Comparison of Endodontic Treatment Qualities of Molar Teeth Performed by Endodontists and Practitioners: A Radiographic Analysis

Yıl 2021, Cilt: 8 Sayı: 1, 127 - 132, 30.04.2021

Selen İnce Yusufoğlu , Esma Sarıçam

https://doi.org/10.15311/selcukdentj.597504

Cited By: 3

Öz

Background: The aim of this study was to evaluate the radiographic technical quality of root fillings and the incidence of iatrogenic errors in treatments performed by endodontists and dentists.
Methods: 1135 radiographic records of endodontic treatments performed by endodontists and dentists were qualified to be further investigated. Radiographs were assessed by two independent endodontists. The length and the density of the obturations and iatrogenic errors were investigated. Chi-square tests were used for statistics.
Results: According to iatrogenic errors; the presence of instrument fractures was significantly higher in the endodontists, and likewise, in the mesiobuccal canals of the mandibular teeth (p<0.05). dentists were found more likely to treat the root canal in poor radio-opacity and short filling-overfilling (p<0.05). no significant difference was found between the groups in other iatrogenic errors (p>0.05).
Conclusion: The results of this retrospective study show that the canal treatment performed by endodontists were better in terms of the quality of the root canal filling than dentists.

Anahtar Kelimeler

Endodontists, General dentists, Radiographic evaluation

ENDODONTİSTLER VE DİŞ HEKİMLERİ TARAFINDAN MOLAR DİŞLERE YAPILAN ENDODONTİK TEDAVİLERİN KALİTESİNİN KARŞILAŞTIRILMASI: RETROSPEKTİF BİR ÇALIŞMA

Öz

Amaç: Bu çalışmanın amacı, endodontistler ve diş
hekimleri tarafından yapılan kanal tedavilerinde kök kanal dolgusunun
radyografik teknik kalitesini ve iyatrojenik hataların sıklığını
değerlendirmektir. 

Gereç ve Yöntemler:Endodontistler ve diş hekimleri tarafından
yapılan 1135 adet kök kanal tedavisi yapılan dişlerin röntgen kaydı çalışmaya
dahil edildi. Radyograflar iki uzman tarafından, kök kanal dolumlarının
boyu,  radyoopasitesi ve iatrojenik
hataların varlığı olacak şekilde değerlendirildi. Istatistiksel olarak ki-kare
testi kullanılarak analiz yapıldı. 

Bulgular:İatrojenik hatalara göre; enstrüman
kırıklarının varlığı endodontistlerde ve benzer şekilde mandibular dişlerin
meziyobukkal kanallarında anlamlı olarak daha yüksek görüldü (p<0.05). Kanal
dolum kalitesine bakıldığında dolumun radyoopaklığı ve dolumun boyu diş hekimi
grubunda endodontistlere göre daha kötü olduğu görüldü (p<0.05). Diğer iyatrojenik hatalarda gruplar arasında
anlamlı fark bulunmadı (p>0.05). 

Sonuçlar:Bu retrospektif çalışmanın sonuçlarına göre,
endodontistler tarafından uygulanan kök kanal tedavisinin, kök kanal dolgusu
kalitesi bakımından dişhekimlerinden daha iyi olduğunu göstermektedir.

Anahtar Kelimeler:endodontist,
diş hekimi, radyografik değerlendirme, retrospektif çalışma, iatrojenik hata

Anahtar Kelimeler

endodontist, diş hekimi, iatrojenik hata

Kaynakça

• 1. Barrieshi-Nusair K, Al-Omari M, Al-Hiyasat A. Radiographic technical quality of root canal treatment performed by dental students at the Dental Teaching Center in Jordan. J Dent 2004;1132:301–307.
• 2. Er O, Sagsen B, Maden M, et al. Radiographic technical quality of root fillings performed by dental students inTurkey. IntEndod J 2006;39:867–872.
• 3. Friedman S, Mor C. The success of endodontic therapy—healing and functionality. J Calif Dent Assoc 2004;32:493–503.
• 4. Imura N, Pinheiro ET, Gomes BP, et al. The outcome of endodontic treatment: a retrospective study of 2000 cases performed by a specialist. J Endod 2007;33:1278–1282.
• 5. Sunay H, Tanalp J, Dikbas I, et al. Cross-sectional evaluation of the periapical status and quality of root canal treatment in a selected population of urban Turkish adults. Int Endod J 2007;40:139–145.
• 6. Jenkins S, Hayes S, Dummer P. A study of endodontic treatment carried out in dental practice within the UK. IntEndod J 2001;34:16–22.
• 7. Stewardson DA. Endodontics and new graduates: part I, practice vs. training. Eur J ProsthodontRestor Dent 2002;10:131–137.
• 8. Friedman S. Expected outcomes in the prevention and treatment of apical periodontitis. Essential Endodontology In: Örstavik D, Pitt Ford T, editors. 2nd ed. Oxford, UK: Blackwell Munksgaard Ltd.; 2008. p. 408-69.
• 9. Peak JD, Hayes SJ, Bryant ST, Dummer PM. The outcome of root canal treatment. A retrospective study within the armed forces (Royal Air Force). Br Dent J 2001;190:140-4.
• 10. Hansrani V. Assessing root canal fillings on a radiograph– an overview. Br Dent J. 2015;219:481–483.
• 11. Al Rahabi MK. Evaluation of complications of root canal treatment performed by undergraduate dental students. Libyan J of Med 2017;12:1-6.
• 12. Khabbaz M, Protogerou E, Douka E. Radiographic quality of root fillings performed by undergraduate students. Int Endod J 2010;43:499–508.
• 13. Moussa-Badran S, Roy B, Bessart du Parc A, et al. Technical quality of root fillings performed by dental students at the dental teaching centre in Reims, France. Int Endod J 2008;41:679–684.
• 14. Abu-Tahun I, Al-Rabab’ah MA, Hammad M, et al. Technical quality of root canal treatment of posterior teeth after rotary or hand preparation by fifth year undergraduate students, The University of Jordan. Aust Endod J 2014;40:123–130.
• 15. Eleftheriadis GI, Lambrianidis TP. Technical quality of root canal treatment and detection of iatrogenic errors in an undergraduate dental clinic. Int Endod J 2005; 38:725-34.
• 16. Kabak Y, Abbott P. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J 2005;38:238–245.
• 17. Lambrianidis TP. Risk management in root canal treatment: University Studio Press; 2001.
• 18. Balto H, Al KhalifahSh, Al Mugairin S, Al Deeb M, Al Madi E. technical quality of root fillings performed by undergraduate students in Saudi Arabia. Int Endod J 2010;43:292-300.
• 19. Ramey K, Yaccino J, Wealleans J. A Retrospective, Radiographic Outcomes Assessment of 1960 Initial Posterior Root CanalTreatments Performed by Endodontists and Dentists. JEndod 2017; 43:1250-1254.
• 20. Stewardson DA. Endodontic standarts in general dental practice- a survey in Birmingham. Part I. the European J of Prosth and Rest Dent 2001;41:863-8.
• 21. Hill EE, Rubel BS. Do dental educators need to improve their approach to teaching rubber dam use. J of Dent Edu 2008;72:1177-81.
• 22. Georgopoulou M, Spanaki-Voreadi A, Pantazis N, Kontakiotis E. Frequency and distrubition of root filled teeth and apical periodontitis in a Greek population. Int End J 2005; 38:105-111.
• 23. Cheung GS, Liu CS. A retrospective study of endodontic treatment outcome between nickel-titanium rotary and stainless stee hand filing techniques. J Endod 2009;35:938-943.
• 24. Pascon EA, Marrelli M, Congi O, Cianco R, Miceli F, Versiani MA. An in vivocomparison of working length determination of two frequency-based electronic apex locators. Int Endod J 2009; 42:1026-1031.
• 25. Vukadinov T, Blazic L, Kantardzic, Lainovic T. Technical quality of root fillings performed by undergraduate students: A radiographic study. The Sci World J 2014;2014.
• 26. Topcuoğlu HS, Topcuoğlu G, Akti A, Düzgün S. In vitro comparison of cyclic fatigue resistance of protaper next, Hyflex CM, Oneshape and protaper universal instruments in a canal with a double curvature. J Endod 2016; 42:969-71.