Radiographic assessment of endodontic mishaps in an undergraduate student clinic: a 2-year retrospective study

Objectives The aim of this study was to compare the occurrence of instrumentation and obturation related endodontic procedural mishaps following the use of either, stainless steel hand or engine-driven rotary instrumentation techniques. Methods From a computerized hospital database, a total of 730 d...

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Main Authors: Manal Matoug-Elwerfelli, Ahmed Abdou, Wejdan Almutairi, Malak Alhuthayli, Shaikhah Aloyaynaa, Rahaf Almohareb
Format: Article
Language:English
Published: PeerJ Inc. 2022-08-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/13858.pdf
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author Manal Matoug-Elwerfelli
Ahmed Abdou
Wejdan Almutairi
Malak Alhuthayli
Shaikhah Aloyaynaa
Rahaf Almohareb
author_facet Manal Matoug-Elwerfelli
Ahmed Abdou
Wejdan Almutairi
Malak Alhuthayli
Shaikhah Aloyaynaa
Rahaf Almohareb
author_sort Manal Matoug-Elwerfelli
collection DOAJ
description Objectives The aim of this study was to compare the occurrence of instrumentation and obturation related endodontic procedural mishaps following the use of either, stainless steel hand or engine-driven rotary instrumentation techniques. Methods From a computerized hospital database, a total of 730 dental patient records who had received endodontic treatment by undergraduate dental students between August 2018 to September 2020 were retrieved. The inclusion criteria were primary (non-surgical) endodontic treatment on permanent teeth with complete radiographic records. Following record screening, a final sample of n = 475 dental records were included. Radiographic records were evaluated for both instrumentation and obturation related mishaps. The data was analysed using multiple logistic regression analysis (α = 0.05). Results Engine-driven rotary instrumentation resulted in a significant decrease in the overall occurrence of instrumentation related endodontic mishaps by 40% compared to hand instrumentation (Odds Ratio = 0.59 [0.36–0.97], p = 0.04). In particular, rotary instrumentation decreased ledge formation, perforation and obturation related mishaps, with minimal effect on the limitation of zipping. Conclusion The use of rotary instrumentation techniques may reduce the incidence of instrumentation and obturation endodontic mishaps in the undergraduate dental clinic.
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spelling doaj.art-cea24857e8e349d0bcdcade82580603a2023-12-03T00:41:17ZengPeerJ Inc.PeerJ2167-83592022-08-0110e1385810.7717/peerj.13858Radiographic assessment of endodontic mishaps in an undergraduate student clinic: a 2-year retrospective studyManal Matoug-Elwerfelli0Ahmed Abdou1Wejdan Almutairi2Malak Alhuthayli3Shaikhah Aloyaynaa4Rahaf Almohareb5College of Dental Medicine, QU Health, Qatar University, Doha, QatarProsthetic Dentistry Department, Division of Biomaterials, Faculty of Dentistry, King Salman International University, El Tur, South Sinai, EgyptCollege of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaCollege of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaCollege of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaDepartment of Clinical Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi ArabiaObjectives The aim of this study was to compare the occurrence of instrumentation and obturation related endodontic procedural mishaps following the use of either, stainless steel hand or engine-driven rotary instrumentation techniques. Methods From a computerized hospital database, a total of 730 dental patient records who had received endodontic treatment by undergraduate dental students between August 2018 to September 2020 were retrieved. The inclusion criteria were primary (non-surgical) endodontic treatment on permanent teeth with complete radiographic records. Following record screening, a final sample of n = 475 dental records were included. Radiographic records were evaluated for both instrumentation and obturation related mishaps. The data was analysed using multiple logistic regression analysis (α = 0.05). Results Engine-driven rotary instrumentation resulted in a significant decrease in the overall occurrence of instrumentation related endodontic mishaps by 40% compared to hand instrumentation (Odds Ratio = 0.59 [0.36–0.97], p = 0.04). In particular, rotary instrumentation decreased ledge formation, perforation and obturation related mishaps, with minimal effect on the limitation of zipping. Conclusion The use of rotary instrumentation techniques may reduce the incidence of instrumentation and obturation endodontic mishaps in the undergraduate dental clinic.https://peerj.com/articles/13858.pdfDental studentsDentistryEducationEndodonticsInstrumentation
spellingShingle Manal Matoug-Elwerfelli
Ahmed Abdou
Wejdan Almutairi
Malak Alhuthayli
Shaikhah Aloyaynaa
Rahaf Almohareb
Radiographic assessment of endodontic mishaps in an undergraduate student clinic: a 2-year retrospective study
PeerJ
Dental students
Dentistry
Education
Endodontics
Instrumentation
title Radiographic assessment of endodontic mishaps in an undergraduate student clinic: a 2-year retrospective study
title_full Radiographic assessment of endodontic mishaps in an undergraduate student clinic: a 2-year retrospective study
title_fullStr Radiographic assessment of endodontic mishaps in an undergraduate student clinic: a 2-year retrospective study
title_full_unstemmed Radiographic assessment of endodontic mishaps in an undergraduate student clinic: a 2-year retrospective study
title_short Radiographic assessment of endodontic mishaps in an undergraduate student clinic: a 2-year retrospective study
title_sort radiographic assessment of endodontic mishaps in an undergraduate student clinic a 2 year retrospective study
topic Dental students
Dentistry
Education
Endodontics
Instrumentation
url https://peerj.com/articles/13858.pdf
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