Page 136 - 7. FINAL draft Compendium 2019 2020_22072022

RADIOGRAPHIC ASSESSMENT OF THE TECHNICAL QUALITY OF FAILED ROOT-FILLED
TEETH REFERRED FROM GENERAL DENTAL PRACTITIONERS IN PAHANG, MALAYSIA: A
RETROSPECTIVE STUDY.
NMRR-18-2733-43173

Ahmad F, Sebastian JR

Objective: To perform a radiographic assessment of the technical quality of the root canal
fillings in failed endodontic cases referred from general dental practitioners in Pahang,
Malaysia. Materials and Methods: Patient’s clinical details and periapical radiographs were
obtained from dental records. Out of the total 237 dental patients with failed endodontic
cases referred from the year 2009 to 2017, 165 root filled teeth were selected, after taking
into consideration of the inclusion and exclusion criteria. Assessment of the technical
quality of root canal fillings was done using periapical radiographs. The radiographic
technical quality of root canal fillings was evaluated by the length, density and taper
according to the criteria used in a study by Barrieshi-Nusair et al. 2004. Descriptive statistics
and Chi square test were used for statistical analysis. Results: Only 20.0% of the total
number of teeth had adequate root canal fillings, 80.0% were inadequate. Maxillary
incisors had the highest frequency of inadequate root fillings at 49.2%, followed by
mandibular molars (21.2%) and maxillary premolars (12.9%). 83% of the root treated teeth
showed periapical lesion. There was a statistically significant difference between the
adequate and inadequate quality of root canal filling in relation to periapical lesion (p <
0.05). The radiographic technical quality of root canal fillings in failed endodontic cases
referred from general dental practitioners in Pahang is found to be inadequate (80.0%).
Conclusion: There is a substantial need for reinforcement of correct endodontic
procedures and continuing dental education for dental practitioners after graduation.

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Poster presentation at the 27 MDA Scientific Convention & Trade Exhibition, KLCC on 14 February 2020
Dr Fauziah Ahmad
Restorative Dental Specialist Unit
Beserah Dental Clinic
Kuantan Pahang

Dr Jacinta Rajah a/p Sebastian Rajah
Pulapol Dental Clinic
Kuala Lumpur

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