PRACTICE OF ENDODONTIC RE-TREATMENT IN FOUR CITIES OF PAKISTAN
AbstractBackground: Root canal re-treatment is the procedure of choice when the primary root treatment fails but patient is inclined toward salvage of the tooth. The re-treatment is often a challenging procedure owing to lack to the predictability in the outcomes. Since, there is a no single way of planning and executing such procedure, a study was planned to assess the knowledge, attitude and practice regarding endodontic re-treatment among Pakistani dentists. The effect of clinical experience on the re-treatment planning was also determined. Methods: A survey was conducted by distributing a questionnaire among 240 dentists practicing in four major cities of Pakistan. Frequency distribution of the gender, experience, designation of the participants etc. was determined. A case scenario was also shared and responses upon decision making were noted. Chi square test was applied to see if re-treatment decision of experienced dentists (>5 years’ practice) was significantly different than less experienced dentists. Results: Out of 240 forms, 160 were received (response rate of 66.67%). The most commonly reported reason for endodontic re-treatment was under prepared/ under filled canals. Nearly 40% participants reported doing re-treatment with hand instruments only and 15% did not employ any solvent during re-treatment. There were no significant differences between the less experienced and the more experienced dentists on re-treatment decisions. Conclusions: Almost half of the dentists reported inappropriate decision making in re-treatment. This shows that in endodontic re-treatment practice in major cities of Pakistan falls short of internationally accepted standards. There is a significant difference in treatment planning done by more experienced dentists compared to ones with <5 years’ clinical experience.Keywords: Endodontics; Failed root canals: Re-treatment; Survey; Root canal
Chandra A. Discuss the factors that affect the outcome of endodontic treatment. Aust Endod J 2009;35(2):98–107.
Barletta FB, de Sousa Reis M, Wagner M, Borges JC, Dall'Agnol C. Computed tomography assessment of three techniques for removal of filling material. Aust Endod J 2008;34(3):101–5.
Rios Mde A, Villela AM, Cunha RS, Velasco RC, De Martin AS, Kato AS, et al. Efficacy of 2 reciprocating systems compared with a rotary retreatment system for gutta-percha removal. J Endod 2014;40(4):543–6.
Ricucci D, Loghin S, Siqueira JF Jr. Exuberant biofilm infection in a lateral canal as the cause of short-term endodontic treatment failure: Report of a case. J Endod 2013;39(5):712–8.
Bodrumlu E, Uzun O, Topuz O, Semiz M. Efficacy of 3 techniques in removing root canal filling material. J Can Dent Assoc 2008:74(8):721.
Faria-Júnior NB, Loiola LE, Guerreiro-Tanomaru JM, Berbert FL, Tanomaru-Filho M. Effectiveness of three solvents and two associations of solvents on gutta-percha and resilon. Braz Dent J 2011:22(1):41–4.
Aminsobhani M, Meraji N. A case of successful retreatment of a maxillary lateral incisor with a supernumerary root. J Dent (Tehran) 2015;12(10):784–8.
Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of Nonsurgical Retreatment and Endodontic Surgery: A Systematic Review. J Endod 2009;35(7):930–7.
Shemesh H, Roeleveld AC, Wesselink PR, Wu MK. Damage to root dentin during retreatment procedures. J Endod 2011;37(1):63–6.
Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature - Part 1. Effects of study characteristics on probability of success. Int Endod J 2007;40(12):921–39.
Jawad S, Taylor C, Roudsari RV, Darcey J, Qualtrough A. Modern Endodontic Planning Part 1: Assessing Complexity and Predicting Success. Dent Update 2015;42(7):599–608.
Song M, Kim SG, Lee SJ, Kim B, Kim E. Prognostic factors of clinical outcomes in endodontic microsurgery: A prospective study. J Endod 2013;39(12):1491–7.
Tsesis I, Faivishevsky V, Kfir A, Rosen E. Outcome of surgical endodontic treatment performed by a modern technique: a meta-analysis of the literature. J Endod 2009;35(11):1505–11.
Kang M, In Jung H, Song M, Kim SY, Kim HC, Kim E. Outcome of nonsurgical retreatment and endodontic microsurgery: a meta-analysis. Clin Oral Investig 2015;19(3):569–82.
Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature - Part 2 Influence of clinical factors. Int Endod J 2008;41(1):6–31.
Nagi SE, Khan FR, Rahman M. Endodontic retreatment. Pak Oral Dent J 2014;34(4):722–5.
Cruz EV, Jimena ME, Puzon EG, Iwaku M. Endodontic teaching in Philippine dental schools. Int Endod J 2000;33(5):427–34.
Good ML, McCammon A. Removal of gutta-percha and root canal sealer: A literature review and an audit comparing current practice in dental schools. Dent Update 2012;39(10):703–8.
Khan FR, Mahmud S, Rahman M. Comparison of knowledge regarding endodontic materials and techniques among dentists employed at dental institutions and private practices in Karachi, Pakistan. J Pak Dent Assoc 2015;24(1):11–6.
Hommez GM, De Moor RJ, Braem M. Endodontic treatment performed by Flemish dentists. Part 2. Canal filling and decision making for referrals and treatment of apical periodontitis. Int Endod J 2003;36(5):344–51.
Hussain SM, Khan FR. A survey on endodontic irrigants used by dentists in Pakistan. Pak Oral Dent J 2014;34(4):730–4.
Savani GM, Sabbah W, Sedgley CM, Whitten B. Current trends in endodontic treatment by general dental practitioners: report of a United States national survey. J Endod 2014;40(5):618–24.
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