University of Khartoum

Attitude and Behavior of General Dental Practitioners in Khartoum State towards Intra-canal Fracture of Endodontic Instruments

Attitude and Behavior of General Dental Practitioners in Khartoum State towards Intra-canal Fracture of Endodontic Instruments

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Title: Attitude and Behavior of General Dental Practitioners in Khartoum State towards Intra-canal Fracture of Endodontic Instruments
Author: Hamid, Ethar Osman Mukhtar
Abstract: Introduction:- Intra-canal fracture of endodontic instruments is a common and frustrating event that can occur during root canal preparation. When an instrument fractures, its removal is both technically difficult and time consuming. Therefore it is of key importance to prevent its occurrence. When accident occurs, dental ethics must guide the clinician in case management and documentation.The present studyinvestigated the attitude and behavior of general dental practitioners (GDPs) in Khartoum state towards the intra-canal fracture of endodontic instruments. Method:- One hundred and thirty one questionnaires were distributed and filled by general dental practitioners practicing in private dental clinics, dental primary health centers, dental hospitals and dental faculties/schools in Khartoum State. The questionnaire contained 35 questions, covering aspects like practitioner’s experience of instrument fracture, their management, and complications faced them. Results:- A completed 131 questionnaires had been returned making a total response rate of 100%.More than half of participant (57.3%) had only 1-3 years in dental practice while only 5.3% had more than 10 years. Seventy four percent of the participants examine their endodontic instruments before use. Most of the participants (68.7%) discard their endodontic instruments after noticing defects. 76.3% of the participants had experienced fractured instrument. The most common technique used for instrument retrieval is using H file. The most common complications that faced GDPs were ledge formation and canal blockage. When fractured instrument is left within the canal system, 79% of GDPs always inform the patient and 67% of them always record the accident. Conclusion:- There is reasonable awareness of GDPs towards instrument examination and ethical consideration of instrument fracture. The behaviour of GDPs towards endodontic instruments discards is far from ideal. There is poor adoption of GDPs to the use of rotary instruments, retrieval systems and magnifications.
Description: 77 Pages
URI: http://khartoumspace.uofk.edu/123456789/16957
Date: 2015-11-11


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