Risk management in endodontics.

Abstract:

INTRODUCTION:Endodontic claims are the most frequently filed malpractice claims in dentistry. The aim of this study was to categorize and review errors and complications related to endodontic procedures that resulted in legal actions against the treating practitioner. METHODS:All dental malpractice complaints reported to the Medical Consultants International Company (MCI) in Israel between the years 1992-2008 were retrospectively analyzed according to a structured form. All complaints were categorized as either financial risk bearing (eg, justified) or financial non-risk bearing (eg, nonjustified). The treatment errors that were found in the files were categorized according to phases of treatment: preoperative, intraoperative, and postoperative errors. RESULTS:A total of 720 complaints were analyzed including 520 complaints (72.2%) that were found to be justified and 200 complaints (27.8%) that were judged as not justified. Most of the treatment errors occurred during the intraoperative phase. In lower anterior teeth and in cases involving more than 1 tooth, significantly more errors were found during instrumentation and root canal filling (P < .05). There was a similar distribution of operator errors and of negative outcomes for teeth with elective endodontic treatment and teeth with endodontic treatment as a result of a pathologic process. CONCLUSIONS:The technical skills of the dental practitioners performing root canal treatments require improvement. All possible risks and complications should be considered and explained to the patient before treatment.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Givol N,Rosen E,Taicher S,Tsesis I

doi

10.1016/j.joen.2010.03.030

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

982-4

issue

6

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(10)00279-7

journal_volume

36

pub_type

杂志文章
  • Effects of calcium silicate-based materials on collagen matrix integrity of mineralized dentin.

    abstract:INTRODUCTION:Calcium silicate-based materials (CSMs) are used in various endodontic procedures. The present study examined whether prolonged contact of mineralized dentin with recently commercialized versions of these materials adversely affects dentin collagen matrix integrity. METHODS:Dentin slabs prepared from extr...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2012.01.004

    authors: Leiendecker AP,Qi YP,Sawyer AN,Niu LN,Agee KA,Loushine RJ,Weller RN,Pashley DH,Tay FR

    更新日期:2012-06-01 00:00:00

  • Long-term evaluation of the influence of smear layer removal on the sealing ability of different sealers.

    abstract::The purpose of this study was to examine the effect of the smear layer on apical microleakage over 16 wk. One hundred and four extracted human teeth were assigned to four groups treated as follows: group A1--smear layer was left intact and canals were obturated with gutta-percha and Roth 811; group A2--smear layer was...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(99)80010-7

    authors: Economides N,Liolios E,Kolokuris I,Beltes P

    更新日期:1999-02-01 00:00:00

  • Examining the Sensitivity and Specificity of 2 Screening Instruments: Odontogenic or Temporomandibular Disorder Pain?

    abstract:INTRODUCTION:Two groups of patients with orofacial pains that are clinically important to distinguish from each other are patients with odontogenic pain and temporomandibular disorder (TMD) pain. The aim of this study was to determine the sensitivity and specificity of 2 screening instruments in distinguishing between ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2016.10.001

    authors: Fonseca Alonso B,Nixdorf DR,Shueb SS,John MT,Law AS,Durham J

    更新日期:2017-01-01 00:00:00

  • Anesthetic Success Using Nitrous Oxide and a Combination of Lidocaine/clonidine for the Inferior Alveolar Nerve Block and the Effects on Blood Pressure and Pulse in Patients with Symptomatic Irreversible Pulpitis: A Prospective, Randomized, Double-blind S

    abstract:INTRODUCTION:The pulpal anesthetic success rates for an inferior alveolar nerve block (IANB) alone in patients presenting with symptomatic irreversible pulpitis are less than adequate. Nitrous oxide and clonidine have shown increases in IANB success when administered individually, but their success has not been evaluat...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2020.12.014

    authors: MacDonald E,Drum M,Nusstein J,Fowler S,Beck M,Reader A

    更新日期:2020-12-30 00:00:00

  • Influence of Cervical Preflaring on the Incidence of Root Dentin Defects.

    abstract:INTRODUCTION:This study evaluated the influence of cervical preflaring on the incidence of root dentin defects after root canal preparation. METHODS:Extracted human maxillary central incisors were selected and allocated to 1 control group and 12 experimental groups (n = 15). Teeth in the control group were left unprep...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2017.09.021

    authors: Borges ÁH,Damião MS,Pereira TM,Filho GS,Miranda-Pedro FL,Luiz de Oliveira da Rosa W,Piva E,Guedes OA

    更新日期:2018-02-01 00:00:00

  • The investigation of biocompatibility and apical microleakage of tricalcium phosphate based root canal sealers.

    abstract::The biocompatibility and apical microleakage of tricalcium phosphate based Sankin Apatite (SA) Type I, II, and III root canal sealers were investigated. Teflon tubes containing freshly mixed test materials were implanted in the subcutaneous tissue of mice. The observation periods were 24 h, 7, and 30 days, after which...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/s0099-2399(97)80255-5

    authors: Bilginer S,Esener T,Söylemezoğlu F,Tiftik AM

    更新日期:1997-02-01 00:00:00

  • New electronic canal measuring device based on the ratio method.

    abstract::The most striking disadvantage of most apex locators is that if there are electrolytes in the canal the meter shows a reading which is too short or sometimes the measurement itself becomes impossible. To overcome this drawback, a new concept for electrically measuring the root canal length has been developed. The devi...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(06)80053-1

    authors: Kobayashi C,Suda H

    更新日期:1994-03-01 00:00:00

  • Effect of unintentionally extruded mineral trioxide aggregate in treatment of tooth with periradicular lesion: a case report.

    abstract:INTRODUCTION:This case report describes the effect of unintentionally extruded mineral trioxide aggregate (MTA) into periradicular lesions and tissues on the prognosis of periradicular healing in maxillary left central incisor with periradicular lesion. METHODS:A 17-year-old girl with a large periradicular lesion from...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2009.11.026

    authors: Tahan E,Celik D,Er K,Taşdemir T

    更新日期:2010-04-01 00:00:00

  • Shaping ability of Lightspeed rotary nickel-titanium instruments in simulated root canals. Part 2.

    abstract::The aim of this laboratory based study was to determine the shaping ability of Lightspeed nickel-titanium rotary instruments in simulated root canals. A total of 40 canals with four different shapes in terms of angle and position of curve were prepared with Lightspeed instruments using the stepback technique recommend...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(97)80347-0

    authors: Thompson SA,Dummer PM

    更新日期:1997-12-01 00:00:00

  • Effect of MTAD on Enterococcus faecalis-contaminated root canals of extracted human teeth.

    abstract::The purpose of this investigation was to compare the antimicrobial effect of MTAD (a mixture of a tetracycline isomer, an acid, and a detergent) with that of NaOCl with and without EDTA. Eighty-five extracted human teeth were contaminated with Enterococcus faecalis for 4 weeks. After biomechanical instrumentation usin...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1097/00004770-200309000-00008

    authors: Shabahang S,Torabinejad M

    更新日期:2003-09-01 00:00:00

  • The effect of tissue inhibitors on the antibacterial activity of chitosan nanoparticles and photodynamic therapy.

    abstract:INTRODUCTION:Newer antibacterial alternatives such as chitosan nanoparticles (CSnps) and photodynamic therapy (PDT) have been investigated to achieve effective root canal disinfection. The current study aims to assess the effect of various tissue inhibitors such as dentin, dentin matrix, pulp tissue, bacterial lipopoly...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2012.05.006

    authors: Shrestha A,Kishen A

    更新日期:2012-09-01 00:00:00

  • Synergistic effect of microbubble emulsion and sonic or ultrasonic agitation on endodontic biofilm in vitro.

    abstract:INTRODUCTION:Irrigation dynamics and antibacterial activity determine the efficacy of root canal disinfection. Sonic or ultrasonic agitation of irrigants is expected to improve irrigation dynamics. This study examined the effects of microbubble emulsion (ME) combined with sonic or ultrasonic agitation on irrigation dyn...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2012.07.007

    authors: Halford A,Ohl CD,Azarpazhooh A,Basrani B,Friedman S,Kishen A

    更新日期:2012-11-01 00:00:00

  • An evidence-based analysis of the antibacterial effectiveness of intracanal medicaments.

    abstract::The authors reviewed the literature evaluating the antibacterial effectiveness of intracanal medicaments used in the management of apical periodontitis. A PICO (problem, intervention, comparison, outcome) strategy was developed to identify studies dealing with calcium hydroxide, phenolic derivatives, iodine-potassium ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1097/01.don.0000129959.20011.ee

    authors: Law A,Messer H

    更新日期:2004-10-01 00:00:00

  • Bacterial removal promoted by 2 single-file systems: Wave One and One Shape.

    abstract:INTRODUCTION:Different single-file systems are available for endodontic treatment; however, comparative studies are scarce. Thus, the present study evaluated bacterial reduction promoted by 2 single-file systems: Wave One (Dentsply Maillefer, Ballaigues, Switzerland) and One Shape (Micromega, Besancon, France). METHOD...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2014.07.024

    authors: Nabeshima CK,Caballero-Flores H,Cai S,Aranguren J,Borges Britto ML,Machado ME

    更新日期:2014-12-01 00:00:00

  • Adhesive sealing of the pulp chamber.

    abstract::The purpose of this in vitro study was to evaluate quantitatively the ability of four different filling materials to seal the orifices of root canals as a secondary seal after root canal therapy. Forty extracted human molar teeth were used. The top of pulp chambers and distal halves of the roots were removed using an ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1097/00004770-200108000-00006

    authors: Belli S,Zhang Y,Pereira PN,Pashley DH

    更新日期:2001-08-01 00:00:00

  • Periapical Microsurgery: A 4-dimensional Analysis of Healing Patterns.

    abstract:INTRODUCTION:Currently, the success of periapical microsurgery is determined by the restoration of the lamina dura and the elimination of symptoms. However, inadequate site preservation may prevent later implant placement. Although not possible before, the advent of cone-beam computed tomographic imaging and computer-a...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2018.11.002

    authors: Crossen D,Morelli T,Tyndall DA,Tawil PZ

    更新日期:2019-04-01 00:00:00

  • Computerized analysis of the instrumentation of the root canal system.

    abstract::A method is proposed for a three-dimensional visualization of the root canal system before and after the cleaning and shaping procedure to analyze the relationships of the root canal walls. The first part of the study provided cross-sections of the root perpendicular to the root canal. A system for remounting the sect...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(06)81298-7

    authors: Berutti E

    更新日期:1993-05-01 00:00:00

  • Changes in Geometry and Transportation of Root Canals with Severe Curvature Prepared by Different Heat-treated Nickel-titanium Instruments: A Micro-computed Tomographic Study.

    abstract:INTRODUCTION:The aim of this study was to compare the shaping ability of 4 different nickel-titanium systems, considering their variation in alloy treatment, kinematics, and design, used to prepare canals with severe curvature using micro-computed tomographic analysis. METHODS:Thirty-two mesial roots of mandibular mol...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2019.02.018

    authors: Filizola de Oliveira DJ,Leoni GB,da Silva Goulart R,Sousa-Neto MD,Silva Sousa YTC,Silva RG

    更新日期:2019-06-01 00:00:00

  • Minimization of Tooth Substance Removal in Normally Calcified Teeth Using Guided Endodontics: An In Vitro Pilot Study.

    abstract:INTRODUCTION:This study evaluated the success rate of and tooth substance removal required for computer-guided preparation of endodontic access cavities. METHODS:Thirty acrylic typodont teeth with root canals (10 each of tooth numbers 11, 14, and 17) were randomly allocated to a study or control group (15 teeth per gr...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2020.10.025

    authors: Kostunov J,Rammelsberg P,Klotz AL,Zenthöfer A,Schwindling FS

    更新日期:2021-02-01 00:00:00

  • Improving the performance of EndoREZ root canal sealer with a dual-cured two-step self-etch adhesive. II. Apical and coronal seal.

    abstract::This study tested the hypothesis that the seal of EndoREZ may be improved with an adhesive-modified technique. Instrumented single-rooted teeth were filled with: (a) Warm vertical compaction with AH Plus (control); (b). EndoREZ with master cones and passive application of accessory cones; (c) Application of Clearfil L...

    journal_title:Journal of endodontics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.joen.2006.01.006

    authors: Gillespie WT,Loushine RJ,Weller RN,Mazzoni A,Doyle MD,Waller JL,Pashley DH,Tay FR

    更新日期:2006-08-01 00:00:00

  • Direct effect of intracanal medicaments on survival of stem cells of the apical papilla.

    abstract:INTRODUCTION:Regenerative endodontic procedures are an alternative treatment for immature teeth with necrotic pulps. Typically, intracanal medicaments such as triple antibiotic paste (TAP) or double antibiotic paste (DAP) and calcium hydroxide (Ca[OH](2)) are used for disinfection. However, their effect on human stem c...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2012.06.018

    authors: Ruparel NB,Teixeira FB,Ferraz CC,Diogenes A

    更新日期:2012-10-01 00:00:00

  • Conventional and surgical treatment of a two-rooted maxillary central incisor.

    abstract::Conventional and surgical endodontic management were performed on a two-rooted maxillary central incisor with a periapical lesion. Anatomical complexity of the tooth lead to perforation in the distal root during conventional treatment, thus a surgical approach was taken. A 4-month postoperative radiograph shows repair...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1097/00004770-200306000-00011

    authors: González-Plata-R R,González-Plata-E W

    更新日期:2003-06-01 00:00:00

  • Effects of three canal sealers on bond strength of a fiber post.

    abstract:INTRODUCTION:This study evaluated the effects of three different endodontic sealers on the bond strength of a fiber post cemented with adhesive resin cement. METHODS:Forty-eight extracted maxillary central incisors were prepared with the step-back technique and randomly divided into four groups (n=12 for each group): ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2009.11.014

    authors: Demiryürek EO,Külünk S,Yüksel G,Saraç D,Bulucu B

    更新日期:2010-03-01 00:00:00

  • Effects of short-term chemical disinfection of gutta-percha cones: identification of affected microbes and alterations in surface texture and physical properties.

    abstract::The aims of this study were to identify microorganisms on the surface of gutta-percha (GP) cones using a polymerase chain reaction (PCR) and to evaluate the sterilization effect of 5.25% sodium hypochlorite (NaOCl), 2% chlorhexidine (CHX), and ChloraPrep on these bacteria. Alterations of the surface texture and physic...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2007.01.019

    authors: Pang NS,Jung IY,Bae KS,Baek SH,Lee WC,Kum KY

    更新日期:2007-05-01 00:00:00

  • Comparison of the sealing ability of laser-softened, laterally condensed and low-temperature thermoplasticized gutta-percha.

    abstract::This study compared the effectiveness of four different techniques used for obturation of single rooted-teeth: lateral condensation, low-temperature gutta-percha (Ultrafil), vertical condensation of gutta-percha softened by means of three different laser devices (argon, CO2, and Nd:YAG), or composite resin photopolyme...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(06)81530-X

    authors: Anić I,Matsumoto K

    更新日期:1995-09-01 00:00:00

  • Apical extrusion of thermoplasticized obturating material in canals instrumented with Profile 0.06 or Profile GT.

    abstract::The purpose of this in vitro study was to compare the extrusion of thermoplacticized gutta-percha in teeth instrumented with Profile 0.06 or Profile GT, and obturated with Thermafil Plus and Thermafil GT, respectively. A total of 120, extracted, human maxillary central incisors were divided into four equal groups. Gro...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1097/00004770-200406000-00010

    authors: Robinson MJ,McDonald NJ,Mullally PJ

    更新日期:2004-06-01 00:00:00

  • Kinematics of 2 reciprocating endodontic motors: the difference between actual and set values.

    abstract:INTRODUCTION:The aim of this study was to evaluate the kinematics of 2 reciprocating motors and compare it with manufacturers' declared values. METHODS:VDW Silver (VDW, Munich, Germany) and ATR Tecnika (Tecnika, Pistoia, Italy) were used in the study in 5 working modes: continuous rotation at 400 rpm on VDW Silver and...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2013.12.008

    authors: Fidler A

    更新日期:2014-07-01 00:00:00

  • Bioaggregate Inhibits Osteoclast Differentiation, Fusion, and Bone Resorption In Vitro.

    abstract:INTRODUCTION:Several bioactive bioceramics with osteoconductive effects can inhibit osteoclast formation and bone resorption in vitro, but the exact underlying mechanism has not been fully elucidated. Bioaggregate (BA), a novel calcium silicate nanoparticulate bioceramic, significantly induces bone and periodontal rege...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/j.joen.2015.05.018

    authors: Tian J,Qi W,Zhang Y,Glogauer M,Wang Y,Lai Z,Jiang H

    更新日期:2015-09-01 00:00:00

  • An immunohistochemical study of the behavior of cells expressing interleukin-1 alpha and interleukin-1 beta within experimentally induced periapical lesions in rats.

    abstract::Cells expressing interleukin-1 (IL-1) were examined in rat periapical lesions using immunohistochemical methods. During the acute phase, both IL-1 alpha- and IL-1 beta-expressing cells were observed adjacent to many osteoclasts that contained large cytoplasms, and consequently the periapical lesions tended to expand. ...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1016/S0099-2399(98)80008-3

    authors: Matsumoto A,Anan H,Maeda K

    更新日期:1998-12-01 00:00:00

  • The anti-inflammatory effects of human recombinant copper-zinc superoxide dismutase on pulp inflammation.

    abstract::Inflammation in the dental pulp is accompanied by release of a wide variety of highly oxidative molecules known as reactive oxygen species (ROS). ROS concentrations are controlled in vivo by an antioxidant enzyme scavenger system that may be overwhelmed by the increases in ROS production seen during inflammation. Supp...

    journal_title:Journal of endodontics

    pub_type: 杂志文章

    doi:10.1097/00004770-200103000-00014

    authors: Baumgardner KR,Sulfaro MA

    更新日期:2001-03-01 00:00:00