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Elsayed MA, Islam MS, Saleh DR, Alnahdi AM, Padmanabhan V. Endodontic Procedural Errors and Associated Factors among Undergraduate Dental Students: A Cross-sectional Study. J Contemp Dent Pract 2023; 24:998-1007. [PMID: 38317399 DOI: 10.5005/jp-journals-10024-3614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
AIMS AND BACKGROUND To assess the procedural errors committed by undergraduate students at RAK College of Dental Sciences, during root canal treatments and the factors associated with these errors. MATERIALS AND METHODS In this cross-sectional study, 180 self-administered questionnaires were distributed, each comprising 26 questions, among 4th and 5th-year students. Participants were requested to report their endodontic mishaps based on feedback from their supervisors. The questionnaire assessed the frequency and types of procedural errors, considering patient, operator, and tooth-related factors. Data were collected tabulated and analyzed using the Chi-square test. RESULTS A total of 124 root canal-treated teeth exhibiting iatrogenic errors done by students were assessed. Out of which, 53% were performed by 5th-year students, and 69% were conducted by female operators. About 62% of errors occurred in the upper teeth and 68% in the posterior teeth. The most prevalent errors during the rubber dam isolation step were soft tissue trauma (21%) and isolation leakage (20%), significantly associated with limited mouth opening, excessive salivation, and tooth malalignment (p < 0.05). Apical blockage (15%) emerged as the most frequent error during instrumentation phase, showing a significant association with canal dimension and curvature (p < 0.05). For access cavity and obturation phases, under-extended cavity (9%), and under-extended filling (11%) were the most reported errors, respectively. CONCLUSION Tooth isolation emerges as a particularly challenging aspect for dental students, particularly when dealing with patients exhibiting limited mouth opening and excessive salivation. CLINICAL SIGNIFICANCE Clinical instructors should caution the undergraduates about the heightened risk of endodontic procedural errors when dealing with patients exhibiting limited mouth opening, excessive salivation, tooth misalignment, and narrow canals. Addressing these challenges is crucial for enhancing the proficiency of undergraduate students in performing successful root canal treatments. How to cite this article: Elsayed MA, Islam MS, Saleh DR, et al. Endodontic Procedural Errors and Associated Factors among Undergraduate Dental Students: A Cross-sectional Study. J Contemp Dent Pract 2023;24(12):998-1007.
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Affiliation(s)
- Mohamed A Elsayed
- Department of Endodontics, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates; Department of Endodontics, Faculty of Dentistry, Assiut University, Assiut, Egypt, Phone: +97172222593, e-mail: , Orcid: https://orcid.org/0000-0003-2058-9804
| | - Md Sofiqul Islam
- Department of Operative Dentistry, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates, Orcid: https://orcid.org/0000-0003-0604-9553
| | - Duaa R Saleh
- Department of Clinical Sciences, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates
| | - Amal M Alnahdi
- Department of Clinical Sciences, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates
| | - Vivek Padmanabhan
- Department of Pediatric and Preventive Dentistry, RAK College of Dental Sciences, RAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab Emirates
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A Comparative Study of Two Martensitic Alloy Systems in Endodontic Files Carried out by Unskilled Hands. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12126289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The aim of this study was to compare the behavior of two heat-treated file systems on resin blocks in unskilled hands. For this purpose, an in vitro, randomized, cross-sectional study was conducted to compare ProTaper Gold (PTG) with BlueShaper (BS) files. A total of 81 resin blocks were used and analyzed photographically to assess the amount of material removed during instrumentation. PTG removed more material on the outside of the curve in the coronal and apical third, while BS removed more material on the inner part of the curve in the middle third. The procedural errors observed in the total sample were apical transportation (33.8%), blockages (4.9%), ledges (3.7%), and canal perforation. PTG produced more apical transportation, and there were no statistically significant differences between the groups in the formation of ledges, canal perforations, or blockages. No file fractures were recorded during the study. Within the limitations of this study, we can affirm that neither file excessively deformed the artificial canals, and the PTG file produced more apical transportation.
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Alghamdi NS, Algarni YA, Ain TS, Alfaifi HM, AlQarni AA, Mashyakhi JQ, Alasmari SE, Alshahrani MM. Endodontic mishaps during root canal treatment performed by undergraduate dental students: An observational study. Medicine (Baltimore) 2021; 100:e27757. [PMID: 34964733 PMCID: PMC8615340 DOI: 10.1097/md.0000000000027757] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 10/27/2021] [Indexed: 01/05/2023] Open
Abstract
Endodontic mishaps during root canal treatment (RCT) are considered to be one of the most commonly encountered errors, which affect the quality of treatment and may have dangerous health implications for patients.The present study was conducted to assess the frequency and types of endodontic mishaps in root canal-treated teeth performed by undergraduate dental students.A total 404 endodontically treated teeth were performed by undergraduate dental students of King Khalid University College of Dentistry, Abha, Kingdom of Saudi Arabia. The radiographs of the endodontically treated teeth were studied for a period of 6 months, and the related demographic data were collected from patient files.The most commonly identified mishaps were related to obturation, where the maximum number of cases (68.1%) had under-obturated root canals. More endodontic mishaps were performed by students in level 9 education. The upper left 2nd molar teeth had a higher frequency of mishaps, and molars were found to have more access-related mishaps. Lastly, access-related and instrument-related mishaps had a low frequency of occurrence.The majority of endodontic mishaps found in the study sample were related to root canal obturation. The undergraduate students at level 9 were less proficient in conducting RCTs with many endodontic mishaps when compared to the cases performed by students at higher levels. The study suggests relevant guidance for dental students while performing RCTs, especially during obturation of the root canals.
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Affiliation(s)
- Nuha S. Alghamdi
- Department of Restorative Dental Sciences, King Khalid University, College of Dentistry, Abha, Saudi Arabia
| | - Youssef A. Algarni
- Department of Restorative Dental Sciences, King Khalid University, College of Dentistry, Abha, Saudi Arabia
| | - Tasneem Sakinatul Ain
- Division of Preventive Dentistry, King Khalid University, College of Dentistry, Abha, Saudi Arabia
| | - Haifa M. Alfaifi
- King Khalid University, College of Dentistry, Abha, Saudi Arabia
| | - Alaa A. AlQarni
- King Khalid University, College of Dentistry, Abha, Saudi Arabia
| | | | - Sara E. Alasmari
- King Khalid University, College of Dentistry, Abha, Saudi Arabia
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Tavares ÉP, Tavares ALP, Flório FM. The impact of technological endodontic resources on the training of the general dentist. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2021; 25:332-341. [PMID: 33012127 DOI: 10.1111/eje.12609] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 08/26/2020] [Accepted: 09/29/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Technological resources are considered important for the practice and training in endodontics. It is not yet clear the extent of the insertion of these resources in predoctoral dental programmes and the effect of such resources to the general dentist training. AIM To evaluate the faculty perception regarding the insertion of technological resources, particularly rotary instruments, and the impact of such resources to the student's learning process graded at the end of predoctoral dental programmes in Brazil by the National Students Performance Exam (ENADE). METHODS The endodontic department faculties in all 205 programmes that participated in the 2016 ENADE received a questionnaire by email. The institution, faculty credentials, and insertion of technologies in each programme were described, and an association between these data and the ENADE score was tested. RESULTS 149 educators (72.7%) answered the form. From this total, 73.2% of them were from private institutions and 26.8% from public ones. Educators mix manual and rotary instrumentation to treat selected patients in 47.7% of the programmes. Most educators (89.9%) consider the utilisation of technology in endodontics as positive. Whilst there was not a significant association between the use of rotary instrumentation and better performance in ENADE, there was a significant association between the performance and the supply of special instruments by the institutions. CONCLUSION These results show that even though most faculties consider the insertion of technologies as positive, the factor that caused a significant impact to the training of the general dentist is the general infrastructure of the institutions.
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Affiliation(s)
- Érika P Tavares
- School of Dentistry, José do Rosário Vellano University, Alfenas, Brazil
| | | | - Flávia M Flório
- Department of Preventive Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil
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AlHamoudi SS, AlRashidi SN, AlHarbi HA, AlNaji NJ, AlMohammed MA, Ansari SH. Confidence in Performing Endodontic Treatment and Perception of the Quality of Endodontic Education. ARCHIVES OF PHARMACY PRACTICE 2021. [DOI: 10.51847/lwjk1pplzo] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Santos-Junior AO, De Castro Pinto L, Mateo-Castillo JF, Pinheiro CR. Success or failure of endodontic treatments: A retrospective study. J Conserv Dent 2019; 22:129-132. [PMID: 31142980 PMCID: PMC6519185 DOI: 10.4103/jcd.jcd_507_18] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Revised: 02/07/2019] [Accepted: 01/16/2019] [Indexed: 02/03/2023] Open
Abstract
CONTEXT Well-conducted endodontic therapy is necessary for the dental rehabilitation of the individuals with cleft lip and palate. AIM The aim of this study was to verify the success and failure index of endodontic treatments performed in the Endodontic Sector of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, (HRAC/USP), Bauru, Brazil. MATERIALS AND METHODS The preservation records (at least 2 years) of the endodontic treatments performed in the HRAC/USP were verified, indicating the success or failure of the treatment, and these treatments were divided into three groups (vital pulp, necrotic pulp, and endodontic retreatment). The Chi-square statistical test was applied with a significance level of 5%. RESULTS A total of 1216 endodontic treatments were quantified with a minimum of 2 years of prenatal care at HRAC/USP. The vital pulp group had a success rate of 99.4% (535 treatments) and 0.6% failure (3 treatments), 98.6% of success in the necrotic pulp group (577 treatments) and 1.4% failure (8 treatments), and 95.6% success rate (89 treatments) and 4.4% failure (4 treatments) in the endodontic reintervention group. CONCLUSION From the results found, we can conclude that there was a high success rate in the treatments and endodontic retreatments performed in the Endodontics Sector of the HRAC/USP, considering that well-conducted endodontic therapy is extremely important in the oral rehabilitation of individuals with cleft lip and palate.
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Affiliation(s)
- Airton Oliveira Santos-Junior
- Department of Endodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil
| | - Lidiane De Castro Pinto
- Department of Endodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil
| | - Jose Francisco Mateo-Castillo
- Department of Endodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil
| | - Claudia Ramos Pinheiro
- Department of Endodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil
- Department of Endodontics, Endodontic Specialization, Dentistry Postgraduate Center- CPO Uningá, Bauru, São Paulo, Brazil
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Cousson PY, Decerle N, Munoz-Sanchez ML, Roux D, Doméjean S, Nicolas E, Hennequin M. The "Plan" phase of a Deming cycle: Measurement of quality and outcome of root canal treatments in a university hospital. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2019; 23:e1-e11. [PMID: 30295003 DOI: 10.1111/eje.12393] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/30/2018] [Indexed: 06/08/2023]
Abstract
INTRODUCTION In many countries, dental students are taught in private or university hospitals where they treat patients under the supervision of teachers. Assessing the quality of root canal treatments (RCT) would provide information about the quality of care patients receive when treated by students. METHODS This study describes the six-step "Plan" phase of a Plan-Do-Check-Act (PDCA) cycle that identifies and analyses clinical practices in endodontics in a university dental hospital service. RESULTS Step 3 reported that the proportion of RCTs of adequate quality reached 57.1% and this proportion was significantly decreased when specific indicators for treatment difficulties were present. The proportion of successful RCTs after 1 year was 65.6%, and its variation was influenced by the preoperative periapical status rather than the quality of RCTs. The consensual meeting in Step 6 proposed to introduce three new procedures for the further Do, Check and Act phases of the PDCA cycle. CONCLUSION This study encourages systematic evaluation of RCTs and provides the first step of the methodology that can be reproduced in private and hospital practices where students are asked to treat patients.
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Affiliation(s)
- Pierre-Yves Cousson
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Nicolas Decerle
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Marie-Laure Munoz-Sanchez
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Dominique Roux
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Sophie Doméjean
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Emmanuel Nicolas
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Martine Hennequin
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
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