scholarly journals Knowledge and Practices Assessment of Decontamination during Root Canal Treatment in Saudi Arabia

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.

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):  
David A. Mitchell ◽  
Laura Mitchell ◽  
Lorna McCaul

Contents. Preserving pulp vitality. The root canal system. Root canal treatment—rationale. Root canal treatment—instruments. Root canal treatment—materials. Root canal preparation—1. Root canal preparation—2. Common errors in canal preparation. Root canal obturation. Some endodontic problems and their management. Restoration of the root-treated tooth. Treatment outcomes.


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 ◽  
...  

Materials ◽  
2021 ◽  
Vol 14 (24) ◽  
pp. 7594
Author(s):  
Zhejun Wang ◽  
Ya Shen ◽  
Markus Haapasalo

Microbes are prevalent in the root canals of necrotic teeth, and they are the cause of primary and post-treatment apical periodontitis. Bacteria can dwell within the infected root canal system as surface-adherent biofilm structures, which exhibit high resistance to antimicrobial agents. Bioceramic materials, with their biocompatible nature and excellent physico-chemical properties, have been widely used in dental applications, including endodontics. This review focuses on the application of bioceramic technology in endodontic disinfection and the antibiofilm effects of endodontic bioceramic materials. Different bioceramic materials have shown different levels of antibiofilm effects. New supplements have emerged to potentially enhance the antibiofilm properties of bioceramics aiming to achieve the goal of microbial elimination in the root canal system.


2021 ◽  
Vol 67 (2) ◽  
pp. 101-106
Author(s):  
Sanziana Adina Scarlatescu ◽  
◽  
Irina Gheorghiu ◽  
George Nicola ◽  
Andrei O. Al Aloul ◽  
...  

The objectives of root canal treatment are to prevent the apical parodontitis, to heal the acute or cronic apical periodontits and to maintain the results, keeping the teeth on the arch in a functional stage. Thus, accuratelly elimination of soft and hard tissues (cleaning and shaping of the root canal system), disinfection and complete, homogeneous and tridimensional filling of the root canal system are very important to successful endodontic treatment. Modern concepts in endodontic treatment rely on technological progress and therefore many cases are successfully fulfilled, but the practitioner may be put in front of procedural erorrs both during and after endodontic treatment. Apical blockage, ledging, zipping, stripping, perforations in the floor of the pulp canal chamber or root canals perforations are the most common errors, but in many clinical situations they can be prevented and even surpassed once happened.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1761-1765
Author(s):  
Preethi Mariona ◽  
Delphine Priscilla Antony S ◽  
Sreedevi Dharman

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.


Author(s):  
Fatemeh Dibaji ◽  
Reza Yazdani ◽  
Sara Sajadi ◽  
Elahe Mohamadi ◽  
Fatemeh Mohammadian ◽  
...  

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.


Dental Update ◽  
2021 ◽  
Vol 48 (1) ◽  
pp. 58-61
Author(s):  
Ajinkya M Pawar ◽  
Shishir Singh

In root canal treatment, the foundation on which all surgical procedures are performed is a thorough knowledge of the anatomy of the pulp chamber and the root canal system. The endodontic triad comprises biomechanical preparation, microbial control and complete obturation of the root canal space. Knowledge of the pulp chamber floor anatomy is important in locating the numbers and orifices of root canals present within the tooth being root canal treated. This is particularly important while treating teeth that are heavily restored, mal-positioned, or calcified. The current review attempts to explain the complex anatomy of the pulp chamber floor and its significance in root canal treatment. CPD/Clinical Relevance: To allow the location of all root canal orifices in the pulp chamber and to perform successful root canal treatment, knowledge of pulp chamber floor anatomy is essential. The clinician should consider that, as the external morphology of the tooth varies in individuals, so does the internal morphology.


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