Journal of Oral Health and Oral Epidemiology

Journal of Oral Health and Oral Epidemiology

Knowledge and clinical judgment of Iranian general dentists on vertical root fracture

Document Type : Original Article(s)

Authors
Peyman Mehrvarzfar 1
Pooneh Mohebbi 2
Mojdeh Akrami-Afshari 3
Sohrab Tour-Savadkouhi 2
1 Associate Professor, Department of Endodontics, School of Dentistry, Dental Branch, Islamic Azad University, Tehran, Iran
2 Assistant Professor, Department of Endodontics, School of Dentistry, Dental Branch, Islamic Azad University, Tehran, Iran
3 Student of Dentistry, Department of Endodontics, School of Dentistry, Dental Branch, Islamic Azad University, Tehran, Iran
10.22122/johoe.v7i1.253
Abstract
BACKGROUND AND AIM: This study was conducted with the aim to investigate the knowledge and clinical judgment of Iranian general dentists and related factors on the diagnosis and treatment plan of vertical root fracture (VRF).METHODS: A questionnaire was distributed among 300 general dentists who attended in Iranian General Dentists Association (IGDA) congress in 2015. The questionnaire comprised of demographic information and nine closed-end questions on the knowledge on VRFs and different treatment options and seven photographs for clinical judgment evaluation. The answers to all questions were assessed and data were analyzed by chi-square test.RESULTS: 271 individuals (50.7% men and 49.3% women) participated in the study and responded the questions of the questionnaire correctively. Of the subjects, 88.3% and 76.3% had low to moderate clinical judgment and knowledge about vertically fractured teeth, respectively. The correlation between knowledge of participants attending in short endodontic courses was higher than that of those not attended in these courses; the difference between these two groups was statistically significant (P = 0.0005). The correlation between clinical judgment, gender, past clinical activity, attendance in short endodontic courses, and field of clinical interest among participants was not significantly different (P = 0.1900).CONCLUSION: It seems that knowledge and clinical judgment are weak among general dentists requiring serious improvement. Fortunately, short endodontic courses may improve their knowledge of diagnosis and interventions related to teeth undergoing VRF.
Keywords
Surveys and Questionnaires
Judgment
dentists
Tooth Fractures
Tooth Root
  1. Dhawan A, Gupta S, Mittal R. Vertical root fractures: An update review. J Res Dent 2014; 2(3): 107-13.
  2. Ricucci D, Siqueira JF Jr, Loghin S, Berman LH. The cracked tooth: Histopathologic and histobacteriologic aspects. J Endod 2015; 41(3): 343-52.
  3. Chai H, Tamse A. The effect of isthmus on vertical root fracture in endodontically treated teeth. J Endod 2015; 41(9): 1515-9.
  4. Brady E, Mannocci F, Brown J, Wilson R, Patel S. A comparison of cone beam computed tomography and periapical radiography for the detection of vertical root fractures in nonendodontically treated teeth. Int Endod J 2014; 47(8): 735-46.
  5. Khasnis SA, Kidiyoor KH, Patil AB, Kenganal SB. Vertical root fractures and their management. J Conserv Dent 2014; 17(2): 103-10.
  6. Talwar S, Utneja S, Nawal RR, Kaushik A, Srivastava D, Oberoy SS. Role of cone-beam computed tomography in diagnosis of vertical root fractures: A systematic review and meta-analysis. J Endod 2016; 42(1): 12-24.
  7. Junqueira RB, Verner FS, Campos CN, Devito KL, do Carmo AM. Detection of vertical root fractures in the presence of intracanal metallic post: A comparison between periapical radiography and cone-beam computed tomography. J Endod 2013; 39(12): 1620-4.
  8. Chan CP, Tseng SC, Lin CP, Huang CC, Tsai TP, Chen CC. Vertical root fracture in nonendodontically treated teeth-a clinical report of 64 cases in Chinese patients. J Endod 1998; 24(10): 678-81.
  9. Hassan B, Metska ME, Ozok AR, van der Stelt P, Wesselink PR. Detection of vertical root fractures in endodontically treated teeth by a cone beam computed tomography scan. J Endod 2009; 35(5): 719-22.
  10. Nogueira Leal da Silva EJ, Romao Dos Santos G, Liess Krebs R, Coutinho-Filho Tde S. Surgical alternative for treatment of vertical root fracture: A case report. Iran Endod J 2012; 7(1): 40-4.
  11. Fuss Z, Lustig J, Tamse A. Prevalence of vertical root fractures in extracted endodontically treated teeth. Int Endod J 1999; 32(4): 283-6.
  12. Neves FS, Freitas DQ, Campos PS, Ekestubbe A, Lofthag-Hansen S. Evaluation of cone-beam computed tomography in the diagnosis of vertical root fractures: The influence of imaging modes and root canal materials. J Endod 2014; 40(10): 1530-6.
  13. TAMSE A. Vertical root fractures in endodontically treated teeth: Diagnostic signs and clinical management. Endod Topics 2006; 13(1): 84-94.
  14. Valenca PC, Gonzaga CC, Correr GM, Deliberador TM, Haragushiku GA, Leonardi DP, et al. Evaluation of professors' and students'knowledge on crown-root fractures. Rev Sul-Bras Odontol 2010; 7(4): 450-7.
  15. Tamse A, Fuss Z, Lustig J, Kaplavi J. An evaluation of endodontically treated vertically fractured teeth. J Endod 1999; 25(7): 506-8.
  16. Re D, Augusti D, Paglia G, Augusti G, Cotti E. Treatment of traumatic dental injuries: Evaluation of knowledge among Italian dentists. Eur J Paediatr Dent 2014; 15(1): 23-8.

  • Receive Date 12 September 2016
  • Accept Date 12 March 2019