Endodontic file separation and its management among dentists in Punjab, Pakistan: a cross-sectional study
Braz. j. oral sci
;
22: e233938, Jan.-Dec. 2023. ilus
Artículo
en Inglés
| LILACS, BBO
| ID: biblio-1519306
ABSTRACT
The study aimed to find the incidence and awareness of endodontic instrument separation and its management among dental house officers, postgraduate trainees, demonstrators, consultants, and general dentists. Methods:
This online questionnaire-based cross-sectional study was conducted with the approval of the IRB in private and public dental hospitals and dental clinics in Punjab. The authors developed the survey tool, which comprises 24 closed-ended items regarding demographics, the incidence of file separation, and awareness about its management. The data were analyzed using IBM SPSS version 24. The Chi-Square Test was used to compare percentages of categorical variables.Results:
Postgraduate trainees experienced the most instrument separations (43.6%), made the most retrieval attempts (49.2%), and experienced the most secondary errors during retrieval (52.1%) (p<0.001). Around four out of ten respondents always informed the patients (39.6%) and department (41.6%) about errors. Manual files (69.8%), stainless steel files (75.8%), and short files (60.4%) were more frequently separated, and the most frequent cause was older fatigue files (57.7%). Manual files were more frequently broken in public dental institutes (p=0.003). Two-thirds of the file separations (72.5%) occurred during cleaning and shaping in the apical third of molars (65.1%), especially in mesiolingual canal (56.4%). Bypass attempt was the most common in symptomatic teeth (47.7%).Conclusions:
Preventive approaches such as limiting file reuse and constructing a glide path can reduce the occurrence of file separation. Operators should be familiar with the number of uses of the instrument before fatigue and should be trained through workshops and refresher coursesAsunto(s)
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Preparación del Conducto Radicular
/
Instrumentos Dentales
/
Falla de Equipo
/
Endodoncistas
Límite:
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Braz. j. oral sci
Asunto de la revista:
Odontología
Año:
2023
Tipo del documento:
Artículo
País de afiliación:
Pakistán
Institución/País de afiliación:
CMH Lahore Medical College/PK
/
De 'Montmorency College of Dentistry/PK
/
University of Lahore/PK
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