Retrospective audit for quality assessment of root fillings performed by undergraduate dental students in clinics

Javed, Muhammad Qasim; AlAttas, Mustafa Hussein; Bhatti, Usman Anwer; Dutta, Smita D

doi:10.1016/j.jtumed.2021.10.005

Cited by 5 publications

(11 citation statements)

References 26 publications

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“…Comparing the satisfactory cases with those from earlier research by Al-Anesi et al (53.4%) [ 10 ], Balto (67.4%] [ 34 ], and Fong et al (72%) [ 42 ], acceptable cases (88.1%) were found in this study for the length parameter. Other authors (86.2%, 89.6%) who conducted an audit at Qassim University in Saudi Arabia observed similar findings [ 43 , 44 ]. The fact that the students took periapical radiographs to ascertain the suitable working length and to check the master cone’s proper adaptation may be responsible for the study’s high percentage of sufficient length.…”

Section: Discussionsupporting

confidence: 70%

Assessment of the quality of root canal fillings performed on extracted teeth by undergraduate dental students in a sample from Saudi Arabia

Madfa,

Almansour,

Al-Zubaidi

et al. 2024

BMC Med Educ

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Background The educational process in the field of endodontics commences with preclinical exercises to enhance students’ proficiency in cleaning, shaping, and performing root canal fillings. Therefore, this study aimed to radiographically evaluate the technical quality of root canal fillings performed by preclinical students on extracted teeth at the College of Dentistry, University of Ha’il, Saudi Arabia. Methods A total of 788 extracted human teeth received root canal treatment by undergraduate students. The samples were then gathered and radiographically assessed using the three quality criteria of length, density, and taper. The category of root canal fillings was classified as either acceptable or unacceptable. The criteria for evaluating the acceptability of filling quality were defined based on the presence of adequate length, density, and taper. The effectiveness of root canal fillings was also evaluated in relation to the tooth type, sex, and treatment year. The agreement between the examiners was evaluated using Cohen’s kappa test, and the relationship between the research variables was determined using the chi-squared test. The significance threshold was set at 0. 05. Results The overall quality of root filling was determined to be satisfactory in 532 (67.5%) of 788 endodontically treated extracted teeth. The majority of the research sample (88.1%) had enough length, 89.6% had adequate density, and 86.4% had acceptable taper. The quality of anterior teeth was substantially better than that of posterior teeth (p < 0.001). Our findings showed that the quality of root canals was better in 2022 than it had been in earlier years (p = 0.001). The three RCT quality criteria differed significantly when compared between sexes (p = 0.002). Conclusions The quality of the root canal fillings completed by undergraduate students was rated as acceptable. The findings of the research suggest that the implementation of routine assessments to evaluate the technical competence of undergraduate dental students performing root canal treatments could provide significant insights into the efficacy of the curriculum requirements.

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Section: Discussionsupporting

confidence: 70%

Assessment of the quality of root canal fillings performed on extracted teeth by undergraduate dental students in a sample from Saudi Arabia

Madfa,

Almansour,

Al-Zubaidi

et al. 2024

BMC Med Educ

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“… Radiographic evaluation of root canal obturation: the presence of untreated canals and a coarse filling of the canals may lead to the choice of non-surgical endodontic retreatment. On the contrary, a surgical approach could be recommended in the presence of an apparent adequate apical seal or in the presence of a root canal obturation that is far from the radiographic apex of only 1 mm (in the presence of course of symptoms of a periapical pathology), and a surgical approach should be evaluated [ 9 , 10 , 11 ]. The presence of clinical complications such as the finding of fractured instruments (apical third of the root), the presence of zipping of internal resorptions and the presence of root perforations or ledge formations; in these cases, the surgical approach may be a suitable choice [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Endodontic Failures between Nonsurgical Retreatment and Endodontic Surgery: Systematic Review and Meta-Analysis with Trial Sequential Analysis

et al. 2022

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Background and Objectives: In the presence of a persistent endodontic lesion or endodontic failure, the alternative for the recovery of the dental element is endodontic retreatment or endodontic surgery, which consists in the surgical removal of the root apices with retrograde closure of the endodontium. The objective of this systematic review and meta-analysis was to provide an updated value of the Risk Ratio between the two types of treatment in order to offer to clinicians who propose a non-surgical endodontic retreatment or an endodontic surgery a direct comparison. Materials and Methods: The revision was performed according to PRISMA indications: three databases (PubMed, Scopus and Cochrane register) were consulted through the use of keywords relevant to the revision topic: surgical endodontic retreatment, endodontic retreatment, apicoectomy. This search produced 7568 records which, after eliminating duplicates and applying the inclusion and exclusion criteria, resulted in a total of seven included articles. The meta-analyses were conducted by applying fixed-effects models, given the low percentage of heterogeneity. In addition, trial sequency analysis (TSA) was performed for the analysis of the statistical power of the results and GRADE for the quality of the evidence. Results: The results of the meta-analyses’ data report an aggregate risk ratio (RR) between non-surgical endodontic retreatment and surgical endodontic retreatment of: 1.05 [0.74, 1.47] at one year of follow-up; RR 2.22 [1.45, 3.41] at two years of follow-up; an RR 1.08 [0.73 1.62] for a follow-up period of 3–4 years; and an RR 0.92 [0.53, 1.61] for a follow-up period of 8–10 years. Conclusions: The results of the present meta-analysis show that in the long term, the risk of failure is identical for the two groups, and there is only a slightly higher risk of failure for non-surgical endodontic retreatments, when only two years of follow-up are considered.

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“…Therefore, it is necessary to evaluate dental students' endodontic treatment performance in order to ensure patient safety and a high-quality curriculum [7]. Several root canal filling audits have been conducted among dental students by examining radiographs taken during clinical practice and comparing them to pre-determined benchmarks [5,[8][9][10]. However, the available findings revealed mixed results on the acceptability of root canal obturation performed by dental students ranging from 36% to 80.2% [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Several root canal filling audits have been conducted among dental students by examining radiographs taken during clinical practice and comparing them to pre-determined benchmarks [5,[8][9][10]. However, the available findings revealed mixed results on the acceptability of root canal obturation performed by dental students ranging from 36% to 80.2% [8][9][10][11]. Nonetheless, these studies were conducted before the outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), known as COVID-19.…”

Section: Introductionmentioning

confidence: 99%

Quality of endodontic record-keeping and root canal obturation performed by final year undergraduate dental students: An audit during the COVID-19 pandemic

et al. 2022

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Background To assess the quality of endodontic record-keeping and root canal obturation performed by undergraduate final year dental students during the COVID-19 pandemic. Materials and methods Dental records and dental radiographs of patients who received endodontic treatments between March 2020 and March 2022 by undergraduate students during the COVID-19 pandemic were included. The audit data were collected based on the European Society of Endodontology guidelines retrospectively via assessing the patient’s clinical records and intraoral periapical radiograph. Root canal obturation quality was evaluated based on the following parameters: adaptation, length, taper, and mishap. A root filling is defined as satisfactory only when all four parameters were graded as acceptable. Subsequently, the data were recorded and analysed using Chi-Square test with the level of significance set at p = 0.05. Results A total of 111 patient records with 111 root canal-treated teeth were evaluated. The highest percentage of documented evidence was noted in the patient’s general records, while the endodontic treatment records showed the lowest percentage of documented evidence. 78 (70.3%) of root canal-treated teeth were deemed satisfactory with acceptable adaptation, length, taper, and absence of mishap. Moreover, no statistical significance in terms of root canal filling quality was noted between anterior and posterior teeth, and between maxillary and mandibular arch. Conclusions Although patient records and root canal fillings quality were deemed satisfactory in most cases, strict documentation requirements and continuing dental education in audit training are necessary for quality assurance.

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Retrospective audit for quality assessment of root fillings performed by undergraduate dental students in clinics

Cited by 5 publications

References 26 publications

Assessment of the quality of root canal fillings performed on extracted teeth by undergraduate dental students in a sample from Saudi Arabia

Assessment of the quality of root canal fillings performed on extracted teeth by undergraduate dental students in a sample from Saudi Arabia

Comparison of Endodontic Failures between Nonsurgical Retreatment and Endodontic Surgery: Systematic Review and Meta-Analysis with Trial Sequential Analysis

Quality of endodontic record-keeping and root canal obturation performed by final year undergraduate dental students: An audit during the COVID-19 pandemic

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