scholarly journals The need and reasons for referrals to specialists among Lithuanian general dentists

Medicina ◽  
2010 ◽  
Vol 46 (9) ◽  
pp. 611 ◽  
Author(s):  
Vytautė Pečiulienė ◽  
Jūratė Rimkuvienė ◽  
Rasmutė Manelienė ◽  
Saulius Drukteinis
Keyword(s):  
Root Canal ◽  
Response Rate ◽  
Dental Trauma ◽  
Diagnostic Procedures ◽  
Endodontic Treatment ◽  
Specific Information ◽  
Traumatic Injuries ◽  
Persistent Symptoms ◽  
Dental Practitioners ◽  
General Dentists

Objective. To analyze the need for referral to a specialist and to identify the reasons of referrals among Lithuanian general dental practitioners. Material and methods. Questionnaires were sent to all 2879 Lithuanian dental practitioners registered on the Lithuanian Dental Chamber license registry. The questionnaire was made with multiple-choice answers. Respondents were asked to choose only one category of answer that best fitted their clinical attitude. Questions included in the questionnaire concerned general and specific information regarding the need and main reasons for endodontic referral. Results. Of the 2879 questionnaires mailed, 1532 questionnaires containing useful information were returned. The response rate was 53.2%. Of the 1532 respondents, 1431 were general dental practitioners. Majority (72.1%) of the respondents performed complicated root canal treatment by themselves. Almost half (49.6%) of them would like to refer patients to an endodontist. Two of the reasons, which restricted their decision, were the shortage of endodontists and high cost of the procedures in the specialized clinics. Approximately 19% of the respondents referred patients to an endodontist. The main reasons for referral were fractured instruments (86.6%), dental trauma (83.6%), difficulties in diagnostics (79%) followed by persistent symptoms (78.1%). Conclusion. The findings of the present study suggest that the need for referral of patients to an endodontist among Lithuanian dental practitioners exists. The main reasons for referrals were complications of endodontic treatment, traumatic injuries, difficulties in diagnostic procedures, and persistent symptoms.

scholarly journals SURVEY OF MATERIALS, METHODS EMPLOYED, AND ATTITUDES TOWARDS INTERNATIONAL ENDODONTIC TREATMENT PROTOCOL STANDARDS BY GENERAL DENTAL PRACTITIONERS IN LITHUANIA. DOES AGE MATTER?

2017 ◽  
Vol 27 (3) ◽  
pp. 94-102
Author(s):  
Linas Vaitkus ◽  
Miglė Mackevičiūtė ◽  
Eduardas Kelbauskas
Keyword(s):  
Root Canal ◽  
Treatment Protocol ◽  
Endodontic Treatment ◽  
X Rays ◽  
Treatment Standards ◽  
Root Canal Filling ◽  
Root Canal Irrigation ◽  
Dental Practitioners ◽  
Younger Generation ◽  
General Dentists

Aim.To acquire statistical data concerning the materials, methods, and approaches used by general dentists in Lithuania, when treating teeth endodontically, while comparing said data with set treatment standards of undergraduate education to determine if practitioners’ years of experience had influence on aforementioned factors. Materials and Methods. In total, 350 surveys were dispersed among four major Lithuanian cities (Vilnius, Kaunas, Klaipeda, Utena) to bring forth data. These questionnaires included questions concerning the participant’s gender, experience in dentistry in years, materials and methods used, etc. Statistical analysis of the data was performed using SPSS 22.0 (Statistical Package for Social Science 22 for Windows) Results. From the total, 134 (38.3%) surveys were returned for analysis. Only those surveys were analyzed which were fully filled and were from general dentists, who were performing endodontic treatment to their patients (109 or 31.1%). Respondents who did not qualify to the set forth criteria were automatically removed from further analysis. 77.6% of younger dentists (10 years or less in the field) preferred to use a rubber dam as an isolation material while only 30.6% of older generation specialists (more than 10 years in the field) performed endodontic treatment with it. Step back technique was more popular to use for younger generation dentists while NiTi rotary system and Crown down (hand files) technique for the more experienced clinicians. Almost all respondents used K-files in root canal treatment, while the most popular time to take dental X-rays was detrmined to be before treatment and after root canal filling. Cold lateral condensation technique for root canal filling was the most popular choice, while the sealer type most often used was zinc oxide eugenol. Most commonly used root canal irrigation was sodium hypochlorite. Conclusions. From the statistics brought forth from this study, it is apparent that younger generation of dentists follow the endodontic treatment regulations somewhat closer than the older generation, but not in all aspects of treatment.

scholarly journals APEXIFICATION WITH BIODENTINE - A CASE REPORT

2013 ◽  
Vol 5 (2) ◽  
pp. 3-5
Author(s):  
R.S. Bassvanna ◽  
Chitra Gohil
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Clinical Scenario ◽  
Root Canal Obturation ◽  
Single Visit ◽  
Dental Practitioners ◽  
New Material ◽  
Open Apices

ABSTRACT Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.

scholarly journals Different Treatment Modalities followed by Dental Practitioners for Ellis Class 2 Fracture – A Questionnaire-based Survey

2020 ◽  
Vol 14 (1) ◽  
pp. 59-65
Author(s):  
Jerry Jose ◽  
Ajitha P. ◽  
Haripriya Subbaiyan
Keyword(s):  
Traffic Accidents ◽  
Sports Injuries ◽  
Dental Trauma ◽  
Treatment Modalities ◽  
Practical Application ◽  
Traumatic Injuries ◽  
Adequate Knowledge ◽  
Dental Practitioners ◽  
Knowledge And Attitude

Introduction: Dental trauma is one of the most commonly seen injuries involving teeth and surrounding structures. The frequent causes of dental trauma are usually falls, traffic accidents, fights and sports injuries. Rapid treatment can prevent long-term damage to the orofacial structures and save the teeth. Ellis class 2 fracture is classified as the involvement of enamel and dentin excluding pulp. Dental practitioners are used to treating Ellis class 2 fracture very often in their dental practice and is usually considered as a dilemma among dental practitioners for the different treatment modalities followed for treatment of Ellis class 2 fracture. A survey is done among dental practitioners to assess the different treatment modalities followed by them in the case of Ellis class 2 fracture. Materials and Methods: A survey was done among 380 dental practitioners in the Chennai region in which 360 dental practitioners responded. The survey was distributed through electronic media and other means of communication. The survey data was collected, analysed and interpreted. Results: The results suggested that about 90% of dental practitioners had adequate knowledge and attitude towards the management of dental traumatic injuries. However, the practical application of the different treatment modalities was seen to be varied among dental practitioners. Based on this survey it was clear that majority of the dental practitioners in Chennai have good knowledge, attitude but there was a lack of clinical practice regarding the different treatment modalities followed by general practitioners for Ellis class 2 fracture. Conclusion: The survey shows that dental practitioners have a sound knowledge, attitude, but the practical application of the various treatment modalities available was seen to vary among various dental practitioners for Ellis class 2 fracture.

scholarly journals Post-Endodontic Treatment Flare-Up of Patients Treated By General Dentists and Endodontic Specialists

2021 ◽  
Vol 6 (4) ◽  
Author(s):  
Mohammed Sarhan Alzahrani
Keyword(s):  
Postoperative Pain ◽  
Statistical Significance ◽  
Lesion Size ◽  
Endodontic Treatment ◽  
Categorical Variables ◽  
Preoperative Pain ◽  
Patient Factors ◽  
Chi Square ◽  
Dental Practitioners ◽  
General Dentists

Objective: This study aims to determine post-endodontic flare-up incidence for patients treated by endodontic specialists and general dental practitioners. Methods: The investigators measured the postoperative pain using a visual analog scale after 24 and 48 hours for patients treated endodontically by specialists and general dentists. The patient factors and operative variables were documented for every patient. The data was then analyzed using SPSS. A Chi-square test was used to evaluate a relationship between categorical variables, where a P < 0.05 was taken to indicate statistical significance. Results: In total, 143 participants were included in this study (male: n=62, 43.3%; and female: n=81, 56.7%). The incidence of post-endodontic treatment flare-ups was 14.8%. The incidence of 48 hours postoperative pain was higher (29%) with the endodontic specialists compared to the general practitioners. The factors that were associated with a higher postoperative flare-up include; patient age, smoking, preoperative pain, and periapical lesion size. Conclusion: Post-endodontic flare-up incidence in this study was within the reported range of flare-up. Patient factors are associated with the occurrence of the postoperative flare-up more than the operative factors.

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 Definition and Endodontic Treatment of Dilacerated Canals: A Survey of Diplomates of the American Board of Endodontics

2011 ◽  
Vol 12 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Nafiseh Dastmalchi ◽  
Zeinab Kazemi ◽  
Siroos Hashemi ◽  
Ove A Peters ◽  
Hamid Jafarzadeh
Keyword(s):  
Statistical Analysis ◽  
Root Canal ◽  
Therapeutic Approach ◽  
Response Rate ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Chi Square ◽  
Web Based ◽  
Treatment Procedures ◽  
E Mail

ABSTRACT Aim To gather data from Diplomates of the American Board of Endodontics regarding treatment of dilacerated canals. Materials and methods A questionnaire addressing definition, endodontic treatment procedures and prognosis was constructed and distributed via e-mail to 708 Diplomates of the American Board of Endodontics. Data from 150 respondents, a 21% response rate, were collected by using a Web-based interface. For statistical analysis, Chi-square tests were used. Results More than 25% of respondents believed that a dilacerated root should have a curvature > 40°. One-visit treatment is the best therapeutic approach and transportation is the most likely complication in preparation of these canals. A crown-down technique, watch-winding motion and a master apical file # 25 are the best choices for preparation of these canals. Any warm obturation technique is preferred over lateral compaction by most respondents. Conclusion A crown-down technique for root canal preparation and a thermoplastic obturation technique are recommended for canals whose curvature is more than 40°. The prognosis of the treatment of these canals is judged not lower than normal canals. Clinical significance Crown-down technique and thermoplastic obturation are recommended for dilacerated canals. How to cite this article Dastmalchi N, Kazemi Z, Hashemi S Peters OA, Jafarzadeh H. Definition and Endodontic Treatment of Dilacerated Canals: A Survey of Diplomates of the American Board of Endodontics. J Contemp Dent Pract 2011;12(1):8-13.

scholarly journals Root canal preparation techniques using nickel-titanium rotary instruments

2005 ◽  
Vol 58 (3-4) ◽  
pp. 203-207
Author(s):  
Tatjana Brkanic ◽  
Slavoljub Zivkovic ◽  
Milan Drobac
Keyword(s):  
Root Canal ◽  
Apical Part ◽  
Nickel Titanium ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Canal System ◽  
Rotary Instruments ◽  
Dental Practitioners ◽  
Root Canal System ◽  
Preparation Techniques

Introduction The main purpose of endodontic treatment is to clean the root canal system, eliminate the infected and toxic contents, and shape it in order to get a tridimensional obturation. The aim of this paper is to inform dental practitioners about crown-down techniques for root canal preparation using nickel-titanium rotary instruments. Root canal preparation Today most endodontists believe that root canal preparation is more officious, cleaning and shaping are better, if pre-enlargement of coronal two thirds is performed first, and shaping of the apical part later. Machine driven rotary instruments provide much quicker and better root canal preparation. Conclusion Contemporary endodontic rotary files vary in regard to their taper, cutting blades, guiding tip and material they are made of. The usage of rotary nickel-titanium files adds a new quality to root canal preparation.

Dental trauma: management of complicated crown root fractures

Dental Update ◽  
2019 ◽  
Vol 46 (11) ◽  
pp. 1050-1055
Author(s):  
Khawer Ayub ◽  
James Darcey
Keyword(s):  
Functional Result ◽  
Dental Trauma ◽  
Traumatic Injuries ◽  
Crown Root ◽  
Anterior Teeth ◽  
Dental Practitioners ◽  
Root Fractures ◽  
Maxillary Incisors ◽  
Made In

Trauma of maxillary incisors is frequent and dental practitioners have to be competent in managing the consequences. Complicated crown root fractures of anterior teeth can have profound aesthetic and psychological implications on patients. In younger patients, if extractions are considered, it can lead to complex prosthodontic challenges in the future. Ideally, an attempt should be made in restoring the traumatized teeth, so an effective aesthetic and functional result can be reached. This case report highlights the treatment of complicated crown root fractures on maxillary incisors using endodontics and fragment re-attachment of the fractured crowns. Twelve-month follow-up of the treatment demonstrated aesthetic and functional success and delayed the need for prosthetic replacement. CPD/Clinical Relevance: This paper describes traumatic injuries of teeth and how management via fragment re-attachment of the fractured crowns has led to delay of definitive prosthetic treatment.

scholarly journals CAUSES OF ROOT CANAL TREATMENT FAILURE

2021 ◽  
pp. 42-44
Author(s):  
Nadia Rasool ◽  
Sneha Mariam Lal ◽  
S Vidhyadhara Shetty
Keyword(s):  
Treatment Failure ◽  
Root Canal ◽  
Clinical Symptoms ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Root Canal Filling ◽  
Dental Practitioners ◽  
Common Causes ◽  
Conservative Dentistry ◽  
The Common

The aim of this study was to determine different causes of endodontic treatment failure in patients who approached our Department of Conservative Dentistry and Endodontics for re- treatment.This study included one hundred fifty patients of both genders with different post endodontic treatment complaints.Clinical and radio- graphic examination was used to confirm treatment failure. The most common clinical symptoms were tenderness, tenderness and pain, or swelling (72%, 29.3% and 22.7% respectively). The common causes of endodontic treatment failure were poorly filled (40%), under filled (34.7%) and no root canal filling (17.3%).Root canal failure due to overfilling was 5.3%.Most of these failed cases were either treated by internees (House officers) in the teaching institutes (34.7%) or general dental practitioners (57.3%).

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