06Mar 2019

ATTITUDE AND CURRENT EXPERIENCE OF DENTISTS ABOUT NON-SURGICAL RETREATMENT OF ENDODONTICALLY TREATED TEETH.

  • Internship dentists, Al-Farabi dental college, Riyadh, Saudi Arabia.
  • MSc, Department of restorative dental sciences, Al-Farabi dental college, Riyadh, Saudi Arabia.
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

The main goal of endodontic treatment procedure is to preserve normal periradicular tissue against spreading of infection (1). This is usually achieved by root canal treatment. Unfortunately, failure may occur after root canal treatment, In this study, we focused on attitude and techniques used in re-treatment cases by dentists in Saudi Arabia, a cross-sectional study conducted by using an A questionnaire was designed on the basis of previously published surveys of endodontists and general practitioners (GPs). answered by approximately 236 dentists. The response to the questionnaire by internship students was highest (120), followed by general practitioner (83) and the least number of specialists (33) Results showed an agreement between the most of dentist?s answers about the factors makes them decide to re-treat the endodontically treated teeth, except in consensus most of the specialists (72.8%) that retreatment is mandatory when loss of coronal seal. More than 85% of practitioners are through with presence of some cases indicate referral to another dentist. Most of the specialists (55.2%) referred to the reason for the absence of required tools and equipment. In most responses, there was a total agreement between all practitioners in different scientific degrees. The success of non-surgical root canal retreatment depends on many factors, such as case selection, years of experience, techniques, and materials used during the procedure.


  1. Keleş A,?Şimşek N,?Al?in H,?Ahmetoglu F,?Yologlu S. Retreatment of flat-oval root canals with a self-adjusting file: An SEM study .Dent Mater J.2014;33(6):786-91.
  2. Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J Endod 2009; 35: 930-937 .
  3. deChevignyC,DaoTT,BasraniBR,MarquisV,FarzanehM, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study?phase 4: initial treatment. J Endod 2008; 34: 258-263 .
  4. Isabela N. R??as and Jos? F. Siqueira, Jr. Characterization of Microbiota of Root Canal-Treated Teeth with PosttreatmentDisease .J ClinMicrobiol. 2012 May; 50(5): 1721?1724
  5. Gomes BP ,?Pinheiro ET,?Jacinto RC,?Zaia AA,?Ferraz CC,?Souza-FilhoFJ.Microbial analysis of canals of root-filled teeth with periapical lesions using polymerase chain reaction. J Endod.2008 May;34(5):537-40.
  6. Molander A ,?Reit C,?Dahl?n G,?Kvist T. Microbiological status of root-filled teeth with apical periodontitis. IntEndod J.1998 Jan;31(1):1-7.
  7. Pinheiro ET ,?Gomes BP,?Ferraz CC,?Sousa EL,?Teixeira FB,?Souza-FilhoFJ.Microorganisms from canals of root-filled teeth with periapical lesions. IntEndod J.2003 Jan;36(1):1-11.
  8. Top?uoğlu HS,?Demirbuga S,?Tuncay ?,?Pala K,?Arslan H,?Karataş E .The Effects of Mtwo, R-Endo, and D-RaCe Retreatment Instruments on the Incidence of Dentinal Defects during the Removal of Root Canal Filling Material .J Endod.2014 Feb;40(2):266-70
  9. Bangerter C, Mines P, Sweet M. The use of intraosseous anesthesia among endodontists: results of a questionnaire. J Endod 2009;35:15?18.
  10. Kersten DD, Mines P, Sweet M. Use of the microscope in endodontics: results of a questionnaire. J Endod 2008;34:804?7
  11. Chan AW, Low D, Cheung GS, Ng RP. Questionnaires survey of endodontic practice profile among dentists in Hong Kong. Hong Kong Dent J 2006;3:80-87
  12. Whitworth JM,?Seccombe GV,?Shoker K,?Steele JG. Use of rubber dam and irrigant selection in UK general dental practice.IntEndod J.2000 Sep;33(5):435-41.
  13. Pagonis TC, Fong CD, Hasselgren G. Retreatment decisions: a comparison between general practitioners and endodontic postgraduate. J2000 Apr;26(4):240-1
  14. Sjogren U,?Hagglund B,?Sundqvist G,?Wing K.. Factors affecting the long-term results of endodontic treatment. J Endod.1990 Oct;16(10):498-504
  15. Engstr?m B,?Lundberg M. Correlation of positive cultures with the prognosis for canal re-treatment. Odontol Revy.1965;16(3):193-203.
  16. R??as IN,?Siqueira JF Jr. Characterization?of?microbiota?of?root?canal-treated?teeth?with?posttreatment?disease.J ClinMicrobiol.2012 May;50(5):1721-4. doi: 10.1128/JCM.00531-12. Epub 2012 Mar 7.
  17. Imura N, Kato AS, Hata GI, Uemura M, Toda T, Weine F. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. IntEndod J. 2000 Jul;33(4):361-6.
  18. Schestatsky R,?Dartora G,?Felberg R,?Spazzin AO,?Sarkis-Onofre R,?Bacchi A,?Pereira GKR. Do?endodontic?retreatment?techniques influence the fracture strength of endodontically treated teeth? A systematic review and meta-analysis.JMechBehav Biomed Mater.2019 Feb;90:306-312.
  19. Kvist T,?Heden G,?ReitC . Endodontic retreatment strategies used by general dental practitioners.OralSurg Oral Med Oral Pathol Oral RadiolEndod.2004 Apr;97(4):502-7.
  20. Gilbert GH,?Tilashalski KR,?Litaker MS,?McNeal SF,?Boykin MJ,?Kessler AW;?DPBRN Collaborative Group.. Outcomes of root canal treatment in Dental PBRN practices .Tex Dent J.2013 Apr;130(4):351-9.
  21. Yu VS,?Khin LW,?Hsu CS,?Yee R,?Messer HH. Risk Score Algorithm for Treatment of Persistent Apical Periodontitis .J Dent Res.2014 Nov;93(11):1076-82.
  22. Ray HA,?Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. IntEndod J.1995 Jan;28(1):12-8.
  23. Sritharan A. Discuss that the coronal seal is more important than the apical seal for endodontic success.AustEndod2002 Dec;28(3):112-5.
  24. Zmener O, Pameijer CH, Banegas G. Retreatment efficacy of hand versus automated instrumentation in oval-shaped root canals: an ex vivo study. IntEndod J. 2006 Jul;39(7):521-6.
  25. Wennberg A, Orstavik D. Evaluation of alternatives to chloroform in endodontic practice. Endod Dent Traumatol. 1989 Oct;5(5):234-7.
  26. Masiero AV, Barletta FB. Effectiveness of different techniques for removing gutta-percha during retreatment.IntEndod J. 2005 Jan;38(1):2-7.
  27. Nagy CD, Bartha K, Bernath M, Verdes E, Szabo J. The effect of root canal morphology on canal shape following instrumentation using different techniques. IntEndod J 1997;30:133? 40.
  28. Kapalas A, Lambrianidis T. Factors associated with root canal ledging during instrumentation. Endod Dent Traumatol 2000;16:229 ?31
  29. Harty FJ, Parkins BJ, Wengraf AM. Success rate in root canal therapy: a retrospective study of conventional cases. Br Dent J 1970;128:65?70.
  30. Namazikhah MS, Mokhlis HR, Alasmakh K. Comparison between a hand stainlesssteel K file and a rotary NiTi 0.04 taper. J Calif Dent Assoc 2000;28:421? 6.
  31. Tabassum S,?Khan FR. Failure of endodontic treatment: The usual suspects.Eur J Dent.2016 Jan-Mar;10(1):144-7. doi: 10.4103/1305-7456.175682.
  32. Madarati AA,?Zafar MS,?Sammani AMN,?Mandorah AO,?Bani-Younes HA. Preference and usage of intracanal medications during endodontic treatment .Saudi Med J.2017 Jul;38(7):755-763. doi: 10.15537/smj.2017.7.18345.
  33. Sathorn C,?Parashos P,?Messer H.Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis .IntEndod J.2007 Jan;40 (1):2-10 .
  34. Gomes BP, Montagner F, Berber VB, Zaia AA, Ferraz CC, de Almeida JF.?Antimicrobial action of intracanal medicaments on the external root surface. J Dent 2009;37:76-81.
  35. Barbosa CA1,?Gon?alves RB,?Siqueira JF Jr,?De Uzeda M. Evaluation of the antibacterial activities of calcium hydroxide, chlorhexidine, and camphorated paramonochlorophenol as intracanal medicament. A clinical and laboratory study. J Endod.1997 May;23(5):297-300.
  36. deChevigny C, Dao TT, Basrani BR. Treatment outcome in endodontics: the Toronto study?phases 3 and 4: orthograde retreatment. J Endod 2008;34:131?7.
  37. Bergenholtz G, Lekholm U, Milthon R, Heden G, Odesjo B, Engstrom B. Retreatment of endodontic fillings. Scand J Dent Res 1979;87:217?24.
  38. Sundqvist G, Figdor D, Persson S, Sjogren U. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 1998;85:86?93.
  39. Gorni FG, Gagliani MM. The outcome of endodontic retreatment: a 2-yr follow-up. J Endod 2004;30:1?4.
  40. Frank AL, Glick DH, Patterson SS, Weine FS. Long-term evaluation of surgically placed amalgam fillings. J Endod 1992;18:391?8.
  41. Rud J, Andreasen JO, Jensen JE. A follow-up study of 1,000 cases treated by endodontic surgery. Int J Oral Surg 1972;1:215?28.

[Mohammad I. Albakheet, Mohammed G. Alghamdi, Muath M. Alghamdi, Hassan A. Alhassan and Ahmad R. Bashnakli, Mazen Doumani. (2019); ATTITUDE AND CURRENT EXPERIENCE OF DENTISTS ABOUT NON-SURGICAL RETREATMENT OF ENDODONTICALLY TREATED TEETH. Int. J. of Adv. Res. 7 (Mar). 500-505] (ISSN 2320-5407). www.journalijar.com


Mohammad I. Albakheet
1- Internship dentists, Al-Farabi dental college, Riyadh, Saudi Arabia

DOI:


Article DOI: 10.21474/IJAR01/8663      
DOI URL: https://dx.doi.org/10.21474/IJAR01/8663