Factors associated with the technical quality of root canal fillings performed by undergraduate dental students in a Malaysian Dental School

Authors

  • Choon Yoong Wong International Medical University, School of Dentistry, Division of Clinical Dentistry, Kuala Lumpur, Malaysia
  • Yan Xia Liaw International Medical University, School of Dentistry, Division of Clinical Dentistry, Kuala Lumpur, Malaysia
  • Jhiew Zhan Wong International Medical University, School of Dentistry, Division of Clinical Dentistry, Kuala Lumpur, Malaysia
  • Lee Chian Chen International Medical University, School of Dentistry, Division of Clinical Dentistry, Kuala Lumpur, Malaysia
  • Abhishek Parolia International Medical University, School of Dentistry, Division of Clinical Dentistry, Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.20396/bjos.v15i1.8647122

Keywords:

Endodontics. Root Canal Therapy. Education.

Abstract

Aim: A retrospective clinical audit was carried out on records of endodontic treatment performed by dental undergraduates. The audit was performed to evaluate the technical quality of root canal fillings performed by dental undergraduates and determine the associated factors. Methods: 140 records of patients who had received root canal treatment by dental undergraduates were evaluated through periapical radiographs by two examiners (κ =0.74). The root canal fillings had their quality evaluated according to extent, condensation and presence of procedural mishap. Possible factors associated with technical quality such as tooth type, canal curvature, student level and quality of record keeping were evaluated. Data were statistically analyzed using chi-square test (p<0.05). Results: Among the 140 root-filled teeth, acceptable extent, condensation and no-mishap were observed in 72.1%, 66.4% and 77.9% cases respectively. Overall, the technical quality of 68 (48.6%) root-filled teeth was considered acceptable. Overall, non-acceptable root canal fillings were significantly more likely to be observed in molars (69.2%), moderately and severely curved canals (71.4%) and junior students (61.5%). There was no association between acceptable root canal fillings and quality of record keeping. Conclusions: The technical quality of root canal fillings was acceptable in 48.6% cases and it was associated with tooth type, degree of canal curvature and student seniority.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Choon Yoong Wong, International Medical University, School of Dentistry, Division of Clinical Dentistry, Kuala Lumpur, Malaysia

Dental Surgery, Dentistry, Oral and Maxillofacial Surgery

Yan Xia Liaw, International Medical University, School of Dentistry, Division of Clinical Dentistry, Kuala Lumpur, Malaysia

Dr Liaw Yan Xia was raised in Kuala Lumpur. She was admitted into the Faculty of Dentistry, International Medical University, Malaysia after completing her A Levels. She graduated with a degree of Bachelor of Dental Surgery in 2014. She was then posted as a dental officer in the Ministry of Health to Hospital Teluk Intan where she received training in oral surgery, emergency dental care, endodontics,pedodontics and diagnosis of malocclusion. She was entrusted with the task of treating patients independently in root canal and crown cases. She left civil service in August 2016 and joined our practice as an associate.

Abhishek Parolia, International Medical University, School of Dentistry, Division of Clinical Dentistry, Kuala Lumpur, Malaysia

Dr Abhishek Parolia has served as an assistant professor and reader in Manipal University and currently working as a senior lecturer in International Medical University, Kuala Lumpur. He graduated from Manipal University and perused his masters in the field of Conservative Dentistry and Endodontics at the same university. He was awarded a gold medal in Conservative Dentistry and Endodontics. He is actively involved in research and received Research Incentive Award in 2010 and 2011 from Manipal University and Marquis Award (USA) in 2011. He received an award for his significant contribution as a newcomer in the School of Dentistry, International Medical University, Malaysia.

References

European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J. 2006 Dec;39(12):921-30.

Hayes SJ, Gibson M, Hammond M, Bryant ST, Dummer PM. An audit of root canal treatment performed by undergraduate students. Int Endod J. 2001 Oct;34(7):501-5.

Kerekes K, Tronstad L. Long-term results of endodontic treatment performed with a standardized technique. J Endod. 1979 Mar;5(3):83-90.

Marques MD, Moreira B, Eriksen HM. Prevalence of apical periodontitis and results of endodontic treatment in an adult, Portuguese population. Int Endod J. 1998 May;31(3):161-5.

Petersson K, Petersson A, Olsson B, Hakansson J, Wennberg A. Technical quality of root fillings in an adult Swedish population. Endod Dent Traumatol. 1986 Jun;2(3):99-102.

Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J. 1995 Jan;28(1):12-8.

Balto H, Al Khalifah S, 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 Apr;43(4):292-300. doi: 10.1111/j.1365-2591.2009.01679.x.

Er O, Sagsen B, Maden M, Cinar S, Kahraman Y. Radiographic technical quality of root fillings performed by dental students in Turkey. Int Endod J. 2006 Nov;39(11):867-72.

Kelbauskas E, Andriukaitiene L, Nedzelskiene I. Quality of root canal filling performed by undergraduate students of odontology at Kaunas University of Medicine in Lithuania. Stomatologija. 2009; 11(3):92-6.

Khabbaz MG, Protogerou E, Douka E. Radiographic quality of root fillings performed by undergraduate students. Int Endod J. 2010 Jun;43(6):499-508. doi: 10.1111/j.1365-2591.2010.01706.x.

Lynch CD, Burke FM. Quality of root canal fillings performed by undergraduate dental students on single-rooted teeth. Eur J Dent Educ. 2006 May;10(2):67-72.

Moussa-Badran S, Roy B, Bessart du Parc AS, Bruyant M, Lefevre B, Maurin JC. Technical quality of root fillings performed by dental students at the dental teaching centre in Reims, France. Int Endod J. 2008 Aug;41(8):679-84. doi: 10.1111/j.1365-2591.2008.01417.x.

Pettigrew LK, Jauhar S, Lynch CD, Savarrio L, Carrotte P, Hannigan A. An audit of the quality of root canal treatments performed by undergraduate dental students on single-rooted teeth in Glasgow dental hospital and school. Eur J Prosthodont Restor Dent. 2007 Jun;15(2):72-6.

De Quadros I1, Gomes BP, Zaia AA, Ferraz CC, Souza-Filho FJ. Evaluation of endodontic treatments performed by students in a Brazilian Dental School. J Dent Educ. 2005 Oct;69(10):1161-70.

Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol. 1971 Aug;32(2):271-5.

Yavari H, Samiei M, Shahi S, Borna Z, Abdollahi AA, Ghiasvand N, Shariati G. Radiographic evaluation of root canal fillings accomplished by undergraduate dental students. Iran Endod J. 2015;10(2):127-30.

Unal GC, Kececi AD, Kaya BU, Tac AG. Quality of root canal fillings performed by undergraduate dental students. Eur J Dent. 2011 Jul;5(3):324-30.

Vukadinov T, Blažić L, Kantardžić I, Lainović T. Technical quality of root fillings performed by undergraduate students: a radiographic study. ScientificWorldJournal. 2014 Jan 28;2014:751274. doi: 10.1155/2014/751274.

Barrieshi-Nusair KM, Al-Omari MA, Al-Hiyasat AS. Radiographic technical quality of root canal treatment performed by dental students at the Dental Teaching Center in Jordan. J Dent May. 2004;32(4):301-7.

Román-Richon S, Faus-Matoses V, Alegre-Domingo T, Faus-Llácer VJ. Radiographic technical quality of root canal treatment performed ex vivo by dental students at Valencia University Medical and Dental School, Spain. Med Oral Patol Oral Cir Bucal. 2014 Jan;19(1):e93-7.

Moradi S, Gharechahi M. Radiographic quality of root canal treatment performed by 6(th) year undergraduate students in Mashhad, Iran. Dent Res J (Isfahan). 2014 May;11(3):364-9.

Carr GB, Murgel CA. The use of the operating microscope in endodontics. Dent Clin North Am. 2010 Apr;54(2):191-214. doi: 10.1016/j.cden.2010.01.002.

Abu-Tahun I, Al-Rabab’ah MA, Hammad M, Khraisat A. 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 Dec;40(3):123-30. doi: 10.1111/aej.12069.

Webber J. Risk management in clinical practice. Part 4. Endodontics. Br Dent J. 2010 Aug 28;209(4):161-70. doi: 10.1038/sj.bdj.2010.721.

Ilgüy D, Ilgüy M, Fisekçioglu E, Ersan N, Tanalp J, Dölekoglu S. Assessment of root canal treatment outcomes performed by Turkish dental students: results after two years. J Dent Educ. 2013 Apr;77(4):502-9.

Qualtrough AJ, Dummer PM. Undergraduate endodontic teaching in the United Kingdom: an update. Int Endod J. 1997 Jul;30(4):234–9.

Haapasalo M, Shen Y, Qian W, Gao Y. Irrigation in endodontics. Dent Clin North Am. 2010 Apr;54(2):291-312. doi: 10.1016/j.cden.2009.12.001.

Violich DR, Chandler NP. The smear layer in endodontics - a review. Int Endod J. 2010 Jan;43(1):2-15. doi: 10.1111/j.1365-2591.2009.01627.x.

Kawashima N, Wadachi R, Suda H, Yeng T, Parashos P. Root canal medicaments. Int Dent J. 2009 Feb;59(1):5-11.

Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J. 1999 Sep;32(5):361-9.

Elsayed RO, Abu-Bakr NH, Ibrahim YE. Quality of root canal treatment performed by undergraduate dental students at the University of Khartoum, Sudan. Aust Endod J. 2011 Aug;37(2):56-60. doi: 10.1111/j.1747-4477.2010.00273.x.

Published

2016-10-13

How to Cite

1.
Wong CY, Liaw YX, Wong JZ, Chen LC, Parolia A. Factors associated with the technical quality of root canal fillings performed by undergraduate dental students in a Malaysian Dental School. Braz. J. Oral Sci. [Internet]. 2016 Oct. 13 [cited 2022 Aug. 17];15(1):45-50. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8647122

Issue

Section

Article