scholarly journals Technical Quality of Endodontic Treatment Performed by Underperforming Undergraduate Dental Students

Author(s):  
Abeer A. Mokeem Saleh ◽  
Hadeel Y. Edrees

Objectives: This study aimed to evaluate the technical quality of root canal treatment performed by fifth-year underperforming students, in the extra sessions of the 2018–2019 academic year. Methods: Periapical radiographs of teeth endodontically treated by underperforming undergraduate students at King Abdulaziz University Faculty of Dentistry, were collected. The quality of obturation was evaluated radiographically in relation to the length of obturation to root apex, homogeneity and density of obturation, root canal tapering, and incidence of mishaps (such as perforation, ledge, missed canal, separated instruments). The data were subjected to descriptive analysis. Results: The periapical radiographs of 70 treated teeth showed acceptable length, filling density and root canal taper in 96 (80%),50 (41.7%) and 66 (55%) root canals, respectively. Only four teeth were subjected to mishaps. Conclusion: Under the circumstances of this study, the quality of endodontic treatment performed by underperforming students at the extra session was low. More studies are needed to address the student underperformance source and hence amend the quality of root canal filling. 

2015 ◽  
Vol 19 (2) ◽  
pp. 96-100 ◽  
Author(s):  
Konstantinos Dervenis ◽  
Andreas Koutroulis ◽  
Georgios Chatzopoulos ◽  
Vasileios Kapralos

SUMMARYAim: To evaluate technical quality of root canal treatments performed in extracted anterior single-rooted teeth in an undergraduate dental clinic, and to record the associated iatrogenic errors.Material and Method: 287 root canal treatments performed by 114 preclinical undergraduate students in extracted anterior teeth at the Department of Endodontology were radiographically evaluated, based on the following parameters: access cavity dimensions and direction, root canal instrumentation, and root canal filling quality.Results: The access cavity was found of adequate dimensions in 28.9% and straight in direction in 71.1% of the material. Erroneous position, overextension of the access cavity and non-straight access were noted in 39.7 %, 21.6% and 28.9% of the cases, respectively. The frequency of ledged root canals was 10.1%, while 84.7% of the teeth had no instrumentation related iatrogenic errors. Regarding root canal filling, incomplete density apically and technical inadequacies in the middle and cervical thirds were observed in 76.3% and 82.3% of the cases. The percentage of flawless endodontic treatments was 3.1%.Conclusions: Most of the endodontic treatments evaluated were classified unacceptable. Inadequate root canal filling density in the middle and cervical third and ledge formation were the most common faults.


Author(s):  
Beethoven Estevão COSTA ◽  
Giovanna Morais de LIMA ◽  
Stéphanie Quadros TONELLI ◽  
Eduardo NUNES ◽  
Frank Ferreira SILVEIRA

ABSTRACT Objective: The purpose of this study was to evaluate the incidence of endodontic treatment and the quality of root canal fillings in Brazilian undergraduate dental students. The study was similar those conducted 10, 20, 30, and 40 years earlier. Methods: A total of 407 undergraduate dental students were evaluated by using questionnaires to identify endodontic treatments, with each treatment being radiographed for the analysis of the presence of a periapical radiolucency and the quality of the root canal filling. Results: Forty root canal fillings were found: 32 (80%) completely filled, seven (17.5%) incompletely filled, and one (2.5%) overfilled. Conclusion: This study showed a low prevalence of endodontic treatment in dentistry students, and the evaluated root canals that were filled were high quality, with few cases suggesting periapical lesions.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Reem M. Barakat ◽  
Manal Matoug-Elwerfelli ◽  
Rahaf A. Almohareb ◽  
Hanan A. Balto

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.


2016 ◽  
Vol 17 (10) ◽  
pp. 830-836 ◽  
Author(s):  
Alex Semenoff-Segundo ◽  
Milton C Kuga ◽  
Mateus R Tonetto ◽  
Fabio M Pedro ◽  
ATC Marques ◽  
...  

ABSTRACT Introduction This cross-sectional study evaluated the prevalence and quality of root canal treatment in 1,977 digital radiological files. Materials and methods Data were statistically analyzed using descriptive analysis, and the chi-square test was performed with a 5% significance level. Results The mean age of the study population was 34.9 years. The endodontic treatment frequency was 6.14%, significantly higher in premolars. Adequate endodontic treatment was observed in 39.7% of analyzed cases. Molars were significantly more frequent with regard to inadequate filling quality. In 47.6% of cases, the filling's apical limit was classified as adequate, and there was a higher incidence of molars that were inadequate. Restorations were classified as adequate in 79.0% of cases, and molars were responsible for the highest frequency of inadequate restorations. The frequency of teeth with endodontic treatment that showed no periapical changes was 47.7%. There was no significant difference in the presence of periapical change according to gender. An increased presence of periapical change was observed with increasing age. The periapical lesions were observed in 45% of cases and related to inadequate filling quality. The apical limit was considered inadequate and related to periapical changes in 42% of cases. Periapical changes were present in 52% of cases, regardless of the quality of the filling and apical limit. Such changes were present in 42% of cases with adequate coronal restoration. Conclusion It can be concluded that apical periodontitis (AP) is associated with the quality of endodontic treatment. The coronal restoration affects significantly the success rate of endodontic treatment. Clinical significance The quality of the root filling and coronal restoration is closely related to periapical health. How to cite this article Pedro FM, Marques ATC, Pereira TM, Bandeca MC, Lima SNL, Kuga MC, Tonetto MR, Semenoff- Segundo A, Borges AH. Status of Endodontic Treatment and the Correlations to the Quality of Root Canal Filling and Coronal Restoration. J Contemp Dent Pract 2016;17(10):830-836.


2021 ◽  
Vol 4 (5) ◽  
pp. 18964-18975
Author(s):  
Ana Lia Campos Fritz ◽  
Francisco Carlos Ribeiro ◽  
Juliana Machado Barroso Xavier ◽  
Claudia Mendonça Reis ◽  
Cristina Demuner ◽  
...  

The aim of this study was to evaluate the quality of root canal filling performed by undergraduate students at the Federal University of Espirito Santo (UFES). A total of 368 periapical radiographs of endodontic treatment performed by undergraduate students between 2012 and 2014 was assessment. The quality of root canal filling was based on two criteria: length of root canal filling and adequate density of the obturation. Root canal fillings were considered adequate if had no voids and were located at 0-2 mm below the radiographic apex. Statistical analysis was conducted using chi-square tests, with a 5% significance level. In 93.8% of the cases the root canal filling was considered adequate. The density of the obturation was considered inadequate in 3% of the cases. When the length of root canal filling was observed, 1.2% of cases were considered as over-filled and 2.2% were considered under-filled. Non-significant differences were observed among the tooth type (incisive, canines and pre-molars) and the quality of root canal filling. Most of root canal filling performed by undergraduate students at the UFES were considered adequate, regardless of tooth type.


2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Julia Machado Saporiti ◽  
Andressa Gomes ◽  
Melissa Feres Damian ◽  
Nadia De Souza Ferreira

Objective: The aim of this study was evaluate radiographically prevalence of apical periodontitis (AP) in endodontically treated teeth (ETT) and relate with demographic factors, quality of endodontic treatment and coronal restoration. Material and methods: Data were collected from dental records wich contained full-mouth radiographic series. In ETT, arch, dental group and presence of AP were evaluated. Quality of root canal filling, presence and quality of coronal restoration and type of restorative material were also collected. Data were evaluated using descriptive statistics and Chi-square Test. Results: Of 70 patients included in the final sample, the majority were female (54.3%) and age ranged from 13 to 77 years (47.14 ± 13.18). Of 1,333 teeth evaluated, 73 (5.4%) had endodontic treatment, being the majority maxillary (74%) and anterior teeth (52.1%). Of teeth without endodontic treatment, 320 (25.4%) had AP. Failure rate was high (52.8%) and quality of root canal filling and coronal restoration were considered inadequate in majority cases (58.3% and 47.7%, respectively). Dental group had a statistically significant relationship with presence of AP in ETT, being more frequent in anterior teeth (p = 0.019). Conclusion: It was concluded that prevalence of AP in ETT was high and dental group was the factor that most influenced prevalence of AP in ETT.KeywordsApical periodontitis; Radiography; Root canal filling.


2015 ◽  
Vol 4 (3) ◽  
pp. 197
Author(s):  
Sundahnath Nagaraja

The aim of the present study was to assess the quality of canal obturation performed by undergraduate denal students at Saveetha Dental College and Hospitals, Chennai. Records of 200 endodontically treated teeth from patients who were visited by undergraduate students between month of November 2014 to May 2015. Periapical radiographs of all treated teeth were assessed in terms of canal obturation quality (adequate density and length). Forty-five percent of teeth fulfilled the criteria of an acceptable root canal obturation. Adequate length and density of root filling was found in 89% and 34% of teeth, respectively. There was a significant difference between maxillary and mandibular teeth regarding the length of root canal obturation. A significant difference was observed between molars and other tooth types. The frequency of root canals with an acceptable filling was significantly greater in the anterior teeth compared to premolars or molars. The technical quality of root canal treatment performed by undergraduate dental students was found to be less than ideal.


2011 ◽  
Vol 05 (03) ◽  
pp. 324-330 ◽  
Author(s):  
Gul Celik Unal ◽  
Ayse Diljin Kececi ◽  
Bulem Ureyen Kaya ◽  
Ali Gurhan Tac

ABSTRACTObjectives: The purpose of this study was to evaluate the radiographic quality of root canal fillings performed by first and second clinical year dental students at the Faculty of Dentistry in Süleyman Demirel University, Turkey. Methods: The technical quality of 833 root canal fillings was evaluated by three examiners according to the density of the filling and the distance between the end of the filling and the radiographic apex. A root canal with acceptable filling length and homogeneous root filling was defined as being good quality endodontic work (GQEW). A treated tooth was defined as having good quality endodontic work tooth (GQEW-T) when all its canals had a GQEW rating. Results: A Chi-square (χ2) test at the 0.05 significance level was used for the statistical analysis of the data. Of a total of 833 root canals, 662 (79.47%) root fillings were classed as GQEW. Two hundred fifty canals (73.4%) (135 teeth) treated by first clinical year dental students were defined as GQEW-T while 412 canals (204 teeth) (73.9%) treated by second clinical year dental students were defined as GQEW-T (P>.05). Most of the GQEW-T were defined in anterior teeth (90.1%), whereas the fewest were in molar teeth (46.6%) for both first and second clinical year dental students (P<.001). Conclusions: The quality of root canal fillings in anterior teeth performed by undergraduate dental students in Isparta, Turkey was satisfactory. However, to improve the success with molar teeth, education about newer techniques and instruments must be incorporated into the preclinical and clinical curriculum. (Eur J Dent 2011;5:324-330)


2011 ◽  
Vol 58 (3) ◽  
pp. 139-146
Author(s):  
Ljiljana Kulic ◽  
Dajana Nogo-Zivanovic ◽  
Jelena Krunic ◽  
Mirjana Vujaskovic ◽  
Nikola Stojanovic

Introduction. The main goal of obturation is prevention of reinfection of the root canal system and consequently appearance of periapical lesion. Epidemiological studies have confirmed high prevalence of periapical lesions in endodontically treated teeth with inadequate root canal fillings. The aim of this study was to assess the quality of root canal fillings in teeth treated at students? practical sessions. Iatrogenic errors during endodontic interventions were also assessed. Methods. Two hundred dental records of the patients treated by students in the study program Dentistry at the School of Medicine in Foca during the academic year 2010/2011 were randomly chosen. The length and homogeneity of the fillings or the presence of iatrogenic errors were recorded. A root canal filling was considered adequate if it had correct length and homogeneity in the absence of iatrogenic errors. Two students? curricula V1 and V2 were evaluated for the treatment outcome. Results. Out of 128 endodontically treated teeth, adequate length of the canal filling to the physiological apex was observed in 57% of teeth, homogeneity in 78.9%, while both of these criteria were satisfied in 66 teeth (51.6%). Better quality of root canal fillings was achieved by students of the study curricula V2 and the difference between these two programs was significant (p<0.05). Better quality of root canal fillings in both study programs was recorded for incisors and canines as compared to premolars. Conclusion. The quality of endodontic treatment performed by students was considered adequate in 51.6% of cases. The type of curriculum for endodontic course had a significant impact on the quality of endodontic treatment performed by students.


Sign in / Sign up

Export Citation Format

Share Document