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An Overview of Molar Endodontic Treatment by the Students of Fiji National University (FNU), College of Medicine, Nursing and Health Sciences (CMNHS) in 2007 and 2012


Abstract

Objectives: An audit to identify statement of correct diagnosis using current terminology, assessment of radiographic records and determination of its diagnostic value and establishing if root canal treatment initiated was completed. 

Methodology: A retrospective study where patient folders from 2007 and 2012 were extracted and data collection done by auditing folders which included – diagnosis, stabilization, working length, canal prep and obturation phases, final restoration placed, quality of radiographs and overall treatment. 

Results: Total of 47 patients in 2007 and 30 in 2012 were seen. In 2007, 39 % cases did not state status of pulp and root canal compared to 2012 (6 %). In 2007, 96 % did not state periapical status compared to 2012 (6 %). 100 % of cases in 2012 recorded cause of endodontic treatment compared to 2007 (27 %). Leading cause of seeking endodontic treatment was caries (2007-43 %, 2012-69 %) followed by failed restoration (2007-25 %, 2012-31 %). 2007 had a higher percentage of treatment completed (90 %) compared to 2012 (40 %). In 2007, 25 pre-operative radiographs were present (64 % had good diagnostic quality). All radiographs had correct placement of emboss dot and were correctly mounted. 8 were correctly labeled. All 14 post-operative radiographs had correct placement of emboss dot. 9/14 were of good diagnostic quality and 13 were correctly mounted. 

In 2012, 90 % of pre-operative radiographs had correct placement of emboss dot (86 % were of good diagnostic value). 28 were correctly mounted while 20 were correctly labelled. Out of the 13 completed root canal treatments, 7 final radiographs were present (100 % had good diagnostic quality). All were correctly mounted with emboss dot at their correct positions. 6 /7 radiographs were correctly labelled. 

Conclusion: It was identified that students overlook vital information that needs to be recorded at each stage of the endodontic treatment. Out of the 51 cases seen in 2007, 37 cases had incomplete diagnosis (72 %); 10 cases had no diagnosis (20 %) and 4 cases had incorrect diagnosis (8 %). In comparison however, it was noted that there was an improvement in recording diagnosis as 2012 had over 90 % of diagnoses that included all four aspects (tooth number, pulp or root canal status, periapical status and cause). Post – operative radiographs were taken only in some cases and it was thus difficult to radiographically assess the quality of restorations.

Key Words: audit, endodontic treatment, molar, retrospective study, university.

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