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Cheung MC, Peters OA, Parashos P. Global cone-beam computed tomography adoption, usage and scan interpretation preferences of dentists and endodontists. Int Endod J 2024; 57:133-145. [PMID: 37970748 DOI: 10.1111/iej.14000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 08/18/2023] [Accepted: 10/31/2023] [Indexed: 11/17/2023]
Abstract
AIM This study investigated the adoption of cone-beam computed tomography (CBCT) by dentists and endodontists around the world, including their preferences in endodontic CBCT usage. METHODOLOGY An online questionnaire surveyed dental association members in Australia and New Zealand, and endodontic association members in Australia, Britain, Canada, Italy, New Zealand and the USA, about their CBCT training history, considerations in acquisition/interpretation, access to and usage of CBCT, preferred scan interpreter, and preferred endodontic scan settings. Data were analysed with Chi-squared, independent sample t-tests, Cochran's Q and McNemar's tests. RESULTS Responses from 578 endodontic specialists or postgraduates (Group E) and 185 non-endodontic dentists (Group NE) were included. Continuing professional education (CPE) was the most common source of CBCT training (69.2%). Factors considered in CBCT acquisition/interpretation included beam hardening (75.4%), radiation exposure (61.1%) and patient movement (58.3%). Group E reported higher CBCT usage (90.8%) than Group NE (45.4%, p < .001) and greater workplace access to CBCT (81.1% vs. 25.9%, p < .001). Scans were interpreted by the respondent in most workplace scans (83.3%) and externally taken scans (60.5%); Group E were significantly more likely to interpret themselves than Group NE. Small field of view (83.6%) and high resolution (86.6%) were most preferred as settings for endodontic CBCTs; Group NE were less likely to choose these settings. There were some geographic variations within Group E. CONCLUSIONS CBCT training was most commonly acquired via CPE. Endodontic respondents reported very high CBCT usage and access in the workplace. There are educational implications regarding CBCT limitations, appropriate applications and interpretation.
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Affiliation(s)
| | - Ove Andreas Peters
- School of Dentistry, The University of Queensland, Herston, Queensland, Australia
| | - Peter Parashos
- Melbourne Dental School, The University of Melbourne, Carlton, Victoria, Australia
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Anna B, Craig D, Gordon L, Eric S. Current Trends in Regenerative Endodontics: A Web-based Survey. J Endod 2024; 50:181-188. [PMID: 38013150 DOI: 10.1016/j.joen.2023.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 11/18/2023] [Accepted: 11/20/2023] [Indexed: 11/29/2023]
Abstract
INTRODUCTION The aim of this study was to ascertain the current trends in regenerative endodontic procedures (REPs) among clinicians, including case selection criteria and clinical protocols. METHODS An online questionnaire consisting of provider demographics, case selection criteria for REPs, and clinical protocols was made available to members of the American Association of Endodontists and members of the Endolit website. Data were analyzed using the Fisher exact test. RESULTS Two hundred seventy-two responses were analyzed (64.6% were men and 34.7% were women). Of those, 44.5% of respondents practiced in the United States, and 55.5% practiced outside of the Unites States. Most respondents (85.4%) reported performing REPs in their practice, and 92.2% were using sodium hypochlorite as one of their disinfecting irrigants. Calcium hydroxide was the most commonly used intracanal medicament (68.4%), and the majority of respondents use a blood clot alone as the scaffold (73.5%). Most (93%) of the providers reported using a bioceramic material for coronal capping. Practitioners outside the United States were found to be more likely to use adjunctive irrigation activation (P = .003). Younger practitioners preferred REPs over apexification (P = .01). Practitioners outside the United States were more likely to perform an REP in 1 visit (P = .006). Men were found to be more likely to always instrument the canal walls (P = .031). Women were found to be more likely to use manual irrigant activation, whereas men were more likely to use sonic activation (P = .043). CONCLUSIONS There is significant heterogeneity within REPs regarding case selection and clinical protocol. Notable differences were observed from the reported findings of REPs from 5 years ago.
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Affiliation(s)
- Bowers Anna
- Department of Endodontics, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California
| | - Dunlap Craig
- Department of Endodontics, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California.
| | - Lai Gordon
- Department of Endodontics, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California
| | - Salmon Eric
- Outcome Assessment Liaison, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California
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Ramos JR, Bronzato JD, Bicego-Pereira EC, DE-Jesus-Soares A, Marciano MA, Almeida JFA, Ferraz CCR, Gomes BPFDA. Prevalence and reasons for referrals to the Endodontics Specialty Clinic at the Piracicaba Dental School. Braz Oral Res 2024; 38:e008. [PMID: 38198307 DOI: 10.1590/1807-3107bor-2024.vol38.0008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 05/30/2023] [Indexed: 01/12/2024] Open
Abstract
Dental referrals to the Endodontics Specialty Clinic (ESC) are routine owing to the complexity of endodontic treatments. To obtain a better prognosis for treatment, students/dentists must perceive their technical limits. This study sought to investigate the referrals of patients to the ESC from different clinics of the Piracicaba Dental School, State University of Campinas - SP, Brazil, and check: a) the demographic profile of patients and the most commonly affected tooth; b) the clinic with the largest number of referrals; c) the reasons for referrals; d) the complexity of the cases; e) and the difficulty in assessing the referred cases based on the classification provided by the American Association of Endodontists (AAE) and Souza-Filho. The study sample consisted of patients' electronic dental referral records from February 2015 to June 2019. A total of 1,707 patients were referred to the ESC during the study period, and 62.4% were female. Lower molars were the most frequently involved teeth (34.8%), and 60.7% of the cases were referred due to the presence of root curvature. The AAE classification showed prevalence of highly difficult cases (71.3%), whereas Souza-Filho classification demonstrated a high rate of class III cases (85.8%). This study highlights the difficulties encountered by undergraduate students before or during endodontic treatments, reinforcing the need for clear criteria for selecting cases appropriate for each education level, thus improving endodontic treatment prognosis.
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Affiliation(s)
- Jéssica Rodrigues Ramos
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
| | - Juliana Delatorre Bronzato
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
| | - Eloa Cristina Bicego-Pereira
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
| | - Adriana DE-Jesus-Soares
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
| | - Marina Angelica Marciano
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
| | - José Flávio Affonso Almeida
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
| | - Caio Cezar Randi Ferraz
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
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Chugal N, Assad H, Markovic D, Mallya SM. Applying the American Association of Endodontists and American Academy of Oral and Maxillofacial Radiology guidelines for cone-beam computed tomography prescription: Impact on endodontic clinical decisions. J Am Dent Assoc 2024; 155:48-58. [PMID: 37906247 DOI: 10.1016/j.adaj.2023.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 08/22/2023] [Accepted: 09/20/2023] [Indexed: 11/02/2023]
Abstract
BACKGROUND The American Association of Endodontists (AAE) and the American Academy of Oral and Maxillofacial Radiology (AAOMR) developed guidelines for the prescription of cone-beam computed tomographic (CBCT) imaging. The impact of appropriately prescribed CBCT imaging on endodontic diagnosis and treatment (Tx) decisions was examined. METHODS The clinical databases at the School of Dentistry at the University of California, Los Angeles, Los Angeles, California, were queried to identify patients referred for CBCT imaging from the postgraduate endodontic clinic over a consecutive 36-month period. Primary and secondary indications for CBCT imaging were recorded. Pre-CBCT uncertainty in diagnosis, Tx of the teeth in question, and post-CBCT changes to the diagnosis and Tx plan were recorded. RESULTS CBCT imaging was prescribed for 12% of patients. A total of 442 scans were prescribed to evaluate 526 teeth. Molars accounted for 51% of teeth examined. Overall, CBCT effected a change in periapical diagnosis (21%) and in the Tx plan (69%). The 5 most frequent primary indications for CBCT imaging were, in order, AAE-AAOMR recommendations 7, 9, 2, 12, and 6. The impact of these recommendations on Tx decisions varied from 48% through 93%. CONCLUSIONS This study validates the use of the AAE-AAOMR guidelines for prescribing CBCT imaging for endodontic evaluations. CBCT imaging contributed predominantly to Tx decisions rather than diagnostic determinations. PRACTICAL IMPLICATIONS This study validates AAE-AAOMR case selection guidelines for CBCT imaging and shows a positive impact of prescription imaging on endodontic decision making.
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Astin BS, Nuzum FM, DiMassa AJ, Mickel AK. Risk Factors and Prevalence of Occupational Musculoskeletal Pain among Endodontists in the United States. J Endod 2024; 50:17-21. [PMID: 37890612 DOI: 10.1016/j.joen.2023.10.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 10/04/2023] [Accepted: 10/08/2023] [Indexed: 10/29/2023]
Abstract
INTRODUCTION A musculoskeletal disorder (MSD) of pain, weakness, numbness, or paresthesia is a common issue for dental health care providers. The aims of this study were to (1) identify the prevalence of MSDs among endodontists in the United States, (2) to identify risk factors of MSDs among United States endodontists, and (3) to compare these findings with other published findings for dental providers. METHODS A 24-question survey regarding the demographics, potential risk factors, and prevalence of MSDs was formulated and distributed to 5394 members of the American Association of Endodontists. Data were then analyzed using descriptive statistics and chi-square analysis to find significance at α = 0.05. RESULTS Six hundred twenty participants responded to the survey for an overall response rate of 12%. Of the submitted surveys, 527 of them confirmed to be endodontists practicing in the United States, and all results were derived from those 527 surveys. Seventy-four percent of respondents reported having experienced MSDs in the last 12 months, and 88% reported having experienced at least 1 MSD thus far during their career. Eighty-five percent of female participants reported an MSD within the past 12 months compared with 70% of males. CONCLUSIONS MSDs have a high prevalence among endodontists in the United States. The neck and lower back were the areas of highest MSD prevalence. Female sex and the frequent adoption of awkward postures were factors associated with significantly higher rates of reported MSDs in the last 12 months.
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Affiliation(s)
- Brandon S Astin
- Department of Endodontics, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio.
| | - F Micah Nuzum
- Department of Endodontics, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio
| | - Alexander J DiMassa
- Department of Endodontics, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio
| | - Andre K Mickel
- Department of Endodontics, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio
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Thanissorn C, Ye J, Girgis D, van Dort N, Abbott PV. A comparison of endodontic registrar training experience with treatments provided by private practice endodontists. AUST ENDOD J 2023; 49:537-543. [PMID: 37485762 DOI: 10.1111/aej.12781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 07/10/2023] [Accepted: 07/11/2023] [Indexed: 07/25/2023]
Abstract
The primary aim was to compare cases seen by public endodontic clinicians (endodontists and endodontic registrars) to that of private endodontists. This was done by comparing item numbers charged over a 3-year period from 1 January 2016 to 1 January 2019 from both sectors. The secondary aim was to compare item numbers charged by endodontic registrars during their training as recorded by their submitted logbooks to that of private endodontists. In both comparisons, private endodontists recorded higher numbers of many item numbers including consultations, routine root canal treatment, removal of posts and broken instruments. Endodontic registrar logbooks also recorded fewer numbers compared to private endodontists, however, the frequency of more invasive procedures such as surgery and hemisection were similar.
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Affiliation(s)
- Charn Thanissorn
- UWA Dental School, University of Western Australia, Nedlands, Western Australia, Australia
| | - Johnson Ye
- UWA Dental School, University of Western Australia, Nedlands, Western Australia, Australia
| | - Daniel Girgis
- UWA Dental School, University of Western Australia, Nedlands, Western Australia, Australia
| | - Nathan van Dort
- UWA Dental School, University of Western Australia, Nedlands, Western Australia, Australia
| | - Paul V Abbott
- UWA Dental School, University of Western Australia, Nedlands, Western Australia, Australia
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Luiz MD, Coelho LAS, Vivan RR, Duarte MAH, Alcalde MP, Conti PCR, Costa YM, Bonjardim LR. Divergence between confidence and knowledge of endodontists regarding non-odontogenic pain. J Appl Oral Sci 2023; 31:e20230222. [PMID: 37820183 PMCID: PMC10561960 DOI: 10.1590/1678-7757-2023-0222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 08/09/2023] [Accepted: 08/16/2023] [Indexed: 10/13/2023] Open
Abstract
INTRODUCTION This study aimed to assess the self-reported levels of confidence and knowledge related to non-odontogenic pain among a group of Brazilian endodontists. METHODOLOGY A total of one hundred and forty-six endodontists affiliated with the Brazilian Society of Endodontics participated in the survey. The questionnaire, distributed via email or WhatsApp, contained inquiries designed to gauge self-perceived confidence and knowledge concerning non-odontogenic pain. The practitioners were categorized into four groups based on their self-reported familiarity with various orofacial pain types, classified as either sufficient or insufficient, and on their engagement in ongoing educational programs related to orofacial pain. Data were analyzed by Chi-Square Test and Fischer's exact test (p<0.05). RESULTS Overall, self-reported confidence about non-odontogenic pain was high, especially for endodontists who considered their knowledge about orofacial pain sufficient, regardless of whether they had (71.1% - 97.8%) or not (35.7% - 96.4%) been continuously involved in education courses on orofacial pain. In general, self-reported knowledge about non-odontogenic pain was insufficient (0% - 42%), except in the question about how they would act in cases of pain that persists beyond the normal healing time after an endodontic procedure (70.6% - 81.9%). In general, endodontists are confident in their diagnosis and treatment of non-odontogenic pain. Nonetheless, this confidence did not correlate with a commensurate knowledge depth of. Thus, specialization courses in endodontics should highly consider training and qualifying these professionals in the diagnosis of non-odontogenic pain.
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Affiliation(s)
- Marcos Dezotti Luiz
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos, Bauru, Brasil
| | - Letycia Accioly Simões Coelho
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos, Bauru, Brasil
| | - Rodrigo Ricci Vivan
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos, Bauru, Brasil
| | - Marco Antônio Hungaro Duarte
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos, Bauru, Brasil
| | - Murilo Priori Alcalde
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos, Bauru, Brasil
| | - Paulo César Rodrigues Conti
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Prótese e Periodontia, Bauru, Brasil
| | - Yuri Martins Costa
- Universidade de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Biociências, Piracicaba, Brasil
| | - Leonardo Rigoldi Bonjardim
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Ciências Biológicas, Bauru, Brasil
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Dhillon IK, Hong CHL, Hu S, Sim YF, Goh BKC, Duggal MS, Sriram G. Accuracy of the American Association of Endodontists diagnostic criteria for assessing pulp health in primary teeth. Clin Oral Investig 2023; 27:6043-6053. [PMID: 37624522 DOI: 10.1007/s00784-023-05217-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 08/14/2023] [Indexed: 08/26/2023]
Abstract
OBJECTIVES There is a lack of studies evaluating the accuracy of the 2009 American Association of Endodontists (AAE) diagnostic criteria for diagnosing pulpal health in primary teeth. This study aimed to estimate and correlate the diagnostic accuracy of clinical diagnosis of reversible and irreversible pulpitis using the 2009 AAE criteria with histological findings in primary teeth. METHODS Eighty primary teeth that were clinically diagnosed with normal pulp (n = 10), reversible pulpitis (n = 30), irreversible pulpitis (n = 30) and pulp necrosis (n = 10) were collected. The teeth were histo-processed, and pulp tissues were diagnosed histologically as uninflamed pulp, reversible or irreversibly inflamed and necrosis based on previously proposed criteria. RESULTS The clinical diagnosis of pulp necrosis (sensitivity 70%, specificity 96%) and normal pulp (sensitivity 91%, specificity 100%) matched the histological diagnosis of necrosis and uninflamed pulp in 70% and 100%, respectively. The clinical diagnosis of irreversible pulpitis (sensitivity 64%, specificity 72%) matched the histological diagnosis of irreversible pulp inflammation for 47% of teeth evaluated. For the clinical diagnosis of reversible pulpitis (sensitivity: 65%, specificity: 86%), 80% matched the histological diagnosis of reversible pulp inflammation. Teeth with histologically diagnosed irreversible pulp inflammation were more likely to have lingering (OR 5.08; 95% CI 1.48-17.46, P = 0.010) and nocturnal tooth pain (OR 15.86; 95% CI 1.57-160.47, P = 0.019) when compared to teeth with reversible pulp inflammation. Using the classification and regression tree model, the presence of widened periodontal ligament space and nocturnal tooth pain were useful predictors of irreversible pulp inflammation with an accuracy of 78%. CONCLUSION The 2009 AAE criteria was acceptable for primary teeth with pulp necrosis and normal pulp but poor for reversible pulpitis and irreversible pulpitis.
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Affiliation(s)
- Ishreen Kaur Dhillon
- Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry, National University of Singapore, 9 Lower Kent Ridge Road, Singapore, 119085, Singapore.
| | - Catherine Hsu-Ling Hong
- Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry, National University of Singapore, 9 Lower Kent Ridge Road, Singapore, 119085, Singapore.
| | - Shijia Hu
- Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry, National University of Singapore, 9 Lower Kent Ridge Road, Singapore, 119085, Singapore
| | - Yu Fan Sim
- Faculty of Dentistry, National University of Singapore, 9 Lower Kent Ridge Road, Singapore, 119085, Singapore
| | - Benny Kwee Chien Goh
- Department of Endodontics, Operative Dentistry & Prosthodontics, Faculty of Dentistry, National University of Singapore, 9 Lower Kent Ridge Road, Singapore, 119085, Singapore
| | | | - Gopu Sriram
- Discipline of Oral Sciences, Faculty of Dentistry, National University of Singapore, 9 Lower Kent Ridge Road, Singapore, 119085, Singapore.
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Thanissorn C, Ye J, Girgis D, van Dort N, Abbott PV. A comparison of endodontic referrals and treatment in the public and private sectors in Western Australia. AUST ENDOD J 2023; 49 Suppl 1:390-398. [PMID: 37002703 DOI: 10.1111/aej.12755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 03/20/2023] [Indexed: 04/04/2023]
Abstract
The aim was to compare referral patterns and treatment provided by specialist Endodontists and Endodontic Registrars. A retrospective review was conducted of the clinical records of the first 25 patients seen by seven private endodontic clinicians and the equivalent number (175) of patients seen by five public sector endodontic clinicians from 1 January 2017. The average age and range of medical co-morbidities of patients in the public sector were statistically greater. Referred patients and referrers mainly worked in metropolitan Perth. The most frequent reasons for referral in both public and private sectors were to assess and manage non-painful endodontic pathosis, to manage pain, and to manage calcified canals. There was a wide range of cases referred to both sectors but with similar patterns suggesting that the training of specialists adequately prepares them for private practice. The results also indicate that Endodontists must be proficient in all aspects of the speciality.
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Affiliation(s)
- Charn Thanissorn
- UWA Dental School, University of Western Australia, 17 Monash Ave, Nedlands, Western Australia, 6009, Australia
| | - Johnson Ye
- UWA Dental School, University of Western Australia, 17 Monash Ave, Nedlands, Western Australia, 6009, Australia
| | - Daniel Girgis
- UWA Dental School, University of Western Australia, 17 Monash Ave, Nedlands, Western Australia, 6009, Australia
| | - Nathan van Dort
- UWA Dental School, University of Western Australia, 17 Monash Ave, Nedlands, Western Australia, 6009, Australia
| | - Paul V Abbott
- UWA Dental School, University of Western Australia, 17 Monash Ave, Nedlands, Western Australia, 6009, Australia
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Murad M, Tamimi F. Artificial intelligence: is it more accurate than endodontists in root canal therapy? Evid Based Dent 2023; 24:106-107. [PMID: 37221364 DOI: 10.1038/s41432-023-00901-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 04/06/2023] [Indexed: 05/25/2023]
Abstract
DATA SOURCES The following databases were electronically searched (up to 20 March 2022): PubMed, Scopus, Google Scholar, and Cochrane Library. This was followed by hand-searching the reference lists of the included articles. The search was restricted to articles published in English. The aim of this study was to evaluate the effectiveness of artificial intelligence in identifying, analyzing, and interpreting radiographic features related to endodontic therapy. STUDY SELECTION The selection criteria were limited to trials evaluating the effectiveness of artificial intelligence in identifying, analyzing, and interpreting radiographic features related to endodontic therapy. TYPES OF STUDIES Clinical, ex-vivo, and in-vitro trials. TYPES OF RADIOGRAPHIC IMAGES Two-dimensional intra-oral imaging (bitewings and/or periapicals), panoramic radiographs (PRs), and cone beam computed tomography (CBCT). EXCLUSION CRITERIA 1) Case reports, letters, and commentaries; 2) Reviews, conferences, and books; 3) Inaccessible reports. DATA EXTRACTION AND SYNTHESIS The titles and abstracts of the results of the searches were screened by two authors against the inclusion criteria. The full text of any potentially relevant abstract and title were retrieved for more comprehensive assessment. The risk of bias was assessed initially by two examiners and then by two authors. Any discrepancies were resolved through discussion and consensus. RESULTS Out of the 1131 articles which were identified in the initial search, 30 were considered relevant, and only 24 articles were eventually included. The exclusion of the six articles was related to the absence of appropriate clinical or radiological data. Meta-analysis was not performed due to high heterogeneity. Various degrees of bias were detected in more than 58% of the included studies. CONCLUSIONS Although most of the included studies were biased, the authors concluded that the use of artificial intelligence can be an effective alternative in identifying, analyzing and interpreting radiographic features related to root canal therapy.
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Affiliation(s)
- Mohammed Murad
- Clinical MSc in Endodontics, University of Manchester, Manchester, UK.
- Clinical MSc in Prosthetic Dentistry, University of Bristol, Bristol, UK.
- Division of Clinical Dentistry, The Primary Health Care Corporation, P.O. Box: 26555, Doha, Qatar.
| | - Faleh Tamimi
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
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Hatipoğlu FP, Hatipoğlu Ö, Taha N, Lehmann AP, Aldhelai TA, Madfa AA, Al-Haddad A, Jukić Krmek S, Javed MQ, Bhatti UA, Drobac M, Surendar S, Martín-Biedma B, Palma PJ, Martins JFB. Attitude and practice of regenerative endodontic procedures among endodontists and paediatric dentists: A multinational survey from 13 countries. Int J Paediatr Dent 2023; 33:521-534. [PMID: 37350350 DOI: 10.1111/ipd.13101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 05/26/2023] [Accepted: 06/15/2023] [Indexed: 06/24/2023]
Abstract
BACKGROUND Regenerative endodontics (RET) refers to biologically based procedures that aim to restore damaged tooth structures and reinstate the pulp-dentine complex to its normal physiological state. AIM The purpose of this study was to examine the attitudes and practices of endodontists and paediatric dentists regarding RET. DESIGN A survey was conducted among endodontists and paediatric dentists from 13 countries. A number of factors were evaluated, including frequency of RET application, followed guidelines, disinfection techniques, intracanal medication type, scaffold type, preferred coronal seal material, and follow-up period. RESULTS Among the 1394 respondents, 853 (61.2%) and 541 (38.8%) were endodontists and paediatric dentists, respectively. Almost half (43%) of participants have not performed RET yet. The American Association of Endodontics guideline (47.3%) was selected as the primary source for the clinical protocol. The most frequently selected irrigant solution was 1.5%-3% NaOCl at the first (26.1%) and second (13.6%) sessions. A blood clot (68.7%) and MTA (61.9%) were the most frequently selected scaffold type and coronal barrier. Most participants preferred a 6-month follow-up period. CONCLUSION According to this survey, deviations exist from current RET guidelines regarding all aspects evaluated. Standardizing clinical protocols and adhering to available guidelines would help to ensure more predictable outcomes.
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Affiliation(s)
| | - Ömer Hatipoğlu
- Department of Restorative Dentistry, Nigde Omer Halisdemir University, Niğde, Turkey
| | - Nessrin Taha
- Department of Conservative Dentistry, Jordan University of science and Technology, Irbid, Jordan
| | - Anna Paulina Lehmann
- Poznan University of Medical Sciences Department of Conservative Dentistry and Endodontics, Poznan, Poland
| | - Thiyezen Abdullah Aldhelai
- Department of Orthodontic and Pediatric Dentistry, College of Dentistry, Qassim University, Buraydah, Saudi Arabia
| | - Ahmed A Madfa
- Department of Restorative Dental Science, College of Dentistry, University of Ha'il, Ha'il, Saudi Arabia
| | - Afaf Al-Haddad
- Department of Conservative Dentistry, Faculty of Dentistry, Mahsa University, Selangor, Malaysia
| | - Silvana Jukić Krmek
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Muhammad Qasim Javed
- Department of Conservative Dental Sciences, College of Dentistry, Qassim University, Buraydah, Qassim, Saudi Arabia
| | - Usman Anwer Bhatti
- Department of Operative Dentistry and Endodontics, Riphah International University, Islamabad, Pakistan
| | - Milan Drobac
- Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
| | - Sugumaran Surendar
- Department of conservative dentistry and Endodontics, Saveetha Dental College & Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Benjamín Martín-Biedma
- Department of Conservative Dentistry, Universidade de Santiago de Compostela (USC), Santiago de Compostela, Spain
| | - Paulo J Palma
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Institute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - João Filipe Brochado Martins
- Department of Endodontology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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12
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de Lima JP, Mazzi-Chaves JF, de Sousa-Neto MD, Candemil AP. Could Low-dose Cone-beam CT be Used for Endodontic Intraoperative Diagnosis? J Endod 2023; 49:1161-1168. [PMID: 37451335 DOI: 10.1016/j.joen.2023.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 07/04/2023] [Accepted: 07/05/2023] [Indexed: 07/18/2023]
Abstract
INTRODUCTION Cone-beam computed tomography (CBCT) allows three-dimensional evaluation and has high diagnostic accuracy of endodontic conditions. Considering that the most indicated protocol for endodontics should have smaller field-of-view and higher spatial resolution, a higher radiation dose may be associated. Thus, this study evaluated the accuracy of an optimized CBCT protocol for the detection of intraoperative endodontic complications. METHODS An image phantom was custom-made with a human mandible covered with Mix-D and forty mandibular first molars. The teeth were subdivided into 4 groups of endodontic complications which were simulated. All teeth were individually inserted into the left second molar socket of the phantom and CBCT images were acquired with OP 300 unit adjusted to a field-of-view of 6 × 4 cm, 90kVp, and 2 dose protocols: low and high. Furthermore, a titanium implant, a tooth with endodontic treatment, and a cobalt-chromium post were inserted into the empty sockets adjacent to the teeth of interest and additional images were acquired. Four endodontists evaluated the images and indicated the presence of endodontic complications on a 5-point scale. Sensitivity, specificity, and area under the receiver operating characteristic curve were obtained. The different groups were compared by ANOVA and Tukey tests (α = 0.05). RESULTS In most conditions, irrespective of the presence of metallic materials, the values of accuracy, sensitivity, specificity, and area under the receiver operating characteristic curve did not differ significantly (P > .05) between the dose protocols. CONCLUSIONS Optimized CBCT protocols should be considered for the detection of intraoperative endodontic Diagnostic complications.
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Affiliation(s)
- João Pedro de Lima
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Jardel Francisco Mazzi-Chaves
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Manoel Damião de Sousa-Neto
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Amanda Pelegrin Candemil
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.
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Mathew AI, Lee SC, Ha WN, Rossi-Fedele G, Doğramacı EJ. Cone-beam computed tomography-Predictors and characteristics of usage in Australia and New Zealand, a multifactorial analysis. AUST ENDOD J 2023; 49:247-255. [PMID: 35830370 DOI: 10.1111/aej.12663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 06/19/2022] [Accepted: 07/04/2022] [Indexed: 11/29/2022]
Abstract
Cone-beam computed tomography (CBCT) is an increasingly used imaging modality. This study aimed to identify the factors that predict its usage amongst endodontists in Australia and New Zealand and describe usage characteristics. Data were collected via an online questionnaire, with analysis including descriptive statistics, cross-tabulation and multifactorial modelling. Ninety-four endodontists completed the questionnaire who were using CBCT for 7 years (median), over half had a CBCT unit in practice, with most prescribing up to 10 scans/month and 55 using a small field of view. Sixty-eight participated in >5 h of CBCT education/year and a third received a specialist-prepared report. The number of prescriptions/month was significantly associated with on-site CBCT units (Exp B: 8.53; 95% CI: 1.46-49.86, p < 0.05) and the number of years of CBCT usage by participants (Exp B: 1.46; 95% CI: 1.17-1.84, p = 0.001). CBCT imaging in endodontics is a useful diagnostic aid to decision making and treatment planning, with widespread acceptance and usage.
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Affiliation(s)
- Abhishek Isaac Mathew
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - Silvia C Lee
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - William Nguyen Ha
- Sydney Dental School, University of Sydney, Sydney, New South Wales, Australia
| | | | - Esma J Doğramacı
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
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14
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Martinho FC, Aldahmash SA, Cahill TY, Gupta S, Dianat O, Mostoufi B, Price JB, Griffin I, Tordik PA. Comparison of the accuracy and efficiency of a 3D dynamic navigation system for osteotomy root-end resection performed by novice and experienced endodontists. J Endod 2022; 48:1327-1333.e1. [PMID: 35839859 DOI: 10.1016/j.joen.2022.07.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 07/02/2022] [Accepted: 07/04/2022] [Indexed: 11/19/2022]
Abstract
AIM To investigate whether the 3D-dynamic navigation system (3D-DNS) can improve experienced endodontists' (EEs') and novice endodontists' (NEs') accuracy and efficiency in osteotomy and root-end resection (RER) and to verify that the 3D-DNS enables NEs to perform osteotomy and RER as accurately and efficiently as EEs. METHODS Seventy-six roots in cadaver heads were randomly divided into four groups: 3D-DNS-NE, 3D-DNS-EE, Freehanded (FH)-NE, and FH-EE (all, n=19). CBCT scans were taken pre- and postoperatively. Osteotomy and RER were planned virtually in the X-guided software (X-Nav Technologies, Lansdale). Accuracy was calculated by measuring the 2D and 3D virtual deviations and angular deflection (AD) using superimposing software (X-Nav technologies). Efficiency was determined by time of operation and the number of mishaps. RESULTS Accuracy deviations were significantly less in the 3D-DNS-EE group than in the FH-EE group (p<.05). We found lessened 2D and 3D accuracy deviations comparing the 3D-DNS-NE group to the FH-NE group (p<.05). The time required for osteotomy and RER with the 3D-DNS was ∼ ½ of that required for the FH method for both EEs and NEs (p<.05). We found no difference in the number of mishaps between the 3D-DNS and FH groups for EEs and NEs (p>.05). CONCLUSIONS The 3D-DNS improved EEs' and NEs' accuracy and efficiency in osteotomy and RER. The NEs were as efficient as the EEs using 3D-DNS. Notably, the 3D-DNS improved the NEs' accuracy compared to FH method but the 3D-DNS did not enable the NEs to perform osteotomy and RER as accurately as the EEs.
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Affiliation(s)
- Frederico C Martinho
- Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland.
| | - Sara A Aldahmash
- Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland; College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Thomas Y Cahill
- School of Dentistry, University of Maryland, Baltimore, Maryland
| | - Swati Gupta
- Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland
| | - Omid Dianat
- Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland; Centreville Endodontics, Centreville, Virginia
| | - Behzad Mostoufi
- Department of Oral and Maxillofacial Surgery, University of Maryland, Baltimore, Maryland
| | - Jeffery B Price
- Clinical Professor & Director of Oral Radiology, Department of Oncology and Diagnostic Sciences, University of Maryland, School of Dentistry, Baltimore, Maryland
| | - Ina Griffin
- Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland
| | - Patricia A Tordik
- Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland
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De La Espriella CM, Manjarrés V, Gutmann JL. Reflections on the Evolution of the Specialty of Endodontics in Colombia, South America. J Hist Dent 2022; 70:95-101. [PMID: 35767298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The historical development of Endodontics as a specialty in Colombia, South America was due primarily to the influence of a few key endodontists from the United States and the industriousness and dynamic vision of leading dental professionals from Bogotá and Medellín, Colombia.
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Affiliation(s)
- Catalina Méndez De La Espriella
- Assistant Professor Department of Endodontics Associate Director - Postgraduate Endodontics Nova Southeastern University College of Dental Medicine Davie, Florida USA
| | - Vivian Manjarrés
- Associate Professor Department of Endodontics Co-Director - Predoctoral Endodontics Nova Southeastern University College of Dental Medicine Davie, Florida USA
| | - James L Gutmann
- Dip ABE, Professor Emeritus Texas A&M University College of Dentistry Dallas, Texas USA
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Gomes FDA, Malhão EC, Maniglia-Ferreira C, Lima DL, Casarin M, Pappen FG. Endodontic treatment during the COVID-19 pandemic - perception and behaviour of dental professionals. Acta Odontol Latinoam 2021; 34:63-70. [PMID: 34137780 DOI: 10.54589/aol.34/1/063] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Accepted: 02/01/2021] [Indexed: 06/12/2023]
Abstract
This study evaluated the impact of COVID-19 on the endodontic treatment routine. It was a cross-sectional study using an online questionnaire applied to endodontists to collect information about practical modifications during endodontic treatment to protect professionals and patients against the COVID-19 outbreak. A total 1105 participants from Brazil participated in the survey. More than 90% of respondents identify the high risk of COVID-19 infection to dentists and the need to change some clinical practices. Most respondents (60.1%) are partially following social isolation. The need for a change in Personal Protective Equipment (PPE) during dental appointments was mentioned by 97.1% of respondents. The use of minimal adequate PPE during the pandemic period was associated with the area of residence and marital status of participants. Only 30% of respondents say they use the minimal adequate PPE. Most respondents will change cavity access preparation to reduce virus dissemination. Other changes in endodontic appointments were described in the survey: greater attention to biosafety measures, duration of dental appointments, and duration of intervals between appointments. Endodontists still need to identify the best arrangement for performing their procedures safely during the COVID-19 pandemic. Specific guidelines require detailed information for each specialty and its procedures.
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Affiliation(s)
- Fabio de A Gomes
- Universidade de Fortaleza, Faculdade de Odontologia, Departamento de Endodontia Fortaleza, Brasil
| | - Eduarda C Malhão
- Universidade Federal de Pelotas, Faculdade de Odontologia, Programa de Pós Graduação em Odontologia, Pelotas, Brasil
| | - Cláudio Maniglia-Ferreira
- Universidade Federal de Pelotas, Faculdade de Odontologia, Programa de Pós Graduação em Odontologia, Pelotas, Brasil
| | - Danilo Lf Lima
- Universidade de Fortaleza, Faculdade de Odontologia, Departamento de Endodontia Fortaleza, Brasil
| | - Maísa Casarin
- Universidade Federal de Pelotas, Faculdade de Odontologia, Programa de Pós Graduação em Odontologia, Pelotas, Brasil
| | - Fernanda G Pappen
- Universidade Federal de Pelotas, Faculdade de Odontologia, Programa de Pós Graduação em Odontologia, Pelotas, Brasil.
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Martinho FC, Griffin IL. A Cross-sectional Survey on the Impact of Coronavirus Disease 2019 on the Clinical Practice of Endodontists across the United States. J Endod 2021; 47:28-38. [PMID: 33058936 PMCID: PMC7550122 DOI: 10.1016/j.joen.2020.10.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 09/16/2020] [Accepted: 10/02/2020] [Indexed: 01/08/2023]
Abstract
This survey investigated the effect of the coronavirus disease 2019 (COVID-19) pandemic on the clinical practice of endodontics among the American Association of Endodontists (AAE) members by evaluating the impact on clinical activities, patient screening, infection control measurements, potential transmission, clinical protocols, as well as psychological concerns. A descriptive, cross-sectional survey was developed to query AAE members from all 7 districts. The survey consisted of 24 questions, 8 demographic questions and 16 questions related to the COVID-19 pandemic impact on the clinical practice. A total of 454 AAE members participated in the survey. As of July 2020, most endodontists were active in front-line treatment of dental patients (82%). N95 respirator face mask was described by 83.1% of the participants as special measures beyond the regular personal protective equipment. Rubber dam isolation was recognized by the majority of the participants at some level to reduce the chance of COVID-19 cross infection. Most of the endodontist participants acknowledged trauma followed by swelling, pain, and postoperative complication to be emergencies. The majority of respondents reported being concerned about the effect of COVID-19 on their practice. No differences in worries about COVID-19 infection were related to demographics (P > .05). The majority of the endodontists are aware of the COVID-19 pandemic, are taking special precautions, and are concerned about contracting and spreading the virus. Despite the conflict between their roles as health care providers and family members with the potential risk of exposing their families, most of them remain on duty providing front-line care for dental treatment.
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Affiliation(s)
- Frederico C Martinho
- Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland.
| | - Ina L Griffin
- Post Graduate Endodontic Education, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, School of Dentistry, Baltimore, Maryland
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Olivieri JG, de España C, Encinas M, Ruiz XF, Miró Q, Ortega-Martinez J, Durán-Sindreu F. General Anxiety in Dental Staff and Hemodynamic Changes over Endodontists' Workday during the Coronavirus Disease 2019 Pandemic: A Prospective Longitudinal Study. J Endod 2020; 47:196-203. [PMID: 33160999 PMCID: PMC7644425 DOI: 10.1016/j.joen.2020.10.023] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 10/17/2020] [Accepted: 10/28/2020] [Indexed: 12/14/2022]
Abstract
Introduction The aim of this study was to assess general anxiety levels in endodontists and dental assistants related to different conditions during the pandemic and lockdown and to evaluate hemodynamic changes in endodontists' heart rate (HR), blood pressure, and blood oxygenation during their workday. Methods Anxiety levels in endodontists and dental assistants were recorded weekly during the state of alarm declared because of the coronavirus disease 2019 pandemic. Hemodynamic parameters were monitored using a sphygmomanometer for HR and blood pressure and a pulse oximeter for oxygen saturation. Measurements were taken before and after each root canal treatment as well as on arrival at the clinic and at the end of the working day. Rest data, recorded every Saturday, served as a control. Data analysis was performed using chi-square, paired t, Mann-Whitney, and analysis of variance tests (P < .05). Results General anxiety decreased over the weeks, with significant differences between weeks 1 and 4 (P < .05). Endodontists perceived higher anxiety levels of anxiety during anesthesia inoculation and dental assistants during the dental unit’s disinfection and equipment material (P < .05). There was a significant increase in the cardiovascular response in all endodontists in the clinic registrations compared with rest data (P < .05). Values were higher in the strict confinement period and significant for HR when arriving at the clinic (P < .05). Conclusions Levels of general anxiety were higher during the first weeks. The chief perceived factors related to anxiety in endodontists and dental assistants were the risk of contagion and protection measures. Higher HR and blood pressure levels were registered during the workday, especially when arriving at the clinic.
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Affiliation(s)
- Juan Gonzalo Olivieri
- Department of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain.
| | - Carlota de España
- Department of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Marc Encinas
- Department of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Xavier-Fructuós Ruiz
- Department of Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Queralt Miró
- Department of Basic Sciences, Biostatistics Unit, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Jordi Ortega-Martinez
- Department of Restorative Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain
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Alzamzami ZT, Abulhamael AM, Talim DJ, Khawaji H, Barzanji S, Roges RA. Cone-beam Computed Tomographic Usage: Survey of American Endodontists. J Contemp Dent Pract 2019; 20:1132-1137. [PMID: 31883245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
AIM The aim of this study was to investigate the acceptance, accessibility, and usage of cone-beam computed tomographic (CBCT) imaging among American Association of Endodontists (AAE) members in the United States by means of an online survey. MATERIALS AND METHODS An invitation to participate in a Web-based survey was sent to 3,000 members of the AAE. The survey consisted of 19 questions on demographics, access to CBCT machines, frequency of use for particular applications, and reasons in case CBCT was not used. RESULTS A total of 477 endodontists responded to the survey, representing a 15.9% response rate. Around 91.8% of endodontists used CBCT imaging in their practice. Around 86% of endodontists had access to CBCT in their office, while 14% referred their patients to an outside office. Cone-beam computed tomographic units used by endodontists were Carestream (59.6%), Morita (20.8%), and Sirona (5.7%). Around 81.1% of endodontists didn't think CBCT imaging has high risk of radiation exposure; however, 10% of their patients declined CBCT imaging due to both cost and radiation exposure. Around 92.7% requested the segmental view when asking for CBCT. Endodontists' opinion was that CBCT enhances diagnosis of odontogenic pathosis, anatomical structures, treatment of iatrogenic errors, and diagnosis of nonodontogenic pathosis by 96.4%, 96.3%, 92.2%, and 88%, respectively. Around 93% of endodontists agreed that they would not consider doing CBCT for pregnant women. Majority of endodontists (74.6%) use CBCT in their practice for surgery, followed by 60.2% in nonsurgical retreatment. While 59.1% use CBCT in initial nonsurgical treatment, 44% reported that they use CBCT in endodontic recall and 9.2% use CBCT for pediatric patients. CONCLUSION CBCT technology is becoming the imaging modality of choice for nonsurgical retreatments and presurgical treatment planning. Endodontists deal with complex cases and thus the CBCT is a necessary tool that helps save a lot of time and effort during treatment procedures, looking for canals or determining why a previous treatment failed, and in providing the most comprehensive care. CLINICAL SIGNIFICANCE With the advancement in technology in the latest era, the three-dimensional CBCT imaging helped provide superior information over the two-dimensional periapical radiograph in making the correct diagnostic decision. This survey enlightened the usage of CBCT among endodontic practitioners in the United States. How to cite this article: Alzamzami ZT, Abulhamael AM, Talim DJ, et al. Cone-beam Computed Tomographic Usage: Survey of American Endodontists. J Contemp Dent Pract 2019;20(10):1132-1137.
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Affiliation(s)
- Ziyad T Alzamzami
- Department of Endodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia, Phone: +966 555646766; e-mail:
| | - Ayman M Abulhamael
- Department of Endodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
| | - Darshita J Talim
- Department of Endodontics, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA
| | - Hala Khawaji
- Dental Department, King Abdulaziz Medical City, Jeddah, Kingdom of Saudi Arabia
| | - Sarah Barzanji
- Dental Department, King Abdulaziz Medical City, Jeddah, Kingdom of Saudi Arabia
| | - Rafael A Roges
- Department of Endodontics, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA
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Abulhamael AM, Tandon R, Alzamzami ZT, Alsofi L, Roges RA, Rotstein I. Treatment Decision-making of Cracked Teeth: Survey of American Endodontists. J Contemp Dent Pract 2019; 20:543-547. [PMID: 31316014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
AIM The aim of this study is to survey the opinion of endodontists in the United States regarding their approach to treatment of cracked teeth. MATERIALS AND METHODS A survey assessing the opinions of 3,500 endodontists in the United States was administered over a 4-week period. It consisted of a hypothetical clinical case and eight different treatment scenarios. Participants were asked to select one of the two treatment options: (A) informing the patient of the presence of a crack, reinforcing the tooth, and continuing with endodontic treatment; and (B) extraction of the tooth followed by replacement with an implant supported crown or fixed partial denture. RESULTS When the crack extended across the distal marginal ridge with no associated probing depths, 92.65% endodontists preferred to continue with endodontic treatment and reenforcing the tooth. When the crack extended across the distal marginal ridge and was associated with a probing depth of 6 mm, 80% preferred extraction of the tooth. When the crack extended across the mesial marginal ridge up to the orifice of the mesiolingual canal with no associated probing depth, 82.78% preferred to continue with the treatment. When the crack was associated with a 6-mm probing depth, 83.79% preferred tooth extraction. When the crack extended across the mesial marginal ridge and down into the mesiolingual canal with/without associated probing depth, 91.13% and 63.54% preferred tooth extraction, respectively. When the crack involved both mesial and distal marginal ridges and extended across the pulp chamber, 79.74% preferred tooth extraction. When a split tooth was presented, 98.48% preferred tooth extraction. CONCLUSION It appears that the presence of a 6-mm periodontal pocket is considered an important factor by most American endodontists when deciding whether to preserve the cracked tooth or extract it. CLINICAL SIGNIFICANCE There is no consensus among dentists regarding the best approach to treat cracked teeth. Conclusive studies evaluating clinical approaches of endodontists regarding treatment of cracked teeth are lacking. Therefore, surveyed opinion of endodontists in the United States regarding their approach to treatment of cracked teeth was done to try to reach the best clinical decision regarding this dilemma.
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Affiliation(s)
- Ayman M Abulhamael
- Department of Endodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia, Phone: +966 598977241; e-mail: Clinical Dentistry of Division of Endodontics, Orthodontics and General Practice Residency in the Herman Ostrow School of Dentistry of University of Southern California, Los Angeles, California, USA
| | | | - Ziyad T Alzamzami
- Department of Endodontics, Faculty of Dentistry, King Abdulaziz University Dental Hospital, Jeddah, Saudi Arabia
| | - Loai Alsofi
- Department of Endodontics, Faculty of Dentistry, King Abdulaziz University Dental Hospital, Jeddah, Saudi Arabia
| | - Rafael A Roges
- Department of Endodontics at the Herman Ostrow School of Dentistry of the University of Southern California, Los Angeles, California, USA
| | - Ilan Rotstein
- Department of Endodontics at the Herman Ostrow School of Dentistry of the University of Southern California, Los Angeles, California, USA
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Gutmann JL. A Newly Formed Organization in Dentistry Makes Its Lasting Mark in the Early 1940s. J Hist Dent 2019; 67:122-124. [PMID: 32495735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The Philadelphia Root Canal Study Club was formed in 19391 in an era that was seeing the wholesale extraction of teeth, based on the theory of focal infection.2 This one timely and fortuitous occurrence was the genesis for a national association of dentists interested in root canal therapy. With several other influential dentists in 1943, Dr. Louis I. Grossman, from Philadelphia, began organizing the American Root Therapy Association. At the Chicago Dental Society meeting in February of that year, nineteen dentists from across the country met and the American Society of Endodontists (ASE) was officially formed for the study of root canal therapy (Fig. 1).
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Affiliation(s)
- James L Gutmann
- Diplomate ABE, Professor Emeritus Texas A&M University College of Dentistry Dallas, Texas
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Xiao W, Chen X, Wang J. [Dentists' knowledge and practice of revascularization in Shanghai: a cross-sectional study]. Shanghai Kou Qiang Yi Xue 2018; 27:390-395. [PMID: 30483707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
PURPOSE To evaluate dentists' knowledge and practice of revascularization in Shanghai. METHODS Using multistage, cluster and random sampling method, 5 districts from Shanghai urban and suburban areas were randomly selected, covering class-three and class-two hospitals, dental center, private hospitals and clinics, and 3 class-three authoritative dental special hospitals (nonrandom). A questionnaire survey was conducted among the endodontists, pedodontists and general dentists. SAS 9.13 software package was used for data analysis. RESULTS A total of 834 dentists were investigated, and 588 valid questionnaires (75.3%) were collected. 401 (68.2%) dentists were familiar with revascularization, 20% of them treated patients with revascularization. The most common source of learning revascularization was continuing dental education (33.3%) and 85.8% dentists showed interest in revascularization. The most important reason for not using revascularization was unfamiliar with the operational procedure (41.5%). CONCLUSIONS The middle-aged endodontic and pediatric specialists with higher education have better understanding and motion to apply revascularization, and are more interested in continuing dental education. In continuing education courses, lectures of revascularization with practical training should be increased, in order to promote revascularization application in dental practice.
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Affiliation(s)
- Wen Xiao
- Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Disease; Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology. Shanghai 200011, China. E-mail:
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Shao LN, Qiu LH, Zhan FL, Xue M. [Application of PBL combined with SP method in during-course practice of endodontics for undergraduate dental students]. Shanghai Kou Qiang Yi Xue 2016; 25:621-625. [PMID: 28116440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
PURPOSE To apply problem-based learning (PBL) combined with standardized patients(SP) in during-course practice of endodontics for undergraduate dental students, in order to improve the teaching quality. METHODS One hundred and four undergraduate dental students of China Medical University School of Stomatology were randomly divided into 2 groups, 52 students in each group. One group were taught with PBL combined with SP while the other group with lecture-based learning (LBL) alone. The teaching effect was measured with examination and questionnaire survey. The data were analyzed by Student's t test using SPSS 11.5 software package. RESULTS Students in PBL combined with SP group was better than LBL group in case analysis, didactic tests, practical tests and total scores, and there was significant difference between the two groups (P<0.05). LBL group was better than PBL combined with SP group in basic theoretical knowledge scores, and there was significant difference between the two groups (P<0.05). SP and PBL combined with SP method were welcomed by undergraduate dental students. CONCLUSIONS The abilities of undergraduate dental students can be improved by PBL combined with SP in different aspects. PBL combined with SP achieves satisfactory teaching effect, and can be applied in during-course practice of endodontics to undergraduate dental students.
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Affiliation(s)
- Li-Na Shao
- Department of Endodontics, School of Stomatology, China Medical University. Shenyang 110002, Liaoning Province, China. E-mail:
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Ghotane SG, Al-Haboubi M, Kendall N, Robertson C, Gallagher JE. Dentists with enhanced skills (Special Interest) in Endodontics: gatekeepers views in London. BMC Oral Health 2015; 15:110. [PMID: 26391673 PMCID: PMC4578425 DOI: 10.1186/s12903-015-0085-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Accepted: 08/14/2015] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Dentists with a special interest hold enhanced skills enabling them to treat cases of intermediate complexity. The aim of this study was to explore primary dental care practitioners' views of dentists with a special interest (DwSIs) in Endodontics in London, with reference to an educational and service initiative established by (the former) London Deanery in conjunction with the NHS. METHODS A cross-sectional postal survey of primary care dentists working across different models of care within London was conducted, with a target to achieve views of at least 5 % of London's dentists. The questionnaire instrument was informed by qualitative research and the dental literature and piloted prior to distribution; data were analysed using SPSS v19 and STATA v12.0. RESULTS Six per cent of London's primary care dentists (n = 243) responded to the survey; 53 % were male. Just over one third (37 %; n = 90) were aware of the DwSI service being provided. Most practitioners reported that having access to a DwSI in Endodontics would support the care of their patients (89 %; n = 215), would carry out more endodontic treatment in the NHS primary dental care if adequately reimbursed (93 %; n = 220), and had more time (76 %; n = 180). Female respondents appeared to be less confident in doing endodontic treatment (p = 0.001). More recently qualified respondents reported greater need for training/support for performing more endodontic treatment in the NHS primary dental care (p = 0.001), were more dissatisfied with access to endodontic service in the NHS primary dental care (p = 0.007) and more interested to train as a DwSI in endodontics (p = 0.001) compared with respondents having a greater number of years of clinical experience since qualification. CONCLUSION The findings lend support to the concept of developing dentists with enhanced skills as well as ensuring additional funding, time and support to facilitate more routine endodontics through the NHS primary care to meet patient needs. More recently qualified dentists working in London were more concerned regarding endodontic service access, expressed need for training/support for undertaking more endodontic treatment in the NHS primary dental care and a desire to train as a DwSI in endodontics.
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Affiliation(s)
- Swapnil G Ghotane
- King's College London Dental Institute at Guy's, King's College and St Thomas's Hospitals, Division of Population and Patient Health, Denmark Hill Campus, Bessemer Road, London, SE5 9RS, UK.
| | - Mustafa Al-Haboubi
- Faculty of Education & Health, University of Greenwich, Avery Hill Road, London, SE9 2UG, UK.
| | - Nick Kendall
- NHS South West London and NHS London, based at Public Health Directorate, Floor 13, Leon House, 233 High Street, Croydon, CR9 1XT, UK.
| | | | - Jennifer E Gallagher
- King's College London Dental Institute at Guy's, King's College and St Thomas's Hospitals, Division of Population and Patient Health, Denmark Hill Campus, Bessemer Road, London, SE5 9RS, UK.
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Huraib SB, Nahas NA, Al-Balbeesi HO, Abu-Aljadayl FM, Vellappally S, Sukumaran A. Patient preferences in selecting a dentist: survey results from the urban population of Riyadh, Saudi Arabia. J Contemp Dent Pract 2015; 16:201-204. [PMID: 26057918 DOI: 10.5005/jp-journals-10024-1661] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
INTRODUCTION Awareness of gender- or nationality-driven preconceptions can help dentists to have a better interpretation of the dentist-patient relationship. It is even more noteworthy to understand these predilections in Saudi society, where women and men are usually segregated due to religion- and culture-based considerations. This study is one of the first to explore the preferences of patients when selecting a dentist with respect to gender and nationality in the city of Riyadh, Saudi Arabia. MATERIALS AND METHODS A total of 445 community residents residing in Riyadh were randomly selected for a cross-sectional study. The participants completed a survey designed to assess which of two factors (gender and/or nationality) were perceived as most relevant in choosing a dentist. Statistical analysis of the data was performed using the SPSS 11.5 software. RESULTS Female participants did not show any preference for the gender of the dentist, whereas 40% of the male participants preferred a male dentist. Participants also favored male dentists in the felds of oral surgery (78.9%), implants (74.1%), endodontics (67.5%), orthodontics (65.8%) and prosthodontics (64.2%). An exception was noted in pediatric dentistry, for which female dentists were favored by 52.8% of the participants. Additionally, most (66.1%) participants did not have any preference for the nationality of the dentist. CONCLUSION Riyadh residents showed a general preference for a male dentist but demonstrated no preference for nationality when selecting a dentist.
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Affiliation(s)
- Sahar Bin Huraib
- Consultant, Department of Dental Health, Dental Public Health, College of Applied Medical Sciences, King Saud University, PO Box 92093, Riyadh 11673, Saudi Arabia, e-mail:
| | - Nadia Al Nahas
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Hana O Al-Balbeesi
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | | | - Sajith Vellappally
- Department of Dental Health, Dental Biomaterials Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Anil Sukumaran
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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