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

Manal Matoug-Elwerfelli; Ahmed Abdou; Wejdan Almutairi; Malak Alhuthayli; Shaikhah Aloyaynaa; Rahaf Almohareb

doi:10.7717/peerj.13858

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

PeerJ. 2022 Aug 4:10:e13858. doi: 10.7717/peerj.13858. eCollection 2022.

Authors

Manal Matoug-Elwerfelli¹, Ahmed Abdou², Wejdan Almutairi³, Malak Alhuthayli³, Shaikhah Aloyaynaa³, Rahaf Almohareb⁴

Affiliations

¹ College of Dental Medicine, QU Health, Qatar University, Doha, Qatar.
² Prosthetic Dentistry Department, Division of Biomaterials, Faculty of Dentistry, King Salman International University, El Tur, South Sinai, Egypt.
³ College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
⁴ Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

Abstract

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.

Keywords: Dental students; Dentistry; Education; Endodontics; Instrumentation.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Humans
Retrospective Studies
Root Canal Preparation*
Stainless Steel
Students, Dental
Titanium*

Substances

Titanium
Stainless Steel

Grants and funding

This study was funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2022R162), Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.