scholarly journals Attitude among dental practioners towards use of rotary instruments and hand instruments for root canal treatment: a comparative study

2016 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Azhar Malik ◽  
Abishek Singh ◽  
Aina Kumar ◽  
Praveen Singh Samant ◽  
Sumit Sabharwal ◽  
...  

Aim: The purpose of present study is to assess the attitude of general dental practioners towards use rotary instruments and hand instruments for root canal treatment.Material and Methods: It was a cross-sectional questionnaire study conducted in the private clinics in Lucknow city, Uttar Pradesh. A total of 400 clinics were visited and face to face interview schedule was conducted. Questionnaire consists of demographic details of dental professionals. Information regarding the years of experience, OPD details and number of root canal treatment done per week by dental professionals was obtained. Use of rotary and hand instruments by dental professionals was inquired. Years of experience with Rotary instruments, procedural problems with rotary instruments faced by dental professionals and reasons for not using the rotary instruments if any was also recorded.Results: 102 (33%) of the total study samples were using rotary instruments for root canal treatment and 100 (32%) using both rotary and hand instruments for root canal treatment. Dentists who are using rotary instruments are facing the procedural problem of file breakage {70 (36%)}. And those dental professionals using hand instruments are facing the problem of ledge formation {82(40%)}.Conclusions: The main procedural failure of the rotary instruments in root canal treatment, faced by dental professionals was file breakage and with hand instrument is ledge formation. Lack of expertise is the main reason which restricts dental professionals from using rotary instruments.

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Raidan Ba-Hattab ◽  
Ishrat Rahman ◽  
Lubna K. Elsayed ◽  
Wejdan F. Alasmari ◽  
Randa Abidia ◽  
...  

Aim. During endodontic treatment, dentists may face various unwanted procedural accidents, at any stage of the treatment that might compromise endodontic treatment outcome and bring obstacles to dentists as well. This study aimed to address and analyze several ethical concerns relating to the behavioural conduct of dentists towards endodontic instrument separation as well as perforation of the crown and/or root during root canal treatment in Riyadh, Saudi Arabia. Method. Hundred and eleven questionnaires were distributed among dentists working in Riyadh in university clinics and government and private sectors. Data were collected, reviewed, and statistically analyzed by Fisher’s exact and chi-square tests at a 5% significance level, using SPSS software. Results. 54.5% of the respondents have encountered instrument separation. 53.2% stated that they would inform the patient about the instrument separation. 43.6% of the respondents had experienced perforation during root canal treatment, and 54.9% reported that they would inform the patient of the accident. Conclusion. Within the limitation of this survey, we concluded that most of the dental professionals did not hesitate to adhere to the correct ethical conduct, and they would inform the patient if an incident occurred.


2013 ◽  
Vol 14 (3) ◽  
pp. 528-531 ◽  
Author(s):  
Sarvesha Bhondwe ◽  
Deepak Jain ◽  
Ashwini Gaikwad ◽  
Prasad Rane ◽  
Saurabh Doshi

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.


Author(s):  
Necdet Adanir ◽  
Hassan Alkhalaf ◽  
Maram H. Alanazi ◽  
Asma S. Alghamdi ◽  
Abdullah A. Aljami ◽  
...  

Introduction: Bacteria play a crucial role in the pathogenesis of pulpal and periradicular pathoses. For example: Apical periodontitis is an inflammation of dental periapical tissues developed as a response to colonization of microorganisms in root canal system. The elimination of microbial species from the infected root canal system necessitates a strict aseptic condition for Instrumentation, disinfection and inter appointment medication. Enterococcus faecalis and Candida albicans had been commonly associated organisms in treatment-resistant infections. Methods: This was an observational cross-sectional study based on web-survey questionnaires developed by the authors with high confidence. The sample size was 304 estimated using the Qualtrics calculator with a confidence level of 95% and a margin of error of 5%. The questionnaire is divided into sections, regarding endodontic practice include endodontic education , years of experience , used of rubber dam or no and how to used irrigant solution whoever Sodium hypochlorite (NaOCl), Chlorhexidine, chelating agents (EDTA) or (MTAD) and reasons of every irrigant that prevents during root canal treatment. Data were collected using Google forms and prepared for analysis using Microsoft Excel. Statistical analysis was performed using the SPSS software. Results: A total of 304 participants responded, 44.1% dental interns, 39.5% General Dentist, 9.9% Endodontist, 6.3% other dental specialty. the Probable reasons that prevent them using rubber dam during root canal treatment are: 5.9% due to difficulty to apply, 9.2% due to lack of materials, 5.3% because it is a time-consuming, 1.6% said that other isolation methods are enough (partial isolation), 3.9% because of multiple reason combined together. 48.7% they always use rubber dam, so they did not choose any of the previous reasons. Conclusion: In conclusion, we identify and understand, most of the participants “always using rubber dam” during root canal treatment and the most common reasons was time consumption that prevented dentist from using rubber. In this study majority of participants preferred NaOCl 81.9% and 7.1% don’t use it.


2019 ◽  
Vol 53 (4) ◽  
pp. 447-454 ◽  
Author(s):  
M. Murillo‐Benítez ◽  
J. Martín‐González ◽  
M. C. Jiménez‐Sánchez ◽  
D. Cabanillas‐Balsera ◽  
E. Velasco‐Ortega ◽  
...  

2020 ◽  
Vol 8 ◽  
pp. 2050313X2090782
Author(s):  
Mothanna K AlRahabi ◽  
Hani M Ghabbani

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.


2020 ◽  
Vol 14 (S 01) ◽  
pp. S63-S69
Author(s):  
Khalid Almas ◽  
Abdul Samad Khan ◽  
Afsheen Tabassum ◽  
Muhammad Ashraf Nazir ◽  
Ashar Afaq ◽  
...  

Abstract Objective The aim of this study is to assess knowledge, attitudes, and clinical practices of dental professionals regarding the prevention and control of coronavirus disease 2019 (COVID-19) in Pakistan. Materials and Methods General dentists and dental specialists working in public and private dental practices, hospitals, and academic institutions participated in this cross-sectional study. A pilot-tested questionnaire was sent to dental professionals through an online link in Pakistan and data collection was completed in April-May 2020. The knowledge score was calculated from 22 variables about the COVID-19. Results The study included data of 343 dental professionals with 47.2% of males and 52.8% of females. The mean knowledge score was 16.78 ± 2.25, and it significantly differed between general dentists (16.55 ± 2.36) and dental specialists (17.15 ± 2.04) (p = 0.020), and those with up to 10 years of experience (16.58 ± 2.28) and those with more than 10 years of experience (17.05 ± 2.2) (p = 0.026). Only 15.5% of the participants were comfortable in treating patients during the COVID-19 pandemic. A workshop/seminar on the COVID-19 was attended by 23% of the participants. In multivariate analysis, being comfortable in treating patients (odds ratio = 3.31, 95% confidence interval = 1.63, 6.73) was associated with the attendance of workshop/seminar on COVID-19. Conclusions Dental professionals had adequate knowledge about COVID-19, but a few of them were comfortable in treating patients during the pandemic. A minority of dental professionals attended a workshop/seminar on the COVID-19. Continuous education activities should be provided to dental professionals to enhance their role in the prevention of COVID-19 spread and promotion of oral health.


2020 ◽  
Vol 46 (6) ◽  
pp. 756-762 ◽  
Author(s):  
Francisco Ivison Rodrigues Limeira ◽  
Diandra Costa Arantes ◽  
Carla de Souza Oliveira ◽  
Daniela Pita de Melo ◽  
Cláudia Silami Magalhães ◽  
...  

2018 ◽  
Vol 56 (210) ◽  
pp. 616-620 ◽  
Author(s):  
Sushmita Shrestha ◽  
Smriti Karki ◽  
Navin Agrawal ◽  
Mannu Vikram ◽  
Vimmi Singh ◽  
...  

  Introduction: Canals can be of different shapes in cross section including round canals, oval canals, long oval canals or ribbon shaped canals. Recesses of nonround canals may not be included in the round preparation created by rotary instruments and thus they remain unprepared. The aim of this study included determination of shape and taper of the apical root canal based on diameter at different levels. Methods: This was a cross sectional study which used convenient sampling technique to determine the sample size. Seventy extracted teeth were sectioned horizontally at one, two and three millimeter from the apex using the diamond disc which was observed under trinocular research microscope for the determination of diameter of root canal under 10x magnification. Results: The most common canal configuration was oval. The taper of the canals was 25% in mesial root and 20% in distal in bucco-lingual orientation and 14% in mesial root and 15% in distal in mesio-distal orientation. Conclusions: The most prevalent canal configuration in this study was non round, however, most of the rotary instruments tend to prepare root canals into round shape making their use questionable. The taper of the root canals was found to be higher in our study than what most of the shaping instruments have to offer. So it would be advisable to consider this fact while selecting instruments and preparing these non-round canals as far as the Nepalese subpopulation is considered.


2020 ◽  
Author(s):  
Khaloud Tariq ◽  
Arooj Ul Hassan ◽  
Muhammad Hassan ◽  
Shahab Ud Din ◽  
Zunaira Arooj ◽  
...  

Abstract Background: Fasting places prohibitions on eating and drinking for a certain period of time. Although many dental treatments have been said to be safe and can be performed while fasting, other may result in breaking of fast. The study aims to evaluate the perception of dental patients of Lahore, Pakistan regarding effect of such treatments and hygiene measures during fasting. Methods : It was a cross-sectional survey carried out in 2 dental teaching hospitals of Lahore, Pakistan from September- October 2018. Patients were asked to complete a self-administered structured questionnaire developed to assess the knowledge regarding dental treatments, and hygiene practices while fasting. The questionnaire consisted of 7 items regarding the influence of dental treatments such as filling, scaling, and extraction etc. on fasting. Questions were also added regarding maintenance of oral hygiene such as brushing and its effect on fast. Frequencies and percentages are used to display results. Chi-squared test was used for statistical analysis to estimate difference between gender, and educational status with perception of procedures breaking fast. Results : Out of 415 responses, 374 were included for analysis. About 76.2% respondents believed that undergoing extraction broke fast. Scaling was thought to nullify the fast by 45.5% of respondents. 52.9% perceived root canal treatment to break fast along with 67.6%, who believed anaesthesia administration broke fast. As far as oral hygiene was concerned, brushing was reported to break fast by 57.5% with the use of mouthwash invalidating fast by 63.4%. Conclusion : The respondents were generally aware of some procedures not breaking fast however, most thought that administration of anaesthesia, undergoing root canal treatment, and extraction invalidated fast. Also, hygiene maintenance measures such as brushing and use of mouthwash during was also thought to break fast. It is imperative that the healthcare providers should be familiar with the effect of dental treatments and oral hygiene measures on fasting state that can influence the treatment plan of the patients.


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