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Effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: A prospective clinical cohort study

OBJECTIVES: Sonic/ultrasonic devices are essential tools in today’s endodontics. This prospective trial evaluated for the first time the impact of practitioners’ proficiency levels and patient-related factors on complications associated with a high frequency polyamide sonic irrigant activation devic...

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Autores principales: Hahn, Tobias, Christofzik, David W., Fawzy El-Sayed, Karim, Freitag-Wolf, Sandra, Conrad, Jonas, Graetz, Christian, Größner-Schreiber, Birte, Dörfer, Christof
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159143/
https://www.ncbi.nlm.nih.gov/pubmed/37141251
http://dx.doi.org/10.1371/journal.pone.0285492
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author Hahn, Tobias
Christofzik, David W.
Fawzy El-Sayed, Karim
Freitag-Wolf, Sandra
Conrad, Jonas
Graetz, Christian
Größner-Schreiber, Birte
Dörfer, Christof
author_facet Hahn, Tobias
Christofzik, David W.
Fawzy El-Sayed, Karim
Freitag-Wolf, Sandra
Conrad, Jonas
Graetz, Christian
Größner-Schreiber, Birte
Dörfer, Christof
author_sort Hahn, Tobias
collection PubMed
description OBJECTIVES: Sonic/ultrasonic devices are essential tools in today’s endodontics. This prospective trial evaluated for the first time the impact of practitioners’ proficiency levels and patient-related factors on complications associated with a high frequency polyamide sonic irrigant activation device. METHODS: In total 334 patients (females:158, males:176; age:18–95 years) received in the course of their endodontic therapy an intracanal irrigation, using a high frequency polyamide sonic irrigant activation device, by practitioners of different proficiency levels (undergraduate students, general practitioners or endodontists). Intracanal bleeding (yes/no), postoperative pain (0–10 scale), emphysema (yes/no) and polyamide tip fractures (yes/no) were recorded and related to proficiency levels, age, gender, tooth type, smoking-status, systemic conditions affecting healing ability, baseline pain, swelling, fistula, sensitivity to percussion and diagnosis. RESULTS: Intracanal bleeding was associated with patients’ age (p<0.05), baseline pain level (OR = 1.14, 95%CI = 0.91–1.22) and baseline swelling (OR = 2.73, 95%CI = 0.14–0.99; p<0.05) but not proficiency level, gender, tooth type, smoking, systemic conditions, baseline fistula or sensitivity to percussion (p>0.05). Postoperative pain development was related to proficiency level (p<0.05) and baseline pain level (p<0.001), with no influence of age, gender, tooth type, smoking, systemic conditions, baseline fistula, swelling or sensitivity to percussion (p>0.05). Emphysema and polyamide tip fractures were not reported. CONCLUSIONS: Within the current study’s limitations, younger patients with higher baseline pain and swelling, were associated with higher intracanal bleeding. Apart from higher postoperative pain observed with less experienced practitioners, proficiency level had no influence on bleeding, polyamide tip fracture or emphysema, endorsing the high frequency polyamide sonic irrigation device as a safe therapeutic device.
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spelling pubmed-101591432023-05-05 Effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: A prospective clinical cohort study Hahn, Tobias Christofzik, David W. Fawzy El-Sayed, Karim Freitag-Wolf, Sandra Conrad, Jonas Graetz, Christian Größner-Schreiber, Birte Dörfer, Christof PLoS One Research Article OBJECTIVES: Sonic/ultrasonic devices are essential tools in today’s endodontics. This prospective trial evaluated for the first time the impact of practitioners’ proficiency levels and patient-related factors on complications associated with a high frequency polyamide sonic irrigant activation device. METHODS: In total 334 patients (females:158, males:176; age:18–95 years) received in the course of their endodontic therapy an intracanal irrigation, using a high frequency polyamide sonic irrigant activation device, by practitioners of different proficiency levels (undergraduate students, general practitioners or endodontists). Intracanal bleeding (yes/no), postoperative pain (0–10 scale), emphysema (yes/no) and polyamide tip fractures (yes/no) were recorded and related to proficiency levels, age, gender, tooth type, smoking-status, systemic conditions affecting healing ability, baseline pain, swelling, fistula, sensitivity to percussion and diagnosis. RESULTS: Intracanal bleeding was associated with patients’ age (p<0.05), baseline pain level (OR = 1.14, 95%CI = 0.91–1.22) and baseline swelling (OR = 2.73, 95%CI = 0.14–0.99; p<0.05) but not proficiency level, gender, tooth type, smoking, systemic conditions, baseline fistula or sensitivity to percussion (p>0.05). Postoperative pain development was related to proficiency level (p<0.05) and baseline pain level (p<0.001), with no influence of age, gender, tooth type, smoking, systemic conditions, baseline fistula, swelling or sensitivity to percussion (p>0.05). Emphysema and polyamide tip fractures were not reported. CONCLUSIONS: Within the current study’s limitations, younger patients with higher baseline pain and swelling, were associated with higher intracanal bleeding. Apart from higher postoperative pain observed with less experienced practitioners, proficiency level had no influence on bleeding, polyamide tip fracture or emphysema, endorsing the high frequency polyamide sonic irrigation device as a safe therapeutic device. Public Library of Science 2023-05-04 /pmc/articles/PMC10159143/ /pubmed/37141251 http://dx.doi.org/10.1371/journal.pone.0285492 Text en © 2023 Hahn et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Hahn, Tobias
Christofzik, David W.
Fawzy El-Sayed, Karim
Freitag-Wolf, Sandra
Conrad, Jonas
Graetz, Christian
Größner-Schreiber, Birte
Dörfer, Christof
Effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: A prospective clinical cohort study
title Effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: A prospective clinical cohort study
title_full Effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: A prospective clinical cohort study
title_fullStr Effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: A prospective clinical cohort study
title_full_unstemmed Effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: A prospective clinical cohort study
title_short Effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: A prospective clinical cohort study
title_sort effect of operators’ proficiency level and patients’ related factors on possible complications, using a high frequency polyamide sonic intracanal irrigation device: a prospective clinical cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159143/
https://www.ncbi.nlm.nih.gov/pubmed/37141251
http://dx.doi.org/10.1371/journal.pone.0285492
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