Analysis of means and methods of endodontic treatment in dental organizations according to the data of a survey of dentists of the Samara region (Russia)

Authors

  • M.A. Postnikov 1, PhD in Medical Sciences, full professor of the Therapeutic dentistry Department
    ORCID: 0000-0002-2232-8870
  • M.S. Korchagina 1, assistant at the Therapeutic dentistry Department
    ORCID: 0000-0002-1876-0820
  • T.M. Tkach 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department
    ORCID: 0000-0002-2153-5018
  • Yu.A. Shukhorova 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department
    ORCID: 0000-0003-3289-3993
  • O.A. Magsumova 1, assistant at the Therapeutic dentistry Department
    ORCID: 0000-0002-0511-6550
  • G.K. Burda 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department
    ORCID: 0000-0002-8943-4547
  • O.E. Simanovskaya 1, PhD in Medical Sciences, associate professor of the Therapeutic dentistry Department
    ORCID: 0000-0002-7741-272X
  • 1 Samara State Medical University, 443001, Samara, Russia

Abstract

Currently, there is an improvement and innovation of technologies in the field of endodontics, however, the issue of the quality of endodontic care remains relevant to this day. In the modern practice of a dentist, there are many methods of endodontic treatment, the success of which is determined by the level of training of a specialist, the material equipment of the institution, as well as the state of health of the patient himself. The aim is to analyze the means and methods of endodontic treatment in budgetary and non-budgetary organizations according to the data of a survey of dentists in the Samara region.
Materials and methods.
A survey (interviewing) of general practitioners and dentists-therapists of dental organizations of the Samara region of various forms of ownership was carried out. The respondents answered 24 questions of the questionnaire, which made it possible to assess not only the level of professional training of specialists, the degree of awareness of the quality criteria for the services provided in the field of endodontic treatment, but also to assess the material and technical equipment of the specialists’ workplaces. 268 specialists took part in the survey, including 112 doctors of state medical organizations (group I) and 156 doctors of private practice (group II). Based on the data obtained, an analysis of the two study groups was carried out.
Results.
An analysis of the means and methods of endodontic treatment in budgetary and non-budgetary dental organizations of the Samara region showed a slight difference in diagnostics and examination methods, assessing the level of professional training of specialists, the degree of awareness of the protocols and quality criteria for performing endodontic treatment, however, the level of equipment of the dentist’s workplace in private clinics higher, which significantly improves the quality of instrumental processing, irrigation and obturation of root canals.
Conclusions.
In our opinion, the quality of the provision of outpatient dental care is explained by the difference in the protocols of endodontic treatment in the compulsory medical insurance system and paid services.

Key words:

endodontic treatment, dentist, questionnaire

For Citation

[1]
Postnikov M.A., Korchagina M.S., Tkach T.M., Shukhorova Yu.A., Magsumova O.A., Burda G.K., Simanovskaya O.E. Analysis of means and methods of endodontic treatment in dental organizations according to the data of a survey of dentists of the Samara region (Russia). Clinical Dentistry (Russia).  2021; 24 (2): 122—129

References

  1. Bainazarova N.T., Iskakova M.K. Analysis of endodontic treatment, prevention of complications (according to the literature). Vestnik KazNMU. 2017; 3: 184—7 (In Russ.).
  2. Jain A., Nikhil V., Bansal P. Effect of root canal preparation, obturation, and retreatment on the induction of dentinal microcracks: A microcomputed tomography study. J Conserv Dent. 2018; 21 (5): 521—5. PMID: 30294114.
  3. Sakharuk N.A., Veretennikova A.A., Zekov N.I. The evaluation of immediate and remote results of endodontic treatment. Vestnik of Vitebsk State Medical University. 2015; 5: 108—13 (In Russ.). eLIBRARY ID: 24435145.
  4. Jafarzadeh M., Saatchi M., Jafarnejadi P., Gooran M. Digital radiographic evaluation of the quality of different root canal obturation techniques in deciduous mandibular molars after preparation with rotary technique. J Dent (Shiraz). 2019; 20 (3): 152—158. PMID: 31579688. J Dent (Shiraz). 2019; 20 (3): 152—158. PMID: 31579688
  5. Gomes B.P., Drucker D.B., Lilley J.D. Associations of specific bacteria with some endodontic signs and symptoms. Int Endod J. 1994; 27 (6): 291—8. PMID: 7751061.
  6. Daurova F.Yu., Tomaeva D.I., Podkopaeva S.V., Taptun Yu.A. Applying of high-frequency monopolar diathermocoagulation in the treatment of chronic. Medical alphabet. 2020; 12: 40—2 (In Russ.). eLIBRARY ID: 44085529.
  7. Shumilovich B.R, Rostovtsev V.V., Adunts L.M., Selin R.V. Nickel-titanium tool V generation an innovative approach to the machining of root canals. Clinical capabilities, the protocol of work and the comparative characteristics of the instrument (clinical review). Successes of modern science. 2017; 6 (vol. 1): 67—74 (In Russ.). eLIBRARY ID: 29820922.
  8. Biragova A.K., Belenchekov A.A., Ephiev A.A. Determination of the effectiveness of manual nickel-titanium tools during the mechanical treatment of root canals with various anatomy in the experiment. Journal of New Medical Technologies. 2019; 1: 79—81 (In Russ.). eLIBRARY ID: 37024690.
  9. Tonakanian L.E. Endodontic treatment: comparative characteristics of root treatment and obturation methods channels. Bulletin of Medical Internet Conferences. 2017; 9: 1475—7 (In Russ.).
  10. Maslak E.E., Matvienko N.V., Osokina A.S., Krivtsova D.A., Arjenovskaya E.N. Pulpotomy efficiency in primary molars: outcomes of 24-month randomized clinical trial. The Dental Institute. 2020; 4 (89): 40—1 (In Russ.). eLIBRARY ID: 44287043.
  11. Tomson P.L., Simon S.R. Contemporary cleaning and shaping of the root canal system. Prim Dent J. 2016; 5 (2): 46—53. PMID: 28826433.
  12. Daurova F.Yu ., Dikopova N.Z., Nosik A.S., Tomaeva D.I., Volkov N.A. Study of antibacterial efficiency of application of high frequency monopolar diatermocoagulation in endodontia . Scientific news. 2019; 11 (16): 63—70 (In Russ .).
  13. Mamedzade R.E. Modern materials, technique of irrigation and activation in endodontic treatment. Dentistry bulletin. 2017; 1 (98): 66—9 (In Russ.).
  14. Chubb D.W.R. A review of the prognostic value of irrigation on root canal treatment success. Aust Endod J. 2019; 45 (1): 5—11. PMID: 30980478.
  15. Tishkov D.S. Efficiency of irrigation of root canals by a continuous ultrasonic irrigation system. Regional bulletin. 2020; 3 (42): 22—3 (In Russ.).
  16. Subbotina A.V., Dmitrakova N.R., Murtazina L.R., Faizullina E.I. Evaluation of root canal obturation by lateral condensation of gutta-percha with ultrasound activation. Health, Demography, Ecology of Finno-Ugric People. 2016; 3: 94—6 (In Russ.). eLIBRARY ID: 26716751.
  17. Miklaev S.V., Leonova O.M. Sealers hermetic ability assessment for root canal obturation. Medicine and Physical Education: Science and Practice. 2019; 1: 22—7 (In Russ.). eLIBRARY ID: 41489241.
  18. Roizenblit R.N., Soares F.O., Lopes R.T., Dos Santos B.C., Gusman H. Root canal filling quality of mandibular molars with EndoSequence BC and AH Plus sealers: A micro-CT study. Aust Endod J. 2020; 46 (1): 82—87. PMID: 31556201.
  19. Tokmakova S.I., Lunitsyna J.V., Bondarenko O.V., Chechina I.N., Besedina I.S. Comparative study of the effectiveness of methods of root canals filling with cold high-flow gutta-percha in the experiment. Pacific Medical Journal. 2020; 2 (80): 76—8 (In Russ.). eLIBRARY ID: 42896113.
  20. Al-Hiyasat A.S., Alfirjani S.A. The effect of obturation techniques on the push-out bond strength of a premixed bioceramic root canal sealer. J Dent. 2019; 89: 103169. PMID: 31326527.
  21. Zhang C.Y., Yu H., Lin Q., Taira Y., Cheng H. Effects of different root canal obturation techniques on the bond strength of fiber post to intraradicular dentine. Chin J Dent Res. 2019; 22 (3): 189—196. PMID: 31508607.
  22. Liang Y.H., Yue L. [Root canal treatment: obturation of the root canal system]. Zhonghua Kou Qiang Yi Xue Za Zhi. 2019; 54 (12): 859—63. PMID: 31874489.
  23. Belenova I.A., Mitronin A.V., Sushchenko A.V., Kudrjavtsev O.A., Zhako I.V. Evolution endodontic obturation of systems as indicator of technical progress in stomatology. Endodontics Today. 2017; 1: 36—41 (In Russ.).
  24. Sukhikh M.O. Comparative evaluation of root canal obturation techniques in teeth with internal resorption. International Student Scientific Bulletin. 2019; 5—2: 1 (In Russ.). eLIBRARY ID: 41299273.
  25. Meirinhos J., Martins J.N.R., Pereira B., Baruwa A., Gouveia J., Quaresma S.A., Monroe A., Ginjeira A. Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration a cross-sectional study. Int Endod J. 2020; 53 (4): 573—84. PMID: 31749154.
  26. Romanova T.V. Perspectives on the use of an operational microscope for the treatment of perforation defects. Proceedings of the “Young Scientists to Medicine” conference. Samara, 2009. P. 337—343 (In Russ.).
  27. Umarova D.A. The use of endodontic treatment technologies in the Chechen Republic and their material and technical support: master’s thesis. Moscow: Institute for Advanced Training of the Federal Medical and Biological Agency, 2011. 137 p. (In Russ.). eLIBRARY ID: 19259471.
  28. Kim S.R., Kwak S.W., Lee J.-K., Goo H.-J., Ha J.-H., Kim H.-C. Efficacy and retrievability of root canal filling using calcium silicate-based and epoxy resin-based root canal sealers with matched obturation techniques. Aust Endod J. 2019; 45 (3): 337—345. PMID: 30614168.
  29. Dolgalev A.A., Nechaeva N.K., Ivancheva E.N., Nagoryansky V.Yu. The use of cone beam computed tomography in endodontics (Part I). Analysis of root canal topography. Endodontics Today. 2017; 1: 68—71 (In Russ.).
  30. Fedotova Yu.M., Golovin A.D. Pain after endodontic tooth filling. International Student Scientific Bulletin. 2016; 6: 66 (In Russ.). eLIBRARY ID: 27508610.
  31. Pleshkova T.P., Nenasheva A.A., Dushchenko V.I., Zorina V.V., Veliev A.S. Pain after endodontic treatment of teeth. International Student Scientific Bulletin. 2018; 1: 16 (In Russ.). eLIBRARY ID: 32517609.
  32. Rozenbaum A.Yu., Tlustenko V.P., Postnik M.A. Effect of erbium-chromium laser modes on the effectiveness of antibacterial root canal treatment in chronic apical periodontitis. Endodontics Today. 2016; 3: 15—8 (In Russ.)]. https: //www.endodont.ru/jour/article/view/281.
  33. Blinov V.S., Blinova A.S., Chibisova M.A., Zorihina N.A. Endodontic treatment of a maxillary lateral incisor with two root and root canals: a case report. The Dental Institute. 2019; 4 (85): 87—9 (In Russ.). eLIBRARY ID: 41717313.

Received

January 15, 2021

Accepted

March 26, 2021

Published on

June 1, 2021