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 Influence of Preclinical Training on Root Canal Treatment Technical Quality and Confidence Level of Undergraduate Dental Students

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Reem M. Barakat ◽  
Manal Matoug-Elwerfelli ◽  
Rahaf A. Almohareb ◽  
Hanan A. Balto
Keyword(s):  
Undergraduate Students ◽  
Root Canal ◽  
Dental Students ◽  
Root Canal Treatment ◽  
Technical Quality ◽  
Exact Test ◽  
Confidence Levels ◽  
Significant Difference ◽  
Preclinical Training

Objectives. The aim of this study was to investigate the influence of exposure to additional preclinical endodontic training on undergraduate students’ technical quality of root canal treatment and overall confidence levels in endodontics. Methods. Technical quality of root canal treatment performed clinically by fifth-year undergraduate students was evaluated and divided into two groups: Group 1, teeth treated by students who had attended both a preclinical endodontic block course and an elective preclinical course. Group 2: teeth treated by students who had not attended the elective preclinical course. All students were also invited to participate in a survey to rate their undergraduate endodontic training and confidence levels performing endodontic treatment. Statistical analysis of data was performed using Person chi-square test, Fisher Freeman Halton exact test, and t-test. A p -value <0.05 was considered statistically significant. Results. There was no significant difference between the two groups in overall obturation quality ( p = 0.619 ). However, more teeth treated by attendees were of adequate obturation length ( p = 0.015 ) and lacked procedural errors ( p = 0.004 ). Significantly more elective course attendees rated their undergraduate endodontic training as adequate ( p = 0.002 ), but there was no significant difference in the level of confidence between the attendees and the non-attendees. Conclusion. Within the limitations of this study, additional preclinical training showed minimal effect on overall quality of root canal treatment performed clinically by undergraduate students and did not enhance their confidence levels; however, it was associated with more satisfaction with their undergraduate endodontic education.

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.

scholarly journals The Effect of Gates-Glidden Drills on the Quality of Root Canal Treatment by Pre-Clinical Dental Students

2018 ◽  
Vol 6 (11) ◽  
pp. 2193-2197
Author(s):  
Roohollah Sharifi ◽  
Amin Torabi ◽  
Reza Hatam ◽  
Nafiseh Nikkerdar ◽  
Hamid Reza Mozaffari ◽  
...  
Keyword(s):  
Root Canal ◽  
Dental Students ◽  
Root Canal Treatment ◽  
Treatment Quality ◽  
Root Canal Preparation ◽  
Gutta Percha ◽  
Preparation Errors ◽  
Group 2 ◽  
Group 1

AIM: This study was conducted to investigate the effect of applying Gates-Glidden (GG) drill by pre-clinical dental students on root canal treatment quality. METHOD: A total of 56 first molars consisting of 168 canals were selected in this study. For this purpose, 56 students who had been formerly trained by two methods of root canal preparation were randomly divided into two groups (n = 28). Group 1: the step-down method by GG and Group 2: step-back technique without GG. The prepared teeth were filled with gutta-percha/ZOE sealer using lateral condensation. Periapical radiographs were taken before and the following treatment to survey occurrence of preparation errors and CBCT images to determine residual dentine at furcation region. RESULTS: The findings showed that among 10 error types in specimens prepared by students, the occurrence of underfilling, overfilling, inappropriate, ledge formation, and single cone was more common without GG. There were no significant differences in residual dentine amount at furcation region between preparation with and without using GG (P > 0.05). CONCLUSION: Using GG for root canal preparation by dental students resulted in low errors and not an increased dentine removal risk.

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