Open Journal Systems

Cover Image

Attitudes, techniques and trends in endodontic treatment by the house surgeons in dental institutes - Karachi

Talha M Siddiqui, Aisha Wali, Azka Anwar


Background: The attitudes, techniques and different approaches toward endodontic treatment reflects the quality of the root canal treatment (RCT) performed by general dental practitioners. Endodontic therapy has been associated with the pre-operative diagnosis of the tooth, microbial factors, quality of RCT. Environmental factors in which the dentist works may also impact quality of RCT. Materials and Methods: The present cross-sectional study was conducted in October 2013 to evaluate the attitudes, techniques and trends in endodontic treatment procedures amongst the house surgeons in dental institutes of Karachi. A cluster sampling technique was employed, and 170 structured questionnaires were distributed to all registered house surgeons employed in six different dental institutes of Karachi. All returned forms were evaluated by a single operator. Descriptive statistics and frequency distribution was analyzed using SPSS version 19. Results: From all given questionnaires, 150 filled questionnaires were collected from participants, which is 88.23% response rate. Conclusion: It was concluded that the recently graduated dental practitioners lacked expertise in certain regards. They were performing procedures that are deviated from the well acknowledged endodontic quality guidelines.


Assessment of radiographs; Endodontic trends; general dental practitioners; root canal treatment

Full Text:



European Society of Endodontology. Quality guidelines for endodontic treatment: Consensus report of the European Society of Endodontology. Int Endod J 2006;39:921-30.

Friedman S. Treatment outcome and prognosis of endodontic therapy. In: Orstavik D, Pitt Ford TR, editors. Essential Endodontology. Oxford: Blackwell Science; 1998. p. 36-7401.

Marques MD, Moreira B, Eriksen HM. Prevalence of apical periodontitis and results of endodontic treatment in an adult, Portuguese population. Int Endod J 1998;31:161-5.

De Moor RJ, Hommez GM, De Boever JG, Delmé KI, Martens GE. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J 2000;33:113-20.

Eriksen HM, Kirkevang LL, Petersson K. Endodontic epidemiology and treatment outcome: general considerations. Endod Top 2002;2:1-9.

European Society of Endodontology. Undergraduate curriculum guidelines for endodontology. Int Endod J 2001;34:574-80.

Whitten BH, Gardiner DL, Jeansonne BG, Lemon RR. Current trends in endodontic treatment: Report of a national survey. J Am Dent Assoc 1996;127:1333-41.

Weiger R, Hitzler S, Hermle G, Löst C. Periapical status, quality of root canal fillings and estimated endodontic treatment needs in an urban German population. Endod Dent Traumatol 1997;13:69-74.

Jenkins SM, Hayes SJ, Dummer PM. A study of endodontic treatment carried out in dental practice within the UK. Int Endod J 2001;34:16-22.

Slaus G, Bottenberg P. A survey of endodontic practice amongst Flemish dentists. Int Endod J 2002;35:759-67.

Ahmed A, Khattak O, Ali H, Maqbool A, Azhar G, Shamim A, et al. Radiographic technical quality of root canal fillings performed by house surgeons in the Islamic international dental college: A pilot study. Pak Oral Dent J 2008;28:271-4.

Muhammad NS, Hina ZR. Radiographic assessment of quality of root canal treatment. Pak Oral Dent J 2010;30:491-4.

Mehta N, Raisingani D, Gupta S, Sharma M. Endodontic trends: Where we are and where we should be-A survey report. People’s J Sci Res 2013;6:30-7.

Al-Omari WM. Survey of attitudes, materials and methods employed in endodontic treatment by general dental practitioners in North Jordan. BMC Oral Health 2004;4:1.

Kaptan RF, Haznedaroglu F, Kayahan MB, Basturk FB. An investigation of current endodontic practice in Turkey. Sci World J 2012;2012:1-6.

Hommez GM, Moor BM. Root canal treatment performed by Flemish dentists. Part 1- cleaning and shaping. Int Endod J 2002;35:1-8.

Tronstad L, Asbjørnsen K, Døving L, Pedersen I, Eriksen HM. Attitudes, techniques and trends in endodontic treatment by the house surgeons in dental institutes Siddiqui, et al. Infuence of coronal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol 2000;16:218-21.

Qualtrough AJ, Whitworth JM, Dummer PM. Preclinical endodontology: An international comparison. Int Endod J 1999;32:406-14.

Consensus report of the European Society of Endodontology on quality guidelines for endodontic treatment. Int Endod J 1994;27:115-24.

Weine FS. Calculation of working length. In: Endodontic Therapy. 5th ed. St. Louis: Mosby; 1996. p. 395-422.

Kerekes K, Tronstad L. Long-term results of endodontic treatment performed with a standardized technique. J Endod 1979;5:83-90.

Ravanshad S, Sahraei S, Khayat A. Survey of Endodontic Practice amongst Iranian Dentists Participating Restorative Dentistry Congress in Shiraz, November 2007. Iran Endod J 2008;2:135-42.

Peciuliene V, Rimkuviene J, Aleksejuniene J, Haapasalo M, Drukteinis S, Maneliene R. Technical aspects of endodontic treatment procedures among Lithuanian general dental practitioners. Stomatologija 2010;12:42-50.

Mensudar R, Julius A, Sukumaran G. Evaluation of current trends in endodontic treatment procedure among the dental practitioners. Indian J Multidiscip Dent 2011;1:311-4.

Kirkevang LL, Horsted-Bindslev P. Technical aspects of treatment in relation to treatment outcome. Endod Top 2002;2:89-102.

Barbakow F. The status of root canal therapy in Switzerland in 1993. J Dent Assoc S Afr 1996;51:819-22.

Chong BS, Pitt Ford TR. The role of intracanal medication in root canal treatment. Int Endod J 1992;25:97-106.

Gulabivala K. lntracanal medication and temporary seal. In: Color Atlas and Text of Endodontics. 2nd ed. London: Mosby-Wolfe; 1995. p. 145-50.

Spangberg I. Intracanal medication. In: Malvern PA, editor Endodontics. 4th ed. USA: Williams and Wilkins; 1994. p. 627-40.

Bystrom A, Claesson R, Sundqvist G. The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol 1985;1:170-5.

Sjögren U, Figdor D, Spångberg L, Sundqvist G. Th e antimicrobial effect of calcium hydroxide as a short-term intracanal dressing. Int Endod J 1991;24:119-25.

Bierenkrant DE, Parashos P, Messer HH. The technical quality of nonsurgical root canal treatment performed by a selected cohort of Australian endodontists. Int Endod J 2008;41:561-70.

Jawwad IA, Aliya E, Aaqil M. Comparison of root canal treatment quality performed by house surgeons and postgraduate students. Pak Oral Dent J 2014;34:543-7.

Walton RE, Johnson WT. Obturation. In: Walton RE, Torabinejad M, editors. Principles and Practice of Endodontics. 3rd ed. Philadelphia, PA, USA: W. B. Saunders ; 2002. p. 239-67.

Iqbal A, Akbar I, Qureshi B, Sghaireen MG, Al-Omiri MK. A Survey of Standard Protocols for Endodontic Treatment in North of KSA. ISRN Dent 2014;2014:865780.

Lushen MN. A survey of attitudes, materials and techniques used in endodontic treatment by South African Dentists. M.Sc. Thesis. School of Oral Health Science, University of the Witwatersrand, Johannesburg; 2006.

Ahmed MF, Elseed AI, Ibrahim YE. Root canal treatment in general practice in Sudan. Int Endod J 2000;33:316-9.

Palmer NA, Pealing R, Ireland RS, Martin MV. A study of prophylactic antibiotic prescribing in National Health Service general dental practice in England. Br Dent J 2000;189:43-6.

Matthews DC, Sutherland S, Basrani B. Emergency management of acute apical abscesses in the permanent dentition: A systematic review of the literature. J Can Dent Assoc 2003;69:660.


  • There are currently no refbacks.