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Endodontic Procedural Errors: Frequency, Type of Error, and the Most Frequently Treated Tooth
Waqas Yousuf1, Moiz Khan2, Hasan Mehdi1
1Department of Oral Surgery, Fatima Jinnah Dental College and Hospital, Karachi, Sindh, Pakistan.
Endodontic treatment errors, particularly overfilling and underfilling, are common, especially in molars. Maintaining working length accuracy is crucial to minimize these procedural mistakes in root canal therapy.
Area of Science:
- Dentistry
- Endodontics
- Radiology
Background:
- Endodontic treatment is a common dental procedure.
- Procedural errors can compromise treatment outcomes.
- Identifying common errors and treated teeth aids in improving clinical practice.
Purpose of the Study:
- To identify the most frequently endodontically treated teeth.
- To determine the most common procedural errors in endodontic treatment.
- To analyze the association between specific errors and tooth types.
Main Methods:
- Retrospective analysis of 1748 periapical radiographs of root canal treated teeth.
- Assessment for procedural errors including overfill, underfill, ledge formation, perforations, apical transportation, and instrument separation.
- Evaluation using DIGORA Optime software.
Main Results:
- 32.8% of assessed teeth (574/1748) had at least one procedural error.
- Overfilling (22.7%) and underfilling (8.9%) were the most frequent errors.
- The right permanent mandibular first molar was the most commonly treated tooth (11.3%).
Conclusions:
- Errors related to working length accuracy constitute the majority of procedural mistakes.
- Practitioners require enhanced attention to working length during endodontic procedures.
- Molars necessitate particular care during root canal treatment to prevent errors.
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