Current trends in technological armamentarium and treatment among Brazilian endodontists (original) (raw)
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Prevalence of endodontically treated teeth in a Brazilian adult population
Brazilian Dental Journal, 2008
This cross-sectional study examined the prevalence of endodontically treated teeth in 1,401 Brazilian adults. Panoramic radiographs were selected at the Radiological Center of Orofacial Images (CRIOF, Cuiabá, MT, Brazil) between August 2002 and September 2007. Three independent endodontists discussed interpretation criteria and classified specimens according to the following data: presence of root canal treatment, which was defined as partially or completely filled canal space, regardless of whether filling ended at the radiographic apex or not; presence of intracanal post; and associated apical periodontitis. Odds ratio, logistic regression and a chi-square test were used for statistical analyses. Significance level was set at p<0.05. Of 29,467 teeth evaluated, 6,313 (21.4%) were treated endodontically. Endodontic treatment was most frequent in maxillary premolars and molars, whereas mandibular incisors showed the lowest prevalence. Most endodontically treated teeth were found in people aged 46 to 60 years (47.6%, p<0.001) and the prevalence increased with age in this age range. Females (61.9%, p<0.001) showed a higher prevalence of teeth with root fillings than males. The present study found a higher prevalence of endodontically treated teeth in a Brazilian adult population compared to the prevalence reported in epidemiological studies conducted in other countries.
Restorative Dentistry & Endodontics
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.
Evaluation of Endodontic Treatments Performed by Students in a Brazilian Dental School
Journal of Dental Education, 2005
The aims of this study were to evaluate the clinical outcomes of root canal treatments performed by final‐year students in the Dental School of Piracicaba, State University of Campinas, SP, Brazil, during the year 2000 and to evaluate the success rate of these treatments at follow‐ups conducted one and three years later (2001–03). All 579 endodontic treatments performed by final‐year students were selected for this investigation. Detailed personal and dental history was obtained from the patient's records. Clinical and radiographic follow‐up examinations were performed. For 78.8 percent of the cases, dental caries was recorded as the cause for performing endodontic treatment; for 8.8 percent, prosthetic reasons were given; and for 12.4 percent, failure of the endodontic treatment was the reason. The largest percentage (30.7 percent) of recalled patients was examined after one year; the success rate at this follow‐up evaluation ranged from 83 percent to 96 percent depending on th...
Endodontic materials in practice -Impact Study
In this survey we tried to identify using the questionnaire's method the attitude of the dentists from the region where our university is situated concerning the endodontic materials on the market. The questionnaires were sent to 87 dentists and we received answers from 60 of them. There is an increased interest in improving the knowledge about endodontic treatment options among dentists in our region, interest that is showed also by the high number of dentists with special training in endodontics (20% have attended postgraduate courses, 18.3% have attended endodontic practice stages, and 5% who have attended a master in endodontics). Modern materials and techniques used in endodontic treatments are not a part of current therapeutic procedures yet, except for the young graduates who use them more often. Sodium hypochlorite is frequently used for the irrigation of the roots canals (63.3%). The classical single-cone technique (58.33%) remains the most often used technique in our region, but materials based on paraformaldehyde still hold an important place in the dentists' preferences (46.6%).
2021
Endodontic treatment is common in dentistry and for a correct diagnosis it is necessary to observe clinical and radiographic signs, taking into account pulp and periapical changes in the element to be treated. Studying this frequency can contribute to the literature, elucidating whether the greatest number of cases is occurring in young or elderly patients, women or men, anterior or posterior teeth. The objective of this study was to analyze the prevalence of endodontically treated teeth, through 900 panoramic radiographs. A cross-sectional study was carried out evaluating the prevalence of teeth treated endodontically from a sample of 900 panoramic radiographs, corresponding to exams performed in 2020, in a radiological clinic located in central west Brazil. The sample consisted of 540 (60%) female subjects and 360 (40%) male subjects, aged between 18 and 88 years old, being more prevalent for Individuals <31 years old with (34.9%) Sample. The prevalence of endodontically treate...
Aim: The aim of this survey was to gather information on the materials and methods employed in root canal treatment by endodontists and general dental practitioners in Chennai. Materials and Methods: The questionnaire was distributed to a total number of 500 dentists. The structured questionnaire comprised of 13 questions with multiple- choice answers with an option for ?other?. Space was provided below the questions to add any additional comments, in case any treatment modification was not adequately covered by the given choices. The questionnaire included demographic information and questions about the materials and techniques that are typically used in endodontic therapy. Results: A total of 486 completed questionnaires were collected, representing a response rate of 84.64%.Only 13.5% of GDPs reported using rubber dam. Over 78.6% of the practitioners reported using formocresol for pulpotomies. More than 50% of the dentists participating in the current research reported using conventional radiography in determination of WL. The step-back method was used by 36.6% of the respondents. In the current survey, over 45% of the participants were using CH as an intracanal medicament. In the current study, the lateral condensation of gutta-percha significantly surpassed the other obturation techniques. Conclusion: It is noted that a group of dentists, irrespective of the time since graduation, relies on techniques and use products and materials which are currently favored by expert opinion. Unfortunately, it was also noted that some of the practitioners are still not using rubber dam as an isolation method. Thus, the standard of care for endodontics can be improved by increasing general dental practitioner interest in pursuing postgraduate education.
Cohort study of endodontic therapy success
Brazilian Dental Journal, 2003
A retrospective cohort study was carried out aiming to assess the success rate of endodontic treatment of patients from the Faculty of Dentistry, University of Pernambuco, Brazil. The dental records of the sampling comprised all patients treated in 1998 and 1999. Trials were standardized and a pilot study was carried out to determine the feasibility of the proposed study. Chi-square and Fisher's exact tests were used to calculate the level of significance that was set at 5%. Logistic regression models were used to confirm significant effect of some variables on the endodontic outcome. The final sample size comprised 311 (75.9%) women and 99 (21.1%) men. The majority of cases (82.9%) were considered successful. Success was less frequent for patients with up to primary school education (55.6%) than for those with a higher degree of education (89.7%). The vital condition of the pulp showed a statistically significant relationship with the success of endodontic therapy (p<0.05). ...
Perfil da produção científica em endodontia em periódicos de alto impacto
Stomatos, 2013
Objective: To characterize the profi le of scientifi c production in the fi eld of endodontics in high-impact journals. Methods: Articles were evaluated. Various aspects were assessed: type of article, authors' geographic origin, changes in the profi le of papers over the studied period (in terms of country of origin and type of article), and ratio between budget for science/technology and number of publications. Results: A total of 3,993 articles were published in the 10-year period assessed. Basic research articles accounted for 67.85% of the production, compared to 1.35% of systematic reviews/meta-analyses. The U.S. ranked fi rst in number of publications (23.69%), followed by Brazil (14.22%) and China (6.42%). Despite the low investments made in science, the emerging countries Brazil, China, and Turkey were able to fi gure among the top fi ve countries in number of publications, especially as a result of increasing numbers of articles in the latest years. Conclusion: Emerging countries are investing increasing amounts in science and technology, which has allowed for a large number of publications in high-impact journals.
Current Trends in Endodontic Practice: Emergency Treatments and Technological Armamentarium
The current clinical practice of endodontics includes the utilization of a variety of new technological advances and materials. The last comprehensive survey that compared treatment modalities used in endodontic practices was conducted in 1990. The purpose of the current survey was to determine the frequency with which these new endodontic technologies and materials are being used in endodontic practices today. An e-mail questionnaire was sent to the 636 active diplomates of the American Board of Endodontics with current e-mail addresses. Two hundred thirty-two diplomates responded for a response rate of 35%. Calcium hydroxide was found to be the most frequently used intracanal medicament for all cases diagnosed with necrotic pulps. Ibuprofen was the most frequently prescribed medication for pain, and penicillin was the most frequently prescribed antibiotic when an active infection was present. Eighty-two percent of the respondents are still incorporating hand files in some fashion during the cleansing and shaping phase of treatment. Lateral condensation and continuous wave were the most common methods used for obturation. Digital radiography was reported as being used by 72.5% of the respondents, whereas 45.3% reported using the microscope greater than 75% of the patient treatment. Ultrasonics was used by 97.8% of the respondents. It appears from the results that new endodontic technology is currently being used in the endodontic offices of those who responded to the survey. (J Endod 2009;35:35-39)