Kanal Tedavisi Sırasında ve Sonrasında Ağrısı Olan Hastalarda Endodontist ve Genel Diş Hekimlerinin Tedavi Yaklaşımlarının Karşılaştırılması
Öz
Amaç: Bu çalışmanın amacı endodontik nedenlerden dolayı ağrı şikayetiyle diş hekimliği kliniklerine başvuran hastalara hekimlerin yaklaşımları arasındaki farklılıkları anket yoluyla araştırmaktır.
Gereç ve Yöntemler: Türkiye genelinde genel diş hekimliği yapan ve endodonti alanında çalışan diş hekimlerine yönelik hazırlanan anket, Google Formlar aracılığıyla düzenlenerek katılımcılara e-posta yoluyla gönderildi. Araştırmaya katılmayı kabul eden gönüllü diş hekimleri örneklem kapsamına alındı. Ankete 56'sı endodonti uzmanı, 147’si genel diş hekimi olmak üzere toplam 203 diş hekimi katıldı. Anket iki bölüm halinde tasarlandı. Birinci bölümde yaş, cinsiyet, eğitim düzeyi gibi kişisel bilgiler yer almaktadır. İkinci bölümde ise diş hekimlerinin endodontik tedavi uygulamalarına yaklaşım protokolleri arasındaki farklılıkların belirlenmesi amaçlandı. Endodontist ve genel diş hekimlerinin güncel konuları takip etme yöntemleri, tek seans veya çoklu seans tercihleri ve ağrı şikayetiyle başvuran hastalara yönelik tedavi yaklaşımları değerlendirildi.
Bulgular: Endodontist ve genel diş hekimlerinin güncel konuları takip etme yöntemleri, tek seans veya çoklu seans tercihleri ve ağrı şikayetiyle başvuran hastalara yönelik tedavi yaklaşımları arasında istatistiksel olarak anlamlı farklılıklar bulundu (p<0,05).
Sonuç: Pulpal ve periapikal enfeksiyonların tedavisi sırasında tedaviyi yapan diş hekiminin davranış ve tutumu uzmanlık düzeyi ile yakından ilişkilidir. Ayrıca farklı klinik senaryolar da bu davranışları etkilemektedir. Ek olarak, mevcut çalışmanın sonuçları hem endodontistlerin hem de genel diş hekimlerinin yüksek oranda antibiyotik reçete ettiğini göstermiştir.
Anahtar Kelimeler
Kaynakça
- Siqueira JF Jr, Rôças IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod. 2002; 28(6): 457-60.
- McCaul LK, McHugh S, Saunders WP. The influence of specialty training and experience on decision making in endodontic diagnosis and treatment planning. Int Endod J. 2001; 34(8): 594-606.
- Huumonen S, Kvist T, Gröndahl K, Molander A. Diagnostic value of computed tomography in re-treatment of root fillings in maxillary molars. Int Endod J. 2006; 39(10): 827-33.
- Reit C, Gröndahl HG. Endodontic decision-making under uncertainty: a decision analytic approach to management of periapical lesions in endodontically treated teeth. Endod Dent Traumatol. 1987; 3(1): 15-20.
- O. A. Peters and C. I. Peters, “Cleaning and Shaping of the Root Canal System,” in Pathways of The Pulp, Tenth Edit., K. M. Hargreaves, S. Cohen, and L. H. Berman, Eds. St.Louis: Elsevier Inc., 2011, pp. 283-349.
- Bidar M, Gharechahi M, Soleimani T, Eslami N. A Survey over the Dentists' and Endodontists' Approaches towards the Management of Endodontic Emergencies in Mashhad, Iran. Iran Endod J. 2015; 10(4): 256-62.
- Nabavizadeh MR, Sahebi S, Nadian I. Antibiotic prescription for endodontic treatment: general dentist knowledge + practice in shiraz. Iran Endod J. 2011; 6(2): 54-9.
- Unal GC, Kaya BU, Tac AG, Kececi AD. Survey of attitudes, materials and methods preferred in root canal therapy by general dental practice in Türkiye: Part 1. Eur J Dent. 2012; 6(4): 376.
- Didem A. Türkiye’de diş hekimlerinin endodontik tedavi yaklaşımlarının değerlendirilmesi [Uzmanlık Tezi]: İstanbul Üniversitesi; 2019.
- Pertek Hatipoğlu F, Hatipoğlu Ömer, Arıcıoğlu B. Türk dişhekimlerinin endodontik tedavi prosedürlerindeki yaklaşımlarının incelenmesi. 2020; 11: 54-64.
- Ghandhi D, Bodani N, Lal A, Maqsood A, Ahmed N, Basha S, et al. Evaluation of social media usage by dental dentists of pakistan for professional purposes - a cross-sectional study. Clin Cosmet Investig Dent. 2022; 14: 245-52.
- Rajeh MT, Aboalshamat KT, Nassar AA, Sembawa SN, Al Hebshi SA, Badri MK. Insights on using social media in dental education: a cross-sectional study in Saudi Arabia. Open Dent J. 2020; 14(1): 717-23.
- Siqueira JF Jr, Lopes HP, Elias CN. Obturação dos canais radiculares. In: Lopes HP, Siqueira JF Jr, editors. Endodontia: biologia e técnica. 3th ed. Rio de Janeiro: Guanabara Koogan;2010. p. 641-670.
- Almeida DO, Chaves SCL, Souza RA, Soares FF. Outcome of single- vs multiple-visit endodontic therapy of nonvital teeth: a meta-analysis. J Contemp Dent Pract 2017; 18(4): 330-6.
- Kengel BM, Altunbaş D, Akpınar KE. Diş hekimlerinin periapikal radyografiler ve konik ışınlı bilgisayarlı tomografi (cbct) görüntülerine göre uygulayacakları endodontik tedavi seçeneklerinin karşılaştırılması. Ata Diş Hek Fak Derg. 2021; 31(4): 491-9.
- Sjögren U, Figdor D, Persson S, Sundqvist G. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J 1997; 30(5): 297-306.
- Sjögren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990; 16(10): 498-504.
- Dorn SO, Moodnik RM, Feldman MJ, Borden BG. Treatment of the endodontic emergency: a report based on a questionnaire--part I. J Endod. 1977; 3(3): 94-100.
- Cohen S, Hargreaves KM. Pathways of the pulp. 10 ed. St Louis: Mosby; 2011.
- Kandemir S, Ergül N. Grievances in cases using antibiotics due to orodental problems and assessment of the need for antibiotics. Int Dent J. 2000; 50(2): 73-7.
- Deniz-Sungur D, Aksel H, Karaismailoglu E, Sayin TC. The prescribing of antibiotics for endodontic infections by dentists in Türkiye: a comprehensive survey. Int Endod J. 2020; 53(12): 1715-27.
- American Association of Endodontists Position Statement 2017, Segura-Egea et al. 2017a,b, European Society of Endodontology 2018.
- Keenan JV, Farman AG, Fedorowicz Z, Newton JT. A Cochrane systematic review finds no evidence to support the use of antibiotics for pain relief in irreversible pulpitis. J Endod. 2006; 32(2): 87-92.
- Cope AL, Francis N, Wood F, Chestnutt IG. Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults. Cochrane Database Syst Rev. 2018; 9(9): CD010136.
- Song M, Chung W, Lee SJ, Kim E. Long-term outcome of the cases classified as successes based on short-term follow-up in endodontic microsurgery. J Endod. 2012; 38(9): 1192-6.
Comparison of Treatment Approaches of Endodontists and General Dentists to Patients Presenting Pain During or After Root Canal Treatment
Öz
Aim: The aim of this study is to investigate, through a survey, the differences between physicians' approaches to patients who apply to dentistry clinics with pain due to endodontic reasons.
Material and Methods: The survey prepared for dentists working as general dentists and in the field of endodontics throughout Türkiye was organized via Google Forms and sent to the participants by e-mail. Volunteer dentists who agreed to participate in the study were included in the sample. A total of 203 dentists, including 56 endodontists and 147 general dentists, participated in survey. The survey was designed in two parts. The first part consisted of personal information such as age, gender and education level. The second part aimed to identify different approach protocols during endodontic treatment practices of dentists. Endodontists’ and dentists’ methods of following current issues, single-session or multi-session preferences, and treatment approaches to patients presenting with pain were evaluated.
Results: Statistically significant differences were found between endodontists’ and dentists’ methods of following current issues; single-session or multi-session preferences, and treatment approaches to patients presenting with pain (p<0.05).
Conclusion: During treatment of pulpal and periapical infections, behavior and attitude of treating dentist are closely related to the level of expertise. In addition, different clinical scenarios also affect these behaviors. Additionally, the results of the current study showed that both endodontists and general dentists prescribe antibiotics at high rates.
Anahtar Kelimeler
Kaynakça
- Siqueira JF Jr, Rôças IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod. 2002; 28(6): 457-60.
- McCaul LK, McHugh S, Saunders WP. The influence of specialty training and experience on decision making in endodontic diagnosis and treatment planning. Int Endod J. 2001; 34(8): 594-606.
- Huumonen S, Kvist T, Gröndahl K, Molander A. Diagnostic value of computed tomography in re-treatment of root fillings in maxillary molars. Int Endod J. 2006; 39(10): 827-33.
- Reit C, Gröndahl HG. Endodontic decision-making under uncertainty: a decision analytic approach to management of periapical lesions in endodontically treated teeth. Endod Dent Traumatol. 1987; 3(1): 15-20.
- O. A. Peters and C. I. Peters, “Cleaning and Shaping of the Root Canal System,” in Pathways of The Pulp, Tenth Edit., K. M. Hargreaves, S. Cohen, and L. H. Berman, Eds. St.Louis: Elsevier Inc., 2011, pp. 283-349.
- Bidar M, Gharechahi M, Soleimani T, Eslami N. A Survey over the Dentists' and Endodontists' Approaches towards the Management of Endodontic Emergencies in Mashhad, Iran. Iran Endod J. 2015; 10(4): 256-62.
- Nabavizadeh MR, Sahebi S, Nadian I. Antibiotic prescription for endodontic treatment: general dentist knowledge + practice in shiraz. Iran Endod J. 2011; 6(2): 54-9.
- Unal GC, Kaya BU, Tac AG, Kececi AD. Survey of attitudes, materials and methods preferred in root canal therapy by general dental practice in Türkiye: Part 1. Eur J Dent. 2012; 6(4): 376.
- Didem A. Türkiye’de diş hekimlerinin endodontik tedavi yaklaşımlarının değerlendirilmesi [Uzmanlık Tezi]: İstanbul Üniversitesi; 2019.
- Pertek Hatipoğlu F, Hatipoğlu Ömer, Arıcıoğlu B. Türk dişhekimlerinin endodontik tedavi prosedürlerindeki yaklaşımlarının incelenmesi. 2020; 11: 54-64.
- Ghandhi D, Bodani N, Lal A, Maqsood A, Ahmed N, Basha S, et al. Evaluation of social media usage by dental dentists of pakistan for professional purposes - a cross-sectional study. Clin Cosmet Investig Dent. 2022; 14: 245-52.
- Rajeh MT, Aboalshamat KT, Nassar AA, Sembawa SN, Al Hebshi SA, Badri MK. Insights on using social media in dental education: a cross-sectional study in Saudi Arabia. Open Dent J. 2020; 14(1): 717-23.
- Siqueira JF Jr, Lopes HP, Elias CN. Obturação dos canais radiculares. In: Lopes HP, Siqueira JF Jr, editors. Endodontia: biologia e técnica. 3th ed. Rio de Janeiro: Guanabara Koogan;2010. p. 641-670.
- Almeida DO, Chaves SCL, Souza RA, Soares FF. Outcome of single- vs multiple-visit endodontic therapy of nonvital teeth: a meta-analysis. J Contemp Dent Pract 2017; 18(4): 330-6.
- Kengel BM, Altunbaş D, Akpınar KE. Diş hekimlerinin periapikal radyografiler ve konik ışınlı bilgisayarlı tomografi (cbct) görüntülerine göre uygulayacakları endodontik tedavi seçeneklerinin karşılaştırılması. Ata Diş Hek Fak Derg. 2021; 31(4): 491-9.
- Sjögren U, Figdor D, Persson S, Sundqvist G. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J 1997; 30(5): 297-306.
- Sjögren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990; 16(10): 498-504.
- Dorn SO, Moodnik RM, Feldman MJ, Borden BG. Treatment of the endodontic emergency: a report based on a questionnaire--part I. J Endod. 1977; 3(3): 94-100.
- Cohen S, Hargreaves KM. Pathways of the pulp. 10 ed. St Louis: Mosby; 2011.
- Kandemir S, Ergül N. Grievances in cases using antibiotics due to orodental problems and assessment of the need for antibiotics. Int Dent J. 2000; 50(2): 73-7.
- Deniz-Sungur D, Aksel H, Karaismailoglu E, Sayin TC. The prescribing of antibiotics for endodontic infections by dentists in Türkiye: a comprehensive survey. Int Endod J. 2020; 53(12): 1715-27.
- American Association of Endodontists Position Statement 2017, Segura-Egea et al. 2017a,b, European Society of Endodontology 2018.
- Keenan JV, Farman AG, Fedorowicz Z, Newton JT. A Cochrane systematic review finds no evidence to support the use of antibiotics for pain relief in irreversible pulpitis. J Endod. 2006; 32(2): 87-92.
- Cope AL, Francis N, Wood F, Chestnutt IG. Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults. Cochrane Database Syst Rev. 2018; 9(9): CD010136.
- Song M, Chung W, Lee SJ, Kim E. Long-term outcome of the cases classified as successes based on short-term follow-up in endodontic microsurgery. J Endod. 2012; 38(9): 1192-6.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Diş Hekimliği (Diğer) |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 22 Mayıs 2025 |
| Gönderilme Tarihi | 18 Aralık 2024 |
| Kabul Tarihi | 6 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 15 Sayı: 2 |
