Alshahrani Abdulmajeed Saeed, Alelyani Ahmed Ali, Al Ageel Albeaji Sadun Mohammad, AlHarith Dalia, Al Malwi Ahmed Abdullah A, Aldhbaan Abdulrahman Abdullah, Alshehri Khaled Saleh J, Bakri Alwaleed Essam, Sahli Abdullah Ahmed Ali, Alaajam Wafa Hassan, Al Moaleem Mohammed M
Department of Restorative Dentistry, Division of Endodontics, College of Dentistry, Najran University, Najran, Saudi Arabia.
Consultant Endodontics, Dental Center, Hafar al Batin, Ministry of Health, Hafar al Batin, Saudi Arabia.
Clin Cosmet Investig Dent. 2024 Sep 13;16:323-336. doi: 10.2147/CCIDE.S479321. eCollection 2024.
Root canal treatment (RCT) is a common procedure practiced daily by dentists worldwide. The current systematic review aimed to evaluate and compare clinical studies on the quality of root canal fillings (RCFs) carried out by dentists with different levels of experience conducted worldwide with those conducted specifically in Saudi Arabia (SA).
A full literature search was conducted in Clarivate Analytics' Web of Science, Elsevier's Scopus, Embase, CINHAL, and PubMed, without a restriction to studies published before January 2015. Also, a manual search was carried out by checking papers that may have been missed during the electronic search. The following keywords were used: [(quality of root canal filling(s)) OR (quality of root canal obturation)) and dental practitioners as (general dental practitioners; final year students; endodontist; specialist) AND (root canal obturation) OR (endodontic treatment)]. Parameters of the quality of RCFs, such as length, density, and taper, were assessed and counted.
A total of 13 worldwide and nine SA studies were included in this review, published between 2015 and 2023. Molars were the most treated teeth, at 42.3% and 40.2% for the worldwide and SA studies, respectively. Cases treated by final year students had the highest percentage, at 60.0% for both study groups. The percentages of acceptable quality, with regard to the length, density, and taper of RCFs, were 70.9%, 77.6%, and 84.3%, and 73.2%, 64.6%, and 67.8% for the worldwide and SA studies, respectively.
The overall acceptable quality of RCFs was marginally higher in worldwide studies than in SA studies. Both prevalences can be considered as good, which indicates that the quality of RCFs is moving in the right direction.
根管治疗（RCT）是全球牙医日常开展的常见操作。当前的系统评价旨在评估和比较全球范围内不同经验水平牙医进行的根管充填质量（RCF）临床研究与沙特阿拉伯（SA）专门开展的此类研究。
在科睿唯安的《科学引文索引》、爱思唯尔的Scopus、Embase、护理学与健康领域数据库（CINHAL）和PubMed中进行全面的文献检索，不受限于2015年1月之前发表的研究。此外，通过检查电子检索过程中可能遗漏的论文进行手动检索。使用了以下关键词：[（根管充填质量）或（根管充填密合度）]以及作为（普通牙科医生；最后一年学生；牙髓病医生；专科医生）的牙科从业者和（根管充填）或（牙髓治疗）。对RCF质量的参数，如长度、密度和锥度进行评估和计数。
本评价共纳入了2015年至2023年间发表的13项全球研究和9项沙特阿拉伯研究。磨牙是治疗最多的牙齿，全球研究和沙特阿拉伯研究中分别占42.3%和40.2%。最后一年学生治疗的病例比例最高，两个研究组均为60.0%。就RCF的长度、密度和锥度而言，全球研究中可接受质量的百分比分别为70.9%、77.6%和84.3%，沙特阿拉伯研究中分别为73.2%、64.6%和67.8%。
全球研究中RCF的总体可接受质量略高于沙特阿拉伯研究。两种患病率都可认为是良好的，这表明RCF的质量正朝着正确的方向发展。
