Complications During Root Canal Shaping: A Survey Among Dentists in Morocco
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Keywords

Endodontic complications
canal blockage perforation
ledge formation
instrument separation
untreated canal
Endodontic treatment
prevention

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How to Cite

1.
Laslami K, Sadel K, Drouri S, Benkirane I. Complications During Root Canal Shaping: A Survey Among Dentists in Morocco. Integr J Med Sci [Internet]. 2023 Oct. 31 [cited 2024 Mar. 3];10. Available from: https://mbmj.org/index.php/ijms/article/view/718

Abstract

Introduction: Endodontic therapy is a complex procedure that requires a high level of precision due to the intricacies of the root canal system. Despite advancements in endodontic tools and techniques, incidents such as instrument fractures, dentinal plugs, false routes, and root perforations can occur when best practice recommendations are not adhered to. These complications pose a significant public health concern as they can lead to potentially severe infectious complications and ultimately result in endodontic treatment failure. The aim of this study is to elucidate the causes of endodontic complications, particularly during the root canal shaping stage, and to identify strategies for their prevention.
Materials and Methods: A cross-sectional, analytical, descriptive, and unidirectional study was conducted on a randomly selected sample of 300 private dentists in Casablanca. The questionnaires were completed anonymously, and statistical analyses were performed using SPSS software. The discussion will be enriched through a comprehensive literature search of major databases, complemented by a series of clinical cases illustrating these complications and the means by which they can be mitigated.
Results: The study reveals that 91% of dentists encountered complications during endodontic therapy, with 284 dentists (94.98%) experiencing complications during root canal shaping. The most prevalent complication was instrument fracture, reported by 235 dentists (82.75%). Key contributing factors to these complications included forced file passage, non-adherence to the instrumental sequence, and absence or inadequacy of irrigation. However, these incidents can be averted by adhering to a meticulous treatment protocol and respecting the various steps critical to the success of root canal shaping.
Conclusion: In conclusion, there exists a disparity between recommended best practices and the current practices in the field of endodontics, which can lead to multiple complications and subsequent endodontic treatment failures.

https://doi.org/10.15342/ijms.2023.718
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References

Hülsmann M, Peters OA, Dummer PM. Mechanical preparation of root canals: Shaping goals, techniques, and means. Endod Topics. 2005;10(1):30-76. https://doi.org/10.1111/J.1601-1546.2005.00152.X

Akhtar I, Smith J, Brown K, et al. Frequency of Procedural Errors during Root Canal Treatment Performed by Interns. Br Biotechnol J. 2016;12(1):1-8. https://doi.org/10.9734/BBJ/2016/23768

Aliuddin AM, Rashid S, Ali JZ. Difficulties faced by dental house officers during clinical endodontics. J Pak Dent Assoc. 2018;27(4)165-71. https://doi.org/10.25301/JPDA.274.165

Abdulrab S, Alaajam W, Al-Sabri F, Doumani M, Maleh K, Alshehri F, Alamer H, Halboub E. Endodontic procedural errors by students in two Saudi dental schools. Eur Endod J. 2018;3:186-9. https://doi.org/10.14744/eej.2018.29491

AlRahabi MK. Evaluation of complications of root canal treatment performed by undergraduate dental students. Libyan J Med. 2017;12(1):1345582. https://doi.org/10.1080/19932820.2017.1345582

Chevalier V, Vallaeys K, Fouillen KJ, Arbab-Chirani S, Gouedard C, Arbab-Chirani R. Instrumentation canalaire de préparation. Encyclopédie Médico Chirurgicale. 2010;(28-725-A-10):1. https://doi.org/10.1016/S1877-7864(19)92632-2

Estrela C, Pécora JD, Estrela CRA, Guedes OA, Silva BSF, Soares CJ et al. Common Operative Procedural Errors and Clinical Factors Associated with Root Canal Treatment. Braz Dent J. 2017;28(2):179-90. https://doi.org/10.1590/0103-6440201702451

Schilder H. Cleaning and shaping the root canal. Dent. Clin. North Am. 1974;18:269-96.

Fatih U, İrem E, Hüda MA. Solution methods of instrumentation related complications in endodontic treatment. Int J Contemp Dent Med Rev. 2020;020321:1-7. https://doi.org/10.15713/ins.ijcdmr.157

Alamoudi RA, Alharbi AH, Farie GA, Fahim O. The value of assessing case difficulty and its effect on endodontic iatrogenic errors: a retrospective cross-sectional study. Libyan J Med. 2020;15(1):1688916. https://doi.org/10.1080/19932820.2019.1688916

Vyver PV, Vorster M, Paleker F, Wet FA. Errors in root canal preparation: a review of the literature and clinical case reports. S Afr Dent J. 2019;74(5):246-54. https://doi.org/10.17159/2519-0105/2019/v74no5a6

Laurichesse JM, Maestroni F, Breillat J. Endodontie clinique. Paris : Éditions CdP, 1986

Kapalas A, Lambrianidis T. Factors associated with root canal ledging during instrumentation. Endod Dent Traumatol. 2000;16(5):229-31. https://doi.org/10.1034/j.1600-9657.2000.016005229.x

Lambrianidis T. Ledging and blockage of root canals during canal preparation: causes, recognition, prevention, management, and outcomes. Endod Top. 2009;15:56-74.

DOI: 10.1111/j.1601-1546.2009.00235.x

Bhuva B, Ikram O. Complications in Endodontics. Prim Dent J. 2020;9(4):52-58. https://doi.org/10.1177/2050168420963306

Scarlatescu SA, Gheorghiu I, Nicola G, Al Aloul AO, Perlea P. Frequent procedural errors and structural complications in endodontically treated teeth. Rom J Stomatol. 2021;67(2):101-6. https://doi.org/10.37897/RJS.2021.2.7

Hülsmann M, Peters OA, Dummer PMH. Mechanical preparation of root canals: shaping goals, techniques, and means. Endod Topics. 2005;10:30-76. https://doi.org/10.1111/j.1601-1546.2005.00152.x

Miccoli G, Seracchiani M, Zanza A, Giudice AD, Testarelli L. Possible Complications of Endodontic Treatments. J Contemp Dent Pract. 2020;21(5):473-4. https://doi.org/10.5005/jp-journals-10024-2811

Rosen E, Tsesis I, Tamse A, Bjørndal L, Taschieri S, Givol N. Medico-legal aspects of vertical root fractures in root-filled teeth. Int Endod J. 2012;45:7-11. https://doi.org/10.1111/j.1365-2591.2011.01938.x

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Copyright (c) 2023 Laslami K. et al.

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