Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh Area

Introduction: Separation of endodontic files during root canal treatment is a common multifactorial problem facing most of dental practitioners both dentists and students that has high impact on treatment and prognosis outcome. Aim: To compare the incidence, factors and treatment options of sep...

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Main Authors: Samah Samir Pedir, Abeer Hashem Mahran, Khaled Beshr, Kusai Baroudi
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-03-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/7353/16785_CE(RA1)_F(T)_PF1(VSUAK)_PFA(AK)_PF2(PAG).pdf
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author Samah Samir Pedir
Abeer Hashem Mahran
Khaled Beshr
Kusai Baroudi
author_facet Samah Samir Pedir
Abeer Hashem Mahran
Khaled Beshr
Kusai Baroudi
author_sort Samah Samir Pedir
collection DOAJ
description Introduction: Separation of endodontic files during root canal treatment is a common multifactorial problem facing most of dental practitioners both dentists and students that has high impact on treatment and prognosis outcome. Aim: To compare the incidence, factors and treatment options of separated endodontic files among dentists and undergraduate students in Riyadh area. Materials and Methods: A survery of 35-questionnaire was formulated and e-mailed to all 149 dentists of different dental specialties who are working in different clinical centers in Riyadh area and are attending the 26th Saudi Dental Society International Dental Conference in addition to 130 undergraduate students in different dental colleges in Riyadh. Overall, 118 participants of dentists completed the survey, with response rate of 79% and the same number of students with response rate of 90.7%. Results: Total of 57.6% dentists’ faced separated files problem during root canal preparation, while only 7.6% of students faced this problem. 53% of separated endodontic files (SEF) were hand files, 65% stainless steel files, 81% were small size files most common sizes (#15-20) (p <0.0001). Causes of SEF were root Canal anatomy, in 45%. 66% of SEF occurred in curved canals, 98% were in molars in mesiobuccal and mesiolingual canals, (p <0.0001). 44% of SEF were successfully bypassed, 53% were successfully removed from coronal third of root canal, 42% of SEF successfully removed using ultrasonics under visualization of operating microscope. 73% of retained SEF cases showed good prognosis, (p <0.0001). Conclusion: SEF is a multifactorial clinical problem that must be either removed, by passed to allow complete cleaning, shaping, disinfection, obturation and effective coronal seal.
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spelling doaj.art-b1bfcc37c2974e1faf6db8aabc23e8012022-12-21T22:41:36ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-03-01103ZC18ZC2310.7860/JCDR/2016/16785.7353Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh AreaSamah Samir Pedir0Abeer Hashem Mahran1Khaled Beshr2Kusai Baroudi3Lecturer, Department of Restorative Dental Sciences, Al Farabi Colleges - Riyadh, Saudi Arabia.Professor, Department of Restorative Dental Sciences, Ain Shams University Cairo - Egypt; Professor of endodontic – Restorative Department –Al Farabi Colleges - Riyadh, Saudi Arabia.Assistant Professor, Department of Restorative Dental Sciences, Al Farabi Colleges - Riyadh, Saudi Arabia.Associate Professor, Department of Preventive Dental Sciences, Alfarabi Colleges, Riyadh, Saudi Arabia.Introduction: Separation of endodontic files during root canal treatment is a common multifactorial problem facing most of dental practitioners both dentists and students that has high impact on treatment and prognosis outcome. Aim: To compare the incidence, factors and treatment options of separated endodontic files among dentists and undergraduate students in Riyadh area. Materials and Methods: A survery of 35-questionnaire was formulated and e-mailed to all 149 dentists of different dental specialties who are working in different clinical centers in Riyadh area and are attending the 26th Saudi Dental Society International Dental Conference in addition to 130 undergraduate students in different dental colleges in Riyadh. Overall, 118 participants of dentists completed the survey, with response rate of 79% and the same number of students with response rate of 90.7%. Results: Total of 57.6% dentists’ faced separated files problem during root canal preparation, while only 7.6% of students faced this problem. 53% of separated endodontic files (SEF) were hand files, 65% stainless steel files, 81% were small size files most common sizes (#15-20) (p <0.0001). Causes of SEF were root Canal anatomy, in 45%. 66% of SEF occurred in curved canals, 98% were in molars in mesiobuccal and mesiolingual canals, (p <0.0001). 44% of SEF were successfully bypassed, 53% were successfully removed from coronal third of root canal, 42% of SEF successfully removed using ultrasonics under visualization of operating microscope. 73% of retained SEF cases showed good prognosis, (p <0.0001). Conclusion: SEF is a multifactorial clinical problem that must be either removed, by passed to allow complete cleaning, shaping, disinfection, obturation and effective coronal seal.https://jcdr.net/articles/PDF/7353/16785_CE(RA1)_F(T)_PF1(VSUAK)_PFA(AK)_PF2(PAG).pdfbrokenmanagementmishapsprognosisultrasonic
spellingShingle Samah Samir Pedir
Abeer Hashem Mahran
Khaled Beshr
Kusai Baroudi
Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh Area
Journal of Clinical and Diagnostic Research
broken
management
mishaps
prognosis
ultrasonic
title Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh Area
title_full Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh Area
title_fullStr Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh Area
title_full_unstemmed Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh Area
title_short Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh Area
title_sort evaluation of the factors and treatment options of separated endodontic files among dentists and undergraduate students in riyadh area
topic broken
management
mishaps
prognosis
ultrasonic
url https://jcdr.net/articles/PDF/7353/16785_CE(RA1)_F(T)_PF1(VSUAK)_PFA(AK)_PF2(PAG).pdf
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