مجله دانشکده دندان‌پزشکی اصفهان

بررسی رادیوگرافیک خطاهای حین درمان ریشه‌ی دانشجویان دکترای عمومی سال 5 و 6 دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان) در سال‌های 1397-1394

نوع مقاله : مقاله‌های پژوهشی

چکیده

مقدمه: کیفیت درمان ریشه، یکی از مهم‌ترین عوامل مؤثر بر موفقیت درمان‎ اندودنتیک می‌باشد. هدف این مطالعه، بررسی رادیوگرافیک خطاهای حین درمان ریشه‌ی دانشجویان دکترای عمومی سال 5 و 6 دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان) در سال‌های 1397-1394 می‌باشد.
مواد و روش‌ها: در این مطالعه‌ی مقطعی- توصیفی، 860 پرونده‌ی درمان ریشه‌ شده‌ی بیماران مراجعه‌کننده طی سال‌های 1397-1394 به بخش اندودنتیکس عمومی و بخش درمان جامع دانشکده‌ی دندان‌پزشکی دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان) شامل 1903 کانال درمان ریشه شده، بررسی شد. کلیشه‌های رادیوگرافی پری‌اپیکال توسط دو متخصص درمان ریشه مورد استفاده و بررسی قرار گرفت و در فرم‌ها ثبت گردید. در مرحله‌ی تهیه‌ی حفره‌ی دسترسی، پرفوراسیون فورکا، گسترش کم یا زیاد حفره‌ی دسترسی ارزیابی شد. در مرحله‌ی آماده‌سازی کانال خطاهایی نظیر پیدا نکردن کانال، لج، ترانسپورت، انواع پرفوریشن و وسیله‌ی شکسته بررسی شد. طول و تراکم پرکردگی معیارهای بررسی شده در مرحله پرکردن کانال بود. برای تجزیه و تحلیل داده‌ها‌ آنالیز آماری توسط آزمون Chi-Square و آزمون دقیق Fisher انجام شد.
یافته‌ها: میزان فراوانی درمان ریشه‌های مطلوب 37/5 درصد بود. دندان مولر اول پایین بیشترین آمار وجود خطا (40/7 درصد) را نشان داد. پرفوراسیون فورکا با 9/4 درصد بالاترین خطای مرحله‌ی تهیه‌ی حفره‌ی دسترسی گزارش شد. در مرحله‌ی آماده‌سازی کانال ترنسپورتیشن 7/8 درصد بیشترین میزان خطا گزارش شد. تراکم پرکردگی نامناسب (وجود گپ) 36/9 درصد بود.
نتیجه گیری: بخش اندودنتیکس عمومی نیازمند برنامه‌ریزی دقیق برای افزایش کیفیت درمان‌های ریشه انجام شده توسط دانشجویان است. 
کلید واژه ها: رادیوگرافی، خطاها، درمان ریشه، دانشجویان.

عنوان مقاله [English]

Radiographic evaluation of errors during the root canal treatment by 5th and 6th year Undergraduate students of Islamic Azad university of Isfahan (khorasgan) from 2015 to 2018

چکیده [English]

Background: Quality of root canal treatment is considered as an important prognostic factor for endodontic therapy success. The aim of this study is to evaluate radiographic errors during the root canal treatment by 5th and 6th year undergraduate students of Islamic Azad university of Isfahan (Khorasgan) from 2015 to 2018
Material and method: In this study records of 860 cases of endodontic treatment of patients referred to the General Endodontics Department and the Comprehensive Treatment Department of Isfahan Azad University (Khorasgan) during 2015-2018 including 1903 root canals that had received root canal treatment were examined. Periapical radiography was used to evaluate errors during access cavity preparation, canal preparation, and canal filling by two endodontic specialists and it was recorded in pre-prepared forms. In the access cavity preparation: furcation perforation, low access cavity expansion, high access cavity expansion were evaluated. During the canal preparation phase, errors such as missing of canal, ledge, transport, perforation types and broken instruments were investigated. Length and density of root filing were the criteria evaluated at the canal filling stage. The analysis was performed at both descriptive and inferential levels. Statistical analysis was performed by Chi-Square test and exact Fisher's test.
Result: Frequency of acceptable root canal treatment (without errors) was 37.5%. Lower first molars showed the highest error rate (40.7%). Furcation perforation was reported with 9.4% highest error of access cavity preparation. The highest error rate was reported transport (7.8%) in the preparation phase. Inadequate density (gap) of 36.9% and under filling of 31.1% had the highest error in filling stage.
Conclusion: According to the results of this study, it can be stated that general endodontics department needs careful planning to increase the quality of root canal treatments performed by students.
Key words: Radiographic evaluation, Errors, Root canal treatment, Students.

1- Boucher Y, Matosian L, Rilliard F, Machtou P. Radiographic evaluation of the prevalence and technical quality of root canal treatment in a French subpopulation. Int Endod J 2002; 35(3): 227-39.
2- Allen PF, Whitworth JM. Endodontic considerations in the elderly. Gerontology 2004; 21(4): 185-95.
3- Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature – part2. Influence of clinical factors. Int Endod J 2008; 41(1): 6-31.
4- Pak JG, Fayazi S, White SN. Prevalence of periapical radiolucency and root canal treatment: a systematic review of cross-sectional studies. J Endod 2012; 38(9): 1170-6.
5- Siqueira Jr JF, Rôças IN, Alves FR, Campos LC. Periradicular status related to the quality of coronal restorations and root canal fillings in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100(3): 369-74.
6- Asgary S, Shadman B, Ghalamkarpor Z, Shahravan A, Ghoddusi J, Bagherpour A, et al. Periapical status and Quality of root canal fillngs and coronal restorations in Iranin population. Iran Endod J 2010; 5(2): 74-82.
7- Craveiro MA, Fontana CE, de Martin AS, Bueno CE. Influence of coronal restoration and root canl filling quality on periapical status: clinical and radiographic evaluation. J Endod 2015; 41(6): 836-40.
8- Moreno JO, Alves FR, Goncalves LS, Martinez AM, Rocas IN, Siqueira JF Jr. Periradicular status and quality of root canal fillings and coronal restorations in an urban Colombian population. J Endod 2013; 39(5): 600-4.
9- Balto H, Al Khalifah S, Al Mugairin S, Al Deeb M, Al-Madi E. Technical quality of root fillings performed by undergraduate students in Suadi Arabia. Int Endod J 2010; 43(4): 292-300.
10- Eleftheriadis Gl, Lambranidis TP. Technical quality of root canal treatment and detection of iatrogenic errors in an undergraduate dental clinic. Int Endod J 2005; 38(10): 725-34.
11- Chugal NM, Clive JM, Spangbers LS. Endodontic infection: some biologic and treatment factors associated with outcome. Oral Surg Oral Med Oral pathol Oral Radiol Endod 2003; 96(1): 81-90.
12- Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod 2004; 30(8): 559-67.
13- White SC. Oral radiology principles and Interpretation. 7th ed. Philadelphia, PA: Mosby; 2003. p. 97.
14- Alrahebi MK, Evaluation of complications of root canal treatment performed by undergraduate dental student. Libyan J Med 2017; 12(1): 1345582.
15- de Silva PZ, Riberio FC, Xaxier JMB, Pratte-Santos R, Demuner C. Radiographic Evaluation of root canal treatment performed by under graduate student. Iran Endod J 2018; 13(1): 30-6.
16- Vukadinor T, Blazic L, Kantardzic, Lainovic T. Technical quality of root filling performed by undergraduate students. ScientificWorldJournal 2014; 2014: 751274.
17- Saatchi M, Mohammadi G, Vali Sichani A, Moshkforoush S. Technical quality of root filling performed by undergraduate students. Iran Endod J 2018; 13(1): 88-93.
18- Ilgüy D, Ilgüy M, Fisekçioglu E, Ersan N, Taralp J, Dölekoglu S. Assessment of root canal treatment outcomes performed by Turkish dental students. J Dent Edic 2013; 77(4): 502-9.
19- Yavari H, Samiei M, Shahi S, Borna Z, Abdollahi AA, Ghiasvand N, et al. Radiographic evaluation of root canal filling accomplished by undergraduate dental student. Iran Endod J 2015; 10(2): 127-30.
20- Elsayed RO, Abu-Bakr NH, Ibrahim YE. Quality of root canal treatment performed by undergraduate dental student. Aust Endod J 2011; 37(2): 56-60.
21- Er O, Sagsen B, Maden M, Cinar S, Kahraman Y. Radiographic technical quality of filling performed by dental student in Turkey. Int Endod J 2006; 39(11): 867-72.
22- Roman-Richon S, Faus-Matoses V, Alegre-Domingo T, Faus-Llacer 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; 19(1): e93-7.
23- 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.
24- Unal GC, Kececi AD, Kaya BU, Tac AG. Quality of root canal fillings performed by undergraduate dental students. Eur J Dent 2011; 5(3): 324-30.
مجله دانشکده دندان‌پزشکی اصفهان
دوره 18، شماره 3 - شماره پیاپی 3
مهر 1401