Frequency of perforations in endodontic treatment performed in patients treated in a university dental clinic in Ecuador, 2022
DOI:
https://doi.org/10.24265/kiru.2024.v21n4.02Keywords:
Endodontics; Iatrogenic Disease; Root Canal Therapy; Conservative Treatment.Abstract
Objectives: To determinate the frequency of perforations in the endodontic treatment performed in patients treated in a university dental clinic in Ecuador, 2022. Materials and Methods: A cross-sectional descriptive study was carried out with a simple random sampling, in 106 x-rays of patients between 20 and 50 years old. The frequency of drilling, the type of tooth, sex, age group and location of the lesion according to the root third were recorded. The chi square test was used to evaluate the relationship between the frequency of perforation and the other variables evaluated. Results: The frequency of perforations in endodontic treatment was 22.64%, being more common in incisor teeth represented by 29.31%, in female with 23.29%, in the age group between 20-34 years with 27.45% and in the apical third with 20.69% in the incisor teeth, there is no evidence of association with any of the variables reviewed. Conclusions: This type of injury affected a considerable number of patients, so stricter and more constant monitoring by supervisors is recommended to reduce the frequency of this type of iatrogenesis in the future.
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Maldonado F, Gómez V, Rosas C, Hernández S. Evaluación del éxito de tratamientos endodónticos realizados por estudiantes de pregrado en una universidad chilena. Int. J. Odontostomat. [Internet]. 2020 [citado el 27 de marzo de 2023];14(2):154-159. Disponible en: https://www.scielo.cl/pdf/ijodontos/v14n2/0718-381X-ijodontos-14-02-154.pdf
Pelicié G, Valdés H, Armas L. Falsas vías en pacientes atendidos en la Facultad de Estomatología de La Habana. Rev.Med.Electrón. [Internet]. 2018 [citado el 27 de marzo de 2023]; 40 (6): 1890-1910. Disponible en: http://scielo.sld.cu/pdf/rme/v40n6/1684-1824-rme-40-06-1890.pdf
Tsesis I, Rosenberg E, Faivishevsky V, Kfir A, Katz M, Rosen E. Prevalence and associated periodontal status of teeth with root perforation: a retrospective study of 2,002 patients' medical records. J Endod [Internet]. 2018 [citado el 27 de marzo de 2023];36(5):797-800. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S009923991000138X#:~:text=Root%20perforation%20is%20defined%20as,endodontically%20treated%20teeth%20(2).
Soares I, Cantarini C, Miraglia J, Goldberg F. Empleo del MTA en la obturación de perforaciones radiculares de origen iatrogénico. Rev Asoc Odontol Argent [Internet]. 2018 [citado el 27 de marzo de 2023];106:127-135. Disponible en: https://docs.bvsalud.org/biblioref/2019/03/981824/5-empleo-del-mta-en-la-obturacion-de-perforaciones.pdf
Pesqueira P, Carro H. Lesiones endoperiodontales. Odontología Vital [Internet]. 2017 [citado el 27 de marzo de 2023];(27):35-44. Disponible en: https://www.scielo.sa.cr/pdf/odov/n27/1659-0775-odov-27-35.pdf
Palomino M, Coaguila H, Mendiola C, Faria G. Manejo de perforaciones iatrogénicas desfavorables durante colocación de poste usando agregado de trióxido mineral: reporte de dos casos. Rev. Estomatol. Herediana [Internet]. 2021 [citado el 27 de marzo de 2023];31(4):311-316. Disponible en:http://www.scielo.org.pe/pdf/reh/v31n4/1019-4355-reh-31-04-311.pdf
Dastorani M, Shourvarzi B, Nojoumi F, Ajami M. Comparison of bacterial microleakage of Endoseal MTA sealer and Pro-Root MTA in root perforation. J Dent (Shiraz) [Internet]. 2021 [citado el 27 de marzo de 2023];22(2):96-101. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8206596/pdf/JDS-22-96.pdf
AlRahabi M. Evaluation of complications of root canal treatment performed by undergraduate dental students. Libyan J Med [Internet]. 2018 [citado el 27 de marzo de 2023];12(1):1-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5508642/pdf/zljm-12-1345582.pdf
Toubes K, Tonelli S, Girelli F, Azevedo G, Thompson C, Nunes E, Silveira F. Bio-C Repair - A new bioceramic material for root perforation management: Two case reports. Braz Dent J [Internet]. 2021 [citado el 27 de marzo de 2023];32(1):104-110. Disponible en: https://www.scielo.br/j/bdj/a/dVYsBBcjY53bNQVW9hc4qmm/?format=pdf&lang=en
Alzahrani O, Alghamdi F. Nonsurgical management of apical root perforation using mineral trioxide aggregate. Case Rep Dent [Internet]. 2021 [citado el 27 de marzo de 2023]; 2021:1-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012114/pdf/CRID2021-5583909.pdf
Asgary S. Management of an unrepairable root perforation due to inflammatory root resorption: A case report. J Dent Sci [Internet]. 2022 [citado el 27 de marzo de 2023];17(3):1409-1410. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9236960/pdf/main.pdf
Alrahabi M, Zafar M, Adanir N. Aspects of clinical malpractice in endodontics. Eur J Dent [Internet]. 2019 [citado el 27 de marzo de 2023];13(3):450-458. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890511/
Alves A, Morais L, Izelli F, Estrela R, Estrela C. A conservative approach to surgical management of root canal perforation. Case Rep Dent [Internet]. 2021 [citado el 27 de marzo de 2023]; 2021:1-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7843180/pdf/CRID2021-6633617.pdf
Adibi A, Sobhnamayan F, Ostovar Zijerdi N, Tajik M, Paknahad M. Comparison of the accuracy of CBCT images and apex locator in detection of external root resorption with perforation. J Dent (Shiraz) [Internet]. 2022 [citado el 28 de marzo de 2023];23(4):445-451. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9883623/pdf/JDS-23-445.pdf
Tavsan O, Simsek N. The effects of root canal perforation repair materials on the bond strength of fiber posts. J Appl Biomater Funct Mater [Internet]. 2021 [citado el 28 de marzo de 2023];19: 22808000211027050 https://journals.sagepub.com/doi/epub/10.1177/22808000211027050
Gonçalves W, Garcia F, Vieira D, Bortoluzzi A, Dias C, Teixeira D. Guided endodontics in root canals with complex access: Two case reports. Braz Dent J [Internet]. 2021 [citado el 28 de marzo de 2023]; 32(6):115-123. Disponible en: https://www.scielo.br/j/bdj/a/4TV5SyqddqQLrxnfymdQnzH/?format=pdf&lang=en
Deep A, Thakur S, Singhal P, Chawla D. Management of root perforation due to internal resorption: A 1-year follow-up study. Int J Clin Pediatr Dent [Internet]. 2021 [citado el 28 de marzo de 2023];14(4):593-595. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8585888/pdf/ijcpd-14-593.pdf
Swaminathan K, Rakkesh M, Haridoss S. Computed tomographic assessment of remaining dentin and risk of perforation after Kedo-S and Mtwo Rotary instrumentation in root canals of primary teeth: An in vitro study. Int J Clin Pediatr Dent [Internet]. 2022 [citado el 28 de marzo de 2023];15(Suppl 1):S87-S91. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9108826/pdf/ijcpd-15-s87.pdf
Shekarchizade N, Farhad A, Khalifezade S. The accuracy of three apex locators in determining the location of strip root perforation in different environments. Iran Endod J [Internet]. 2021 [citado el 28 de marzo de 2023];16(3):184-188. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9735256/pdf/IEJ-16-184.pdf
Alves P, Machado A, Barbosa A, Carvalho F, de Melo J, Jochims L. Evaluation of root perforation treatments with Mineral Trioxide Aggregate: A retrospective case series study. Iran Endod J [Internet]. 2019 [citado el 28 de marzo de 2023];14(2):144-151. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968388/pdf/IEJ-14-144.pdf
Terrazas T, González G, Liñán M, Ortiz M. Accidentes de procedimiento endodóntico. Presentación de un caso. Rev. Odont. Mex. [Internet]. 2011 [citado el 28 de marzo de 2023];15(3):183-188. Disponible en: https://www.scielo.org.mx/pdf/rom/v15n3/v15n3a8.pdf
Alshehri T, Aljami A, Alzayer H, Aljubran H, Faridi M, Khan S, Khabeer A. Assessment of modality and accuracy of single root canal treatment Performed by undergraduate students in Saudi Arabia: A Retrospective Study. Cureus [Internet]. 2023 [citado el 28 de marzo de 2023];15(1):1-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9901265/pdf/cureus-0015-00000033483.pdf
Ribeiro D, Réus J, Felippe W, Pacheco C, Dutra K, Santos J, Porporatti A, De Luca G. Technical quality of root canal treatment performed by undergraduate students using hand instrumentation: a meta-analysis. Int Endod J [Internet]. 2018 [citado el 28 de marzo de 2023];51(3):269-283. Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/iej.1285324.
Lin S, Tan W, Chan Z, Chua H, Yee C, Lazaldin A. Quality of endodontic record-keeping and root canal obturation performed by final year undergraduate dental students: An audit during the COVID-19 pandemic. PLoS One [Internet]. 2022 [citado el 28 de marzo de 2023];17(10):1-10. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9529118/pdf/pone.0275634.pdf
Adam M. Combined endo-perio lesions' - what is the best treatment? Evid Based Dent [Internet]. 2021 [citado el 29 de marzo de 2023];22(4):158-159. Disponible en: https://www.nature.com/articles/s41432-021-0230-y
Kakani A, Veeramachaneni C. Sealing ability of three different root repair materials for furcation perforation repair: An in vitro study. J Conserv Dent [Internet]. 2020 [citado el 29 de marzo de 2023];23(1):62-65. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657416/
Sarao S, Berlin Y, Levin L. Occurrence and risk factors of dental root perforations: A systematic review. Int Dent J [Internet]. 2020 [citado el 29 de marzo de 2023];71(2):96–105. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275354/pdf/main.pdf
Al-Nahlawi T, Ala M, Abu A. Endodontic perforation closure by five mineral oxides silicate-based cement with/without collagen sponge matrix. Int J Dent [Internet]. 2021 [citado el 29 de marzo de 2023]; 2021:1-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8443381/pdf/IJD2021-4683689.pdf
Vehkalahti M, Swanljung O. Accidental perforations during root canal treatment: an 8-year nationwide perspective on healthcare malpractice claims. Clin Oral Investig [Internet]. 2020 [citado el 19 de abril de 2023];24(10):3683-3690. Disponible en: https://link.springer.com/article/10.1007/s00784-020-03246-z
Hendi S, Karkehabadi H, Eskandarloo A. Iatrogenic errors during root canal instrumentation performed by dental students. Iran Endod J [Internet]. 2018 [citado el 12 de mayo de 2023];13(1):126-131. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800454/pdf/iej-13-126.pdf
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