Obturation assessment of root canal treatments performed by undergraduate dental students

Abstract

Objectives: To assess radiographically the technical quality of root fillings placed by undergraduate students at the Faculty of Dental Medicine of the University of Porto. Methods: The records of 318 patients were assessed, of which 225 radiographs of root canal fillings in single-rooted teeth were selected. The radiographs were examined using the VixWin Platinum v1.1 Imaging Software (Gendex, USA). The quality of root canal filling was graded as "acceptable" when both length and density were adequate. Procedural errors were registered. Chi-square tests were used for statistical analysis, considering a 0.05 significance level. Results: Root canal fillings were considered acceptable in 53.3% of the cases. There was a greater percentage of adequate density (70.7%) than adequate length (64%). There was a statistically significant association between the quality of the filling and the type of tooth, with maxillary anterior teeth presenting higher quality (p=0.027). The most common reason for inadequate length was short-filling (33%). There was a statistically significant relationship between the academic year and the density of the fillings (p=0.009). Overall procedural errors occurred in 3.6% of the cases, with the most common being ledge formation and apical transportation. Conclusions: The quality of root canal fillings in single-rooted teeth performed by junior dental students at the University of Porto was considered acceptable in 53.3% of cases.