Research Article
Volume 20 Issue 9 - 2021
Approaches toward the Management of Endodontic Emergencies by Dentists in Al-Madinah Al-Munawwarah, Saudi Arabia
Nevine M Taymour1,2*, Areej Youssuf Maqnss3, Sara Saud Aljarbou3 and Yara Ahmed Qarras3
1Department of Restorative Dental Sciences, College of Dentistry, Taibah University, Kingdom of Saudi Arabia
2Faculty of Dentistry, Alexandria University, Egypt
3Taibah University, College of Dentistry, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia
*Corresponding Author: Nevine M Taymour, Department of Restorative Dental Sciences, College of Dentistry, Taibah University, Kingdom of Saudi Arabia.
Received: September 14, 2021; Published: September 29, 2021


Introduction: The management of endodontic emergencies is an essential and challenging part of the emergency dental treatment protocol and is greatly dependent on the expertise of the endodontist. This study aimed to assess and compare the level of knowledge between general dentists and dental interns with regard to the approaches toward the management of endodontic emergency cases in Al-Madinah Al-Munawwarah, Saudi Arabia.

Materials and Methods: A cross-sectional descriptive survey-based study was conducted using a questionnaire that was distributed among the two groups of participants. The questionnaire consisted of two main sections: one pertaining to the demographics and the second comprising seven different endodontic emergency scenarios with different treatment protocols. The participants were required to select the most appropriate treatment option.

Results: A total number of 150 dentists (96 dental interns and 54 general practitioners) participated in the study. The Chi-squared test was used to determine the relationships between the qualitative variables. No statistically significant difference in the management of most of the endodontic emergencies was observed between the two groups. However, a significantly higher proportion of dental interns compared to general dentists (P = 0.0452) selected complete instrumentation and intra-canal medicament placement as a treatment option for symptomatic irreversible pulpitis with symptomatic apical periodontitis; alternatively, the option “other” was selected for the same scenario by a higher number of general dentists (P = 0.05). For emergencies involving a necrotic pulp with diffuse facial swelling and no drainage through the canal, the standard protocol recommended in the reference textbook and a surgical incision for drainage along with antibiotic and analgesic prescriptions were selected, with no statistically significant differences between the two groups.

Conclusion: The dental practitioners demonstrated sufficient knowledge regarding the management of endodontic emergencies. Dental clinics in hospitals and dental centers should focus on clarifying the indications for certain clinical treatments, such as the use of a surgical incision for drainage and the prescription of antibiotics, during the management of endodontic emergencies. This information can be provided via continuing dental education programs to update and improve the clinical skills and knowledge of the dentists.

Keywords: Emergency; Dental Interns; General Practitioner; Level of Knowledge; Management


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Citation: Nevine M Taymour., et al. “Approaches toward the Management of Endodontic Emergencies by Dentists in Al-Madinah Al- Munawwarah, Saudi Arabia”. EC Dental Science 20.10 (2021): 132-141.

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