fa بررسی فراوانی حوادث حین درمان ریشه در مراجعه کنندگان به بخش اندودانتیکس دانشکده دندانپزشکی البرز در سال های تحصیلی 1400-1398 عمومى General پژوهشی کاربردی Original <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:10%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">درمان ریشه قسمت مهمی از کار یک دندانپزشک بوده و </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">منجر به حفظ دندان و عملکرد طولانی مدت آن</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> میشود. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">گاهی در حین درمان ریشه حوادث ناخواسته و غیرقابل پیش بینی رخ می دهد. تشخیص و شناخت علل و آگاهی از چگونگی پیشگیری و جلوگیری از تکرار این حوادث بر پروگنوز طولانی مدت دندان مؤثر است</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">. هدف از این مطالعه بررسی </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">فراوانی حوادث حین درمان اندودانتیک توسط دانشجویان در بخش اندودانتیکس دانشکده</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">دندانپزشکی البرز در سالهای تحصیلی 1398 تا 1400</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بود</span></span><span dir="LTR" lang="EN-US" style="font-size:12.0pt">.</span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:10%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش کار: </span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">این مطالعه به صورت </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">توصیفی تحلیلیِ مقطعی و گذشته نگر بر روی پرونده های مراجعین سال 1398 تا 1400 بخش </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اندودانتیکسِ دانشکده دندانپزشکی البرز انجام شد. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">428 پرونده که دارای معیارهای ورود به مطالعه بودند توسط دانشجو و اساتید مورد بررسی قرار گرفته و چک لیست تکمیل گردید. نتایج با آزمون آماری کای-دو و با نرم افزار آماری</span></span><span dir="LTR" lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">&nbsp;&nbsp;نسخه 24 </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مورد تجزیه و تحلیل قرار گرفت. </span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></b></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:10%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">یافته‌ها:&nbsp; </span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج روی 428 پرونده نشان داد</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> حدود 30 درصد از پرونده های مورد بررسی دارای خطا بود و بیشترین میزان خطا </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">وجود </span></span>&nbsp;<span dir="LTR" lang="EN-US" style="font-size:12.0pt"><span style="font-family:" times="">&nbsp;void</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">و </span></span><span dir="LTR" lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Over filling</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> به ترتیب با 36.6 و 25.9 درصد می باشد. بین جنس</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">یت</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">، سن و وضعیت تحصیلی دانشجو با خطاهای حین درمان ریشه رابطه معنی داری وجود نداشت 0.05&nbsp;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><</span></span> <span dir="LTR" lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)، اما بین موقعیت دندان، قوس فکی و واحد درسی اندودانتیک عملی با حوادث حین درمان تفاوت معنی دار وجود داشت (0.05&nbsp;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">></span></span> <span dir="LTR" lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">p</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در قوس فکی مندیبل، دندان های مولر و واحد درسی یک و سه اندودانتیکس عملی میزان حوادث بیشتری مشاهده گردید. </span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></b></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:10%"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجه‌گیری</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">: دو سوم از پرونده ها فاقد خطا بودند و نوع خطای </span></span><span dir="LTR" lang="EN-US" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Void</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ، موقعیت دندانِ </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مولر و قوس فکی مندیبل، بیشترین میزان خطا را به خود اختصاص داده بودند.</span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></b></span></span></span></span></span></span></span> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><strong>Introduction:</strong> Root canal treatment is a fundamental component of dental practice that aims to preserve natural teeth and maintain their long-term function. However, procedural errors and iatrogenic events may occur during treatment, potentially affecting treatment outcomes and prognosis. Identifying the frequency and causes of these events is essential for improving clinical training and reducing treatment-related complications. This study aimed to evaluate the frequency of iatrogenic endodontic events during root canal treatment performed by dental students at Alborz Dental School between 2020 and 2022.</span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><strong>Methods:</strong> This descriptive-analytical cross-sectional retrospective study was conducted using the records of patients treated in the Department of Endodontics at Alborz Dental School from 2020 to 2022. A total of 428 patient records that met the inclusion criteria were reviewed. Data regarding procedural errors and relevant variables were collected using a standardized checklist completed by students and faculty members. Statistical analyses were performed using the chi-square test in SPSS version 24. Ethical approval was obtained from the Ethics Committee of Alborz University of Medical Sciences (IR.ABZUMS.REC.1400.153).</span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><strong>Results:</strong> Among the 428 reviewed cases, approximately 30% were associated with at least one procedural error. The most common errors were voids in root canal obturation (36.6%) and overfilling (25.9%). No significant associations were found between the occurrence of errors and students&rsquo; sex, age, or educational level (P > 0.05). However, significant associations were observed between procedural errors and tooth type, dental arch, and practical endodontic course level (P < 0.05). The highest frequency of errors occurred in mandibular molars and during the first and third practical endodontic courses.</span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span new="" roman="" style="font-family:" times=""><strong>Conclusion:</strong> Most root canal treatments performed by dental students were completed without procedural errors. Voids and overfilling were the most frequent iatrogenic endodontic events. Mandibular molars and certain stages of clinical endodontic training were associated with a higher incidence of errors. These findings highlight the need for targeted educational interventions to improve students&rsquo; endodontic skills and treatment outcomes.</span></span></span></span> دانشجویان دندانپزشکی, درمان کانال ریشه, خطاهای تکنیکی, حوادث حین کار Endodontics, Root Canal Therapy, Dental Students, Iatrogenic Disease, Treatment Outcome, Dental Educationl errors 0 0 http://aums.abzums.ac.ir/browse.php?a_code=A-10-1447-1&slc_lang=fa&sid=1 Mansoureh Sadat Mirafazali منصوره سادات میرافضلی sunny_mirafzali@gmail.com 100319475328460014994 100319475328460014994 No Student Research Committee, Faculty of Dentistry, Alborz University of Medical Sciences, Karaj, Iran کمیته تحقیقات دانشجویی، دانشکده دندانپزشکی، دانشگاه علوم پزشکی البرز، کرج، ایران Zakiyeh Donyavi زکیه دنیوی zakiyeh.donyavi@yahoo.com 100319475328460014995 100319475328460014995 No Department of Endodontics, Clinical Research Development Unit, Faculty of Dentistry, Alborz University of Medical Sciences, Karaj, Iran گروه اندودانتیکس، واحد توسعه تحقیقات بالینی دانشکده دندانپزشکی، دانشگاه علوم پزشکی البرز، کرج، ایران Somayeh Dehghan Banadkooki سمیه دهقان بنادکوکی s.dehghan.b@gmail.com 100319475328460014996 100319475328460014996 Yes Department of Endodontics, Clinical Research Development Unit, Faculty of Dentistry, Alborz University of Medical Sciences, Karaj, Iran گروه اندودانتیکس، واحد توسعه تحقیقات بالینی دانشکده دندانپزشکی، دانشگاه علوم پزشکی البرز، کرج، ایران