Outcome of endodontic treatments performed by Brazilian undergraduate students: 3- to 8-year follow up
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Objectives: This study aimed to evaluate the success rate of endodontic treatments performed by undergraduate students and the factors associated with the outcome. Materials and methods: A follow-up of 3 to 8 years after root canal filling was carried out in 91 patients. At the follow-up visits, medical and dental history questionnaires were applied along with clinical and radiographic examinations. Data collected in the clinical exam included: the presence of pain, swelling, sinus tract, mobility, tenderness to palpation and percussion, periodontal probing profile, and type/quality of coronal restoration. Postoperative and follow-up radiographs were digitalized and analyzed by 2 trained and calibrated examiners to assess periapical healing. The treatment outcome was based on strict clinical and radiographic criteria and classified as success (absence of any clinical and radiographic sign of apical periodontitis) or failure (other combination). Logistic regression was used to investigate the impact of clinical and radiographic variables on endodontic treatment outcomes at a 5% significance level. Results: The success rate of endodontic treatments was 60.7%. The only risk factor significantly associated with failure was the presence of a periapical lesion on the postoperative radiograph (odds ratio, 3.35; 95% confidence interval, 1.17-9.54). Conclusions: The success rate of endodontic treatments performed by undergraduate students was low and was jeopardized by the presence of a periapical lesion on the postoperative radiograph.
Abstract
Objectives: This study aimed to evaluate the success rate of endodontic treatments performed by undergraduate students and the factors associated with the outcome. Materials and methods: A follow-up of 3 to 8 years after root canal filling was carried out in 91 patients. At the follow-up visits, medical and dental history questionnaires were applied along with clinical and radiographic examinations. Data collected in the clinical exam included: the presence of pain, swelling, sinus tract, mobility, tenderness to palpation and percussion, periodontal probing profile, and type/quality of coronal restoration. Postoperative and follow-up radiographs were digitalized and analyzed by 2 trained and calibrated examiners to assess periapical healing. The treatment outcome was based on strict clinical and radiographic criteria and classified as success (absence of any clinical and radiographic sign of apical periodontitis) or failure (other combination). Logistic regression was used to investigate the impact of clinical and radiographic variables on endodontic treatment outcomes at a 5% significance level. Results: The success rate of endodontic treatments was 60.7%. The only risk factor significantly associated with failure was the presence of a periapical lesion on the postoperative radiograph (odds ratio, 3.35; 95% confidence interval, 1.17-9.54). Conclusions: The success rate of endodontic treatments performed by undergraduate students was low and was jeopardized by the presence of a periapical lesion on the postoperative radiograph.
참고문헌 (38)
- Ng YL, "Outcome of primary root canal treatment: systematic review of the literature -- Part 2. Influence of clinical factors", Int Endod J, 41, pp.6~31 (2008)
- Burns LE, "Outcomes of primary root canal therapy: an updated systematic review of longitudinal clinical studies published between 2003 and 2020", Int Endod J, 55, pp.714~731 (2022)
- European Society of Endodontology, "Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology", Int Endod J, 39, pp.921~930 (2006)
- Nair PN, "Pathogenesis of apical periodontitis and the causes of endodontic failures", Crit Rev Oral Biol Med, 15, pp.348~381 (2004)
- Tibúrcio-Machado CS, "The global prevalence of apical periodontitis: a systematic review and meta-analysis", Int Endod J, 54, pp.712~735 (2021)
- Khalighinejad N, "Association between systemic diseases and apical periodontitis", J Endod, 42, pp.1427~1434 (2016)
- Ørstavik D, "A multivariate analysis of the outcome of endodontic treatment", Eur J Oral Sci, 112, pp.224~230 (2004)
- Lee AH, "Long-term outcome of primary non-surgical root canal treatment", Clin Oral Investig, 16, pp.1607~1617 (2012)
- Duncan HF, "The potential association between smoking and endodontic disease", Int Endod J, 39, pp.843~854 (2006)
- Ng YL, "A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health", Int Endod J, 44, pp.583~609 (2011)
- Dahlemper PK, "Guide to clinical endodontics", American Association of Endodontists, ~ (2016)
- Burry JC, "Outcome of primary endodontic therapy provided by endodontic specialists compared with other providers", J Endod, 42, pp.702~705 (2016)
- Llena C, "Outcome of root canal treatments provided by endodontic postgraduate students. A retrospective study", J Clin Med, 9, pp.1994~ (2020)
- Imura N, "The outcome of endodontic treatment: a retrospective study of 2000 cases performed by a specialist", J Endod, 33, pp.1278~1282 (2007)
- De Quadros I, "Evaluation of endodontic treatments performed by students in a Brazilian Dental School", J Dent Educ, 69, pp.1161~1170 (2005)
- "da Educação M. Conselho Nacional de Educação. Câmara de Educação Superior. Resolução CNE/CES 3, de 19 de fevereiro de 2002" (2002)[URL]
- Dugas NN, "Periapical health and treatment quality assessment of root-filled teeth in two Canadian populations", Int Endod J, 36, pp.181~192 (2003)
- Leonardo MR, "EM evaluation of bacterial biofilm and microorganisms on the apical external root surface of human teeth", J Endod, 28, pp.815~818 (2002)
- Rocha CT, "Biofilm on the apical region of roots in primary teeth with vital and necrotic pulps with or without radiographically evident apical pathosis", Int Endod J, 41, pp.664~669 (2008)
- Aminoshariae A, "Association between systemic diseases and endodontic outcome: a systematic review", J Endod, 43, pp.514~519 (2017)
- Segura-Egea JJ, "Endodontic medicine: connections between apical periodontitis and systemic diseases", Int Endod J, 48, pp.933~951 (2015)
- Fouad AF, "The effect of diabetes mellitus on endodontic treatment outcome: data from an electronic patient record", J Am Dent Assoc, 134, pp.43~51 (2003)
- Mindiola MJ, "Endodontic treatment in an American Indian population: a 10-year retrospective study", J Endod, 32, pp.828~832 (2006)
- Britto LR, "Periradicular radiographic assessment in diabetic and control individuals", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 96, pp.449~452 (2003)
- Marotta PS, "Type 2 diabetes mellitus and the prevalence of apical periodontitis and endodontic treatment in an adult Brazilian population", J Endod, 38, pp.297~300 (2012)
- Segura-Egea JJ, "Hypertension and dental periapical condition", J Endod, 36, pp.1800~1804 (2010)
- Ribeiro DM, "Technical quality of root canal treatment performed by undergraduate students using hand instrumentation: a meta-analysis", Int Endod J, 51, pp.269~283 (2018)
- Donnelly A, "A re-audit of the technical quality of undergraduate root canal treatment after the introduction of new technology and teaching practices", Int Endod J, 50, pp.941~950 (2017)
- Gillen BM, "Impact of the quality of coronal restoration versus the quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis", J Endod, 37, pp.895~902 (2011)
- Pak JG, "Pain prevalence and severity before, during, and after root canal treatment: a systematic review", J Endod, 37, pp.429~438 (2011)
- Sjögren U, "Factors affecting the long-term results of endodontic treatment", J Endod, 16, pp.498~504 (1990)
- Kruse C, "Diagnostic validity of periapical radiography and CBCT for assessing periapical lesions that persist after endodontic surgery", Dentomaxillofac Radiol, 46, pp.20170210~ (2017)
- Alley BS, "A comparison of survival of teeth following endodontic treatment performed by general dentists or by specialists", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 98, pp.115~118 (2004)
- Eriksen HM, "Prevalence and quality of endodontic treatment in an urban adult population in Norway", Endod Dent Traumatol, 4, pp.122~126 (1988)
- Stoll R, "The influence of different factors on the survival of root canal fillings: a 10-year retrospective study", J Endod, 31, pp.783~790 (2005)
- Ng YL, "Outcome of primary root canal treatment: systematic review of the literature - part 1. Effects of study characteristics on probability of success", Int Endod J, 40, pp.921~939 (2007)
- De Moor R, "Undergraduate curriculum guidelines for endodontology", Int Endod J, 46, pp.1105~1114 (2013)
- Tumenas I, "Odontologia minimamente invasiva", Rev Assoc Paul Cir Dent, 68, pp.283~295 (2014)