Clinical significance This study indicates that most of the general dental practitioners’ do not comply with quality standards guidelines such as use of rubber dam as isolation. So dentist should update their knowledge and practices with current techniques and materials through CDE programs. How to cite this article Gaikwad A, Jain D, Rane P, Bhondwe S, Taur S, Doshi S. Attitude of General Dental Practitioners toward Root Canal Treatment Procedures in India. J Contemp Dent Pract 2013;14(3):528-531.

scholarly journals Attitudes and opinions of dental practitioners towards the use of clinical photography in Srinagar: a cross sectional study

2020 ◽  
Vol 8 (5) ◽  
pp. 1818
Author(s):  
Asif Yousuf ◽  
Iram Jan ◽  
Mohsin Sidiq
Keyword(s):  
Cross Sectional Study ◽  
Dental Practice ◽  
Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Clinical Photography ◽  
Dental Practitioners ◽  
Srinagar City ◽  
Dental Photography

Background: Clinical photography has become a part of modern-day dental practice. It has been used for dento-legal documentation, diagnosis, clinical assessment, treatment planning, patient motivation, communication with the patient and laboratory, academic purposes and also for marketing. The aim of the study was to assess and determine the knowledge and the extent of the use of photography by dental practitioners of Srinagar city.Methods: A cross-sectional survey involving a questionnaire consisting of 10 questions was distributed among 88 randomly selected dental practitioners of Srinagar city, out of which 72 dental practitioners responded positively and returned the questionnaire. The data collected were computerized and analyzed statistically. The average values of the responses received by groups of questions were analyzed.Results: According to the survey conducted, 52(72.22%) dentists used photography for dental practice. Out of all the dentists surveyed, 63(87.5%) of the dentists knew about the importance of dental photography. It was observed that 40(55.55%) fresher dentists (<5 years’ experience) showed more positive attitude towards the application of photography in their dental practice. It was also revealed that the application of clinical photography among male dentists, dentists with <5 years’ experience and dentists who work with an assistant were significantly higher as compared to other dentists (p<0.05).Conclusions: Hence, from this study, majority of respondents (87.5%) were aware of the importance of dental photography. The reasons which prevented the dentist from using clinical photography were lack of time, expensive instruments, lack of interest and cross infection. Male practitioners were more likely than female practitioners to use clinical photography. Photographic training should hence be inculcated in the curriculum of dentistry. Also dental practitioners should actively participate in CDE programs on Clinical photography to improve the quality of dental practice.

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