Knowledge Among Indian Dentist On The Rubber Dam Isolation During Root Canal Treatment

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.


2011 ◽  
Vol 2 (2) ◽  
pp. 167-168
Author(s):  
BV Sreenivasa Murthy ◽  
John V George ◽  
B Vedavathi

ABSTRACT Introduction Rubber dam is essential for effective isolation of the root canal and operating field from salivary bacteria as well as protection of the airway. Rubber dam is easy to apply once the basic components and principles are understood. The most common reasons for not using rubber dam for a procedure were patients inconvenience and belief that it is unnecessary. The purpose of the present study was to evaluate the patients attitude to rubber dam after educating them about the use and benefits of rubber dam. Materials and methods A questionnaire containing 11 questions was circulated to 20 male and 20 female patients undergoing root canal treatment after explaining about the rubber dam. Information sought included attitude toward the current and anticipated use of rubber dam for a variety of endodontic treatments. Results A total of 24 patients out of 40 said that they had a pleasant experience and preferred its use next time. Around 30 patients felt that the use of rubber dam benefits both patient and the doctor. Conclusion There was not much of a difference in patient's attitude to rubber dam and mean application time. Those who had a good current experience preferred rubber dam use next time also.


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.


2013 ◽  
Vol 144 (2) ◽  
pp. 179-186 ◽  
Author(s):  
Mona F. Anabtawi ◽  
Gregg H. Gilbert ◽  
Michael R. Bauer ◽  
Gregg Reams ◽  
Sonia K. Makhija ◽  
...  

2016 ◽  
Vol 11 (2) ◽  
pp. 152-158 ◽  
Author(s):  
Ahmad A. Madarati ◽  
Hamzah A. Bani Younes

2021 ◽  
Vol 33 (2) ◽  
pp. 101
Author(s):  
Maria Faizarani ◽  
Diani Prisinda

Pendahuluan: Gigi dengan kerusakan mahkota yang sangat luas sering menimbulkan masalah dalam perawatan endodontik seperti kesulitan dalam penempatan klem rubber dam sehingga isolasi yang kurang memadai serta kemungkinan terjadinya kebocoran koronal yang mengakibatkan risiko kegagalan perawatan endodontik. Gigi dengan keadaan tersebut  membutuhkan restorasi sementara pre endodontic agar dapat dilakukan isolasi yang memadai, penempatan klem yang efektif selama perawatan dan pemulihan estetik sementara selama perawatan saluran akar. Tujuan laporan kasus ini untuk menjelaskan pembuatan pre endodontic build-up menggunakan alat tip plastik sekali pakai selama perawatan saluran akar pada gigi insisif rahang atas dengan kerusakan mahkota yang sangat luas. Laporan kasus: Pasien perempuan berusia 53 tahun datang ke Klinik Konservasi Gigi RSGM Unpad dengan keluhan gigi seri rahang atas kiri patah saat makan. Gigi tersebut pernah dirawat saluran akar satu tahun yang lalu namun tidak selesai.  Pemeriksaan klinis menunjukkan kehilangan mahkota sampai batas servikal, dan terdapat gambaran radiolusen yang difus di area periapikal. Diagnosis berdasarkan American Association of Endodontics   (AAE) adalah previously initiated therapy disertai periodontitis apikalis asimptomatik. Pembuatan pre endodontic build-up dengan teknik canal projection dilakukan untuk mendapatkan isolasi sekaligus sebagai restorasi sementara dan dilanjutkan dengan perawatan saluran akar dan pembuatan mahkota all porcelain dengan fiber post. Simpulan: Pembuatan pre endodontic build-up menggunakan teknik canal projection  berhasil dilakukan selama perawatan saluran akar gigi insisif lateral kiri atas dengan kerusakan mahkota yang sangat luas. Pre endodontic build-up dengan teknik canal projection pada kasus ini dapat memberikan isolasi yang memadai, memudahkan penempatan klem rubber dam serta memberikan pemulihan estetik yang baik selama periode antar kunjungan. ABSTRACTIntroduction: Extensive crown damage often causes problems in endodontic treatment, such as difficulty placing rubber dam clamps, resulting in inadequate isolation and the possibility of coronal leakage, which results in treatment failure risk. This condition requires pre-endodontic temporary restorations to provide adequate isolation, effective clamping during treatment, and temporary aesthetic restoration during root canal treatment. The purpose of this case report was to describe the fabrication of a pre-endodontic build-up using a disposable plastic tip device during root canal treatment of a maxillary incisor with extensive crown damage. Case report: A 53-year-old female patient came to the Conservative Dentistry Clinic of Universitas Padjadjaran Dental Hospital to complain of a fractured left maxillary incisor that occurred while eating. The tooth had a root canal treatment one year prior but was not completed. Clinical examination revealed crown loss to the cervical margin and a diffuse radiolucent appearance in the periapical area. According to the American Association of Endodontics (AAE), the diagnosis was previously initiated therapy with asymptomatic apical periodontitis. Therefore, the pre-endodontic build-up using the canal projection technique was performed to obtain isolation and temporary restoration, continued with root canal treatment and the manufacture of an all-porcelain crown with fibre post. Conclusions: The pre-endodontic build-up with canal projection technique has been successfully performed during root canal treatment of the maxillary left lateral incisor with extensive crown damage. Pre-endodontic build-up with canal projection technique can provide adequate isolation, facilitate the placement of rubber dam clamps, and provide good aesthetic recovery during the period between visits.


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