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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh Area
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Evaluation of the Factors and Treatment Options of Separated Endodontic Files Among Dentists and Undergraduate Students in Riyadh Area

机译：利雅得地区牙医和大学生单独牙髓锉的因素和治疗选择的评估

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Introduction: Separation of endodontic files during root canal treatment is a common multifactorial problem facing most of dental practitioners both dentists and students that has high impact on treatment and prognosis outcome. Aim: To compare the incidence, factors and treatment options of separated endodontic files among dentists and undergraduate students in Riyadh area. Materials and Methods: A survery of 35-questionnaire was formulated and e-mailed to all 149 dentists of different dental specialties who are working in different clinical centers in Riyadh area and are attending the 26th Saudi Dental Society International Dental Conference in addition to 130 undergraduate students in different dental colleges in Riyadh. Overall, 118 participants of dentists completed the survey, with response rate of 79% and the same number of students with response rate of 90.7%. Results: Total of 57.6% dentists? faced separated files problem during root canal preparation, while only 7.6% of students faced this problem. 53% of separated endodontic files (SEF) were hand files, 65% stainless steel files, 81% were small size files most common sizes (#15-20) (p <0.0001). Causes of SEF were root Canal anatomy, in 45%. 66% of SEF occurred in curved canals, 98% were in molars in mesiobuccal and mesiolingual canals, (p <0.0001). 44% of SEF were successfully bypassed, 53% were successfully removed from coronal third of root canal, 42% of SEF successfully removed using ultrasonics under visualization of operating microscope. 73% of retained SEF cases showed good prognosis, (p <0.0001). Conclusion: SEF is a multifactorial clinical problem that must be either removed, by passed to allow complete cleaning, shaping, disinfection, obturation and effective coronal seal.
机译：简介：根管治疗期间牙髓锉的分离是大多数牙科医生，牙医和学生都面临的一个普遍的多因素问题，对治疗和预后结果有很大影响。目的：比较利雅得地区牙医和大学生分离牙髓锉的发生率，因素和治疗选择。材料和方法：编制了一份调查问卷，共35个问卷，并通过电子邮件发送给了在利雅得地区不同临床中心工作，并参加了第26届沙特牙科学会国际牙科会议的149名不同牙科专业的牙医以及130名本科生利雅得不同牙科学院的学生。总体上，共有118名牙医参与者完成了调查，答复率为79％，与之相同的学生人数为90.7％。结果：总共有57.6％的牙医？根管准备过程中遇到文件分离的问题，而只有7.6％的学生面临此问题。分开的牙髓锉（SEF）中有53％是手工锉，有65％是不锈钢锉，有81％是最常见的小尺寸锉（＃15-20）（p <0.0001）。 SEF的原因是根管解剖，占45％。 SEF发生在弯曲管中的占SEF的66％，中颊颊和舌中管的磨牙中占98％（p <0.0001）。在手术显微镜的观察下，成功绕过SEF的44％，已从根管冠状三分之一处成功去除了53％，通过超声成功地去除了SEF的42％。 73％保留的SEF病例预后良好（p <0.0001）。结论：SEF是一个多因素临床问题，必须予以清除，必须通过彻底清除，整形，消毒，闭塞和有效的冠状动脉封闭。

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