Quality-Shaping Factors and Endodontic Treatment amongst General Dental Practitioners with a Focus on Denmark

There is a gap between the endodontic outcome that can be achieved and the outcome observed on the basis of worldwide general dental practitioner data. The quality of root canal treatment (RCT) is shaped by the dentist's knowledge, attitude, and skills, but it may also be influenced by the pati...

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Main Authors: Sune Demant, Merete Markvart, Lars Bjørndal
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2012/526137
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author Sune Demant
Merete Markvart
Lars Bjørndal
author_facet Sune Demant
Merete Markvart
Lars Bjørndal
author_sort Sune Demant
collection DOAJ
description There is a gap between the endodontic outcome that can be achieved and the outcome observed on the basis of worldwide general dental practitioner data. The quality of root canal treatment (RCT) is shaped by the dentist's knowledge, attitude, and skills, but it may also be influenced by the patient's demands and degree of satisfaction. The topic has only been sparsely investigated. Although dental health has increased over the years in Denmark, the number of performed root fillings has also increased, probably because the number of tooth extractions have declined and more molar teeth have been treated. Caries appears to be the main cause for performing RCT and a preventive approach by employing stepwise excavation may reduce RCT, but this strategy does not remove the gap. Factors influencing RCT quality could be the status on adoption of nickel-titanium rotary technology, more focus on infection control (rubber dam use, knowledge of factors important for prognosis), as dentists often think that they are good at doing RCT, but often perform inadequately, an alteration of clinician's awareness of their performance in the context of dental practices, seems warranted. Finally, the development of new preventive modalities for pulp and apical inflammation are crucial.
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spelling doaj-art-910f42a1995a4d0a8f8140ce90b270a82025-02-03T01:12:53ZengWileyInternational Journal of Dentistry1687-87281687-87362012-01-01201210.1155/2012/526137526137Quality-Shaping Factors and Endodontic Treatment amongst General Dental Practitioners with a Focus on DenmarkSune Demant0Merete Markvart1Lars Bjørndal2Section of Cariology and Endodontics, Institute of Odontology, University of Copenhagen, Nørre Allé 20, 2200 Copenhagen N, DenmarkSection of Cariology and Endodontics, Institute of Odontology, University of Copenhagen, Nørre Allé 20, 2200 Copenhagen N, DenmarkSection of Cariology and Endodontics, Institute of Odontology, University of Copenhagen, Nørre Allé 20, 2200 Copenhagen N, DenmarkThere is a gap between the endodontic outcome that can be achieved and the outcome observed on the basis of worldwide general dental practitioner data. The quality of root canal treatment (RCT) is shaped by the dentist's knowledge, attitude, and skills, but it may also be influenced by the patient's demands and degree of satisfaction. The topic has only been sparsely investigated. Although dental health has increased over the years in Denmark, the number of performed root fillings has also increased, probably because the number of tooth extractions have declined and more molar teeth have been treated. Caries appears to be the main cause for performing RCT and a preventive approach by employing stepwise excavation may reduce RCT, but this strategy does not remove the gap. Factors influencing RCT quality could be the status on adoption of nickel-titanium rotary technology, more focus on infection control (rubber dam use, knowledge of factors important for prognosis), as dentists often think that they are good at doing RCT, but often perform inadequately, an alteration of clinician's awareness of their performance in the context of dental practices, seems warranted. Finally, the development of new preventive modalities for pulp and apical inflammation are crucial.http://dx.doi.org/10.1155/2012/526137
spellingShingle Sune Demant
Merete Markvart
Lars Bjørndal
Quality-Shaping Factors and Endodontic Treatment amongst General Dental Practitioners with a Focus on Denmark
International Journal of Dentistry
title Quality-Shaping Factors and Endodontic Treatment amongst General Dental Practitioners with a Focus on Denmark
title_full Quality-Shaping Factors and Endodontic Treatment amongst General Dental Practitioners with a Focus on Denmark
title_fullStr Quality-Shaping Factors and Endodontic Treatment amongst General Dental Practitioners with a Focus on Denmark
title_full_unstemmed Quality-Shaping Factors and Endodontic Treatment amongst General Dental Practitioners with a Focus on Denmark
title_short Quality-Shaping Factors and Endodontic Treatment amongst General Dental Practitioners with a Focus on Denmark
title_sort quality shaping factors and endodontic treatment amongst general dental practitioners with a focus on denmark
url http://dx.doi.org/10.1155/2012/526137
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