Evaluation and Comparison of Endodontic Errors by Undergraduate Dental Students Trained with and Without the Use of a Head Phantom in Isfahan University of Medical Sciences

Document Type : مقاله‌های پژوهشی

Authors

1 Dental Material Research Center, Department of Endodontics, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Student Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Introduction: Root canal therapy is one of the most important treatments for oral and dental health. To a large extent, the success of treatment is dependent on endodontic treatment errors, and since the treatment errors are affected by the type of dental education, the aim of this study was to compare the prevalence of errors during root canal treatment by students, entering the university in 2010-2012, who were trained with and without the use of a head phantom in the Faculty of Dentistry, Isfahan University of Medical Sciences.
Materials & Methods: In this descriptive-analytical study (historical cohort), 400 records were collected from the students entering the university in 2010, who were trained without a head phantom, and 400 cases related to students entering the university in 2012, who were trained with a head phantom. The records were first coded by one of the members of the admission department and then examined by two researchers for the root canal errors during the stages of access cavity preparation, root canal preparation and obturation of the root canals. These errors were collected in a double-blind manner and analyzed with SPSS 20, using Chi-squared test. Statistical significance was set at p value < 0.05.
Results: In this study, root canal treatments rendered by dental students of Isfahan University of Medical Sciences were proper in 67.5% of the cases and the prevalence of root canal treatment error was 32.5% among students. The highest frequency of root canal errors among students was related to overfilling (43.9%) and the least error was related to furcal perforation (0.37%). The prevalence of root canal treatment errors among students entering the university in 2010 and 2012 were 41.6% and 24.4%, respectively.
Conclusion: The present study showed that the prevalence of endodontic treatment errors by students trained with a head phantom was significantly less than that by those who were trained without a head phantom. Therefore, it can be concluded that the teaching of dental students using head phantoms can reduce root canal treatment errors by students.
Keywords: Dental education, Dental model, Dental student, Endodontics, Medical error, Root canal obturation, Root canal preparation, Root canal therapy.

1. Siqueira JF Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod J 2001; 34(1): 1-10.
2. 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; 39(11): 867-72.
3. Mozayeni MA, Asnaashari M, Modaresi SJ. Clinical and radiographic evaluation of procedural accidents and errors during root canal therapy. Iran Endod J 2006; 1(3): 97-100.
4. Eriksen HM, Kirkevang LL, Petersson K. Endodontic epidemiology and treatment outcome: general considerations. Endodontic Topics 2002; 2(1): 1-9.
5. Friedman S, Mor C. The success of endodontic therapy--healing and functionality. J Calif Dent Assoc 2004; 32(6): 493-503
6. Imura N, Pinheiro ET, Gomes BP, Zaia AA, Ferraz CC, Souza-Filho FJ. The outcome of endodontic treatment: a retrospective study of 2000 cases performed by a specialist. J Endod 2007; 33(11): 1278-82.
7. Sunay H, Tanalp J, Dikbas I, Bayirli G. C ross-sectional evaluation of the periapical status and quality of root canal treatment in a selected population of urban Turkish adults. Int Endod J 2007; 40(2): 139-45.
8. Jenkins SM, Hayes SJ, Dummer PM. A study of endodontic treatment carried out in dental practice within the UK. Int Endod J 2001; 34(1): 16-22.
9. Stewardson DA. Endodontics and new graduates: Part I, Practice vs training. Eur J Prosthodont Restor Dent 2002; 10(3): 131-7.
10. 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 2004; 32(4): 301-7.
11. Unal GC, Kececi AD, Kaya BU, Gurhan Tac A. Quality of root canal fillings performed by undergraduate dental students. Eur J Dent 2011; 5(3): 324-30.
12. Dadresanfar B, Mohammadzadeh Akhlaghi N, Vatanpour M, Atef Yekta H, Baradaran Mohajeri L. Technical quality of root canal treatment performed by undergraduate dental students. Iran Endod J 2008; 3(3): 73-8.
13. Cowpe J, Plasschaert A, Harzer W, Vinkka-Puhakka H, Walmsley AD. Profile and competences for the graduating European dentist–update 2009. Eur J Dent Educ 2010; 14(4): 193-202.
14. Qualtrough A. Undergraduate endodontic education: what are the challenges? Br Dent J 2014; 216(6): 361-4.
15. 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; 77(4): 502-9.
16. Al-Fouzan KS. A survey of root canal treatment of molar teeth by general dental practitioners in private practice in Saudi Arabia. The Saudi Dental Journal 2010; 22(3): 113-7.
17. 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; 37(2): 56-60.
18. Lynch CD, Burke FM. Quality of root canal fillings performed by undergraduate dental students on single rooted teeth. Eur J Dent Educ 2006; 10(2): 67-72.
19. de Moor R, Hülsmann M, Kirkevang LL, Tanalp J, Whitworth J. Undergraduate curriculum guidelines for endodontology. Int Endod J 2013; 46(12): 1105-14.
20. Khabbaz MG, Protogerou E, Douka E. Radiographic quality of root fillings performed by undergraduate students. Int Endod J 2010; 43(6): 499-508.
21. Serrano CM, Wesselink PR, Vervoorn JM. [Real patients in virtual reality: the link between phantom heads and clinical dentistry]. Ned Tijdschr Tandheelkd 2018; 125(5): 263-7. [In Dutch].
22. Suebnukarn S, Hataidechadusadee R, Suwannasri N, Suprasert N, Rhienmora P, Haddawy P. Access cavity preparation training using haptic virtual reality and microcomputed tomography tooth models. Int Endod J 2011; 44(11): 983-9.
23. Waqas Y, Moiz Kh, Hasan M. Endodontic procedural errors: frequency, type of error, and the most frequently treated tooth. International Journal of Dentistry 2015; 6723914: 1-7.
24. European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J 2006; 39(12): 921-30.
25. Moradi S, Gharechahi M. Evaluation of canal deviation in endodontically treated teeth by Mashhad Dental Students from April 2012 till April 2013. J Mashhad Dent Sch 2014; 38(1): 53-60. [In Persian].
26. AlRahabi MK. Evaluation of complications of root canal treatment performed by undergraduate dental students. Libyan J Med 2017; 12(1): 1345582.
27. Vukadinov T, Blažić L, Kantardžić I, Lainović T. Technical quality of root fillings performed by undergraduate students: a radiographic study. ScientificWorldJournal. 2014; 751274.
28. Labaf H, Rezvani G, Shahab S, Asadian H, Mirzazadeh Monfared F. Retrospective evaluation of errors during root canal treatment by students of general and specialized courses using two types of radiographic systems. Majallah-I-Dandanpizishki 2014. 26(3): 199-207. [In Persian].