Effect of Endodontic Case Difficulty on Endodontic Mishaps: Clinical Study

NCT06640790 | Completed

• 1 other identifier: KutahyaHSU-1
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study investigate the influence of endodontic case difficulty, as categorized by the American Association of Endodontists (AAE) assessment form (low, moderate, high), on the incidence of endodontic mishaps and treatment visit requirements in postgraduate dental students.

Conditions

Effect of Endodontic Case Difficulty on Endodontic Mishaps; Root Canal Treatment

Keywords

Case Difficulty, Endodontic Mishaps, Postgraduate Dental Education, Root Canal Treatment

Outcome Measures

Primary Outcomes (2)

• Case difficulty category

  The American Association of Endodontists (AAE) has developed a case difficulty form to categorize endodontic cases into three levels: minimal, moderate, and high. This form encompasses three sections: general health status, diagnostic and treatment status, and contributing factors such as trauma, previous treatment, and periodontal disease.

  Radiographic images were taken at the final treatment appointment. Case difficulty classification of cases was performed according to AEE case difficulty form data, and all radiographs were evaluated in terms of endodontic mishaps within 24 hours.

• Endodontic mishaps

  Endodontic mishaps were classified as follows: over-instrumentation, underfilling (≥2 mm from the radiographic apex), overfilling (≥2 mm from the radiographic apex), canal transportation, instrument separation, lateral or strip perforation.

  Radiographic images were taken at the final treatment appointment. Case difficulty classification of cases was performed according to AEE case difficulty form data, and all radiographs were evaluated in terms of endodontic mishaps within 24 hours.

Interventions

Case Group OTHER

Root canal treated were categorized based on the AAE case difficulty assessment form. Endodontic mishaps investigated included over-instrumentation, working length loss, underfilling, overfilling, apical transportation, instrument fracture, and perforation.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients who refer to our clinic for routine endodontic treatment

You may qualify if:

• Primary root canal treatment
• Retreatment

You may not qualify if:

• Patients who do not accept to participate to study

Sponsors & Collaborators

• Kutahya Health Sciences University: lead

Study Sites (1)

Kutahya Health Sciences University

Kütahya, Turkey (Türkiye)

Location

Related Publications (1)

• Kaya Mumcu A, Corak M, Kurnaz S, Kiraz G. Effect of endodontic case difficulty on endodontic mishaps and the number of treatment visits: a clinical study. BMC Med Educ. 2025 Dec 9. doi: 10.1186/s12909-025-08437-4. Online ahead of print.

  PMID: 41366378 DERIVED

MeSH Terms

Interventions

Diagnosis-Related Groups

Intervention Hierarchy (Ancestors)

Prospective Payment System; Reimbursement Mechanisms; Insurance, Health, Reimbursement; Financing, Organized; Economics; Health Care Economics and Organizations

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: October 9, 2024
• First Posted: October 15, 2024
• Study Start: January 1, 2024
• Primary Completion: August 1, 2024
• Study Completion: October 1, 2024
• Last Updated: October 15, 2024

Record last verified: 2024-10

Locations

TU (1)