1.Obturation Quality Evaluation and Number of Visits Required to Complete Root Canal Treatment Performed by Undergraduate Students
Wen Yun Ng ; Kasmawati Mokhtar ; Mohamad Syahrizal Halim ; Rosnani Mamat
Malaysian Journal of Medicine and Health Sciences 2021;17(No.3):245-251
Introduction: Assessment of root canal treatment (RCT) quality performed by undergraduate students is important in
evaluating the teaching of endodontic. Hence, this study aims to evaluate the obturation quality of root canal treated
teeth and the number of visits required by patients to complete RCT rendered by undergraduate students in School
of Dental Sciences, Universiti Sains Malaysia (USM). Methods: All RCT cases performed by fourth year and final
year undergraduate dental students in 2017/2018 were included in this study with a total of 258 teeth. Both digital
and conventional periapical radiographs of all treated teeth were assessed. Evaluation of the obturation quality was
classified as acceptable and unacceptable based on the length in relation to the radiographic apex and density of
the obturation in relation to the presence of voids. The number of visits required to complete each RCT case by the
students were also assessed. Results: Out of the total 258 teeth, 63.6% were maxillary and 36.4% were mandibular
comprising 53.5% anteriors, 14.7% premolars and 31.8% molars. Overall acceptable obturation quality was 71.3%.
There was significant association between obturation quality and type of teeth as well as location of teeth. Conclusion: Students in this institution performed significantly better obturation quality on anterior teeth than on premolars
and molars as well as on maxillary teeth as compared to the mandibular teeth. Patients seemed to require more visits
for RCT of molars than anteriors and premolars.
2.Oral Care Management of Head and Neck Cancer Patients at Hospital Universiti Sains Malaysia: A 7-Year Retrospective Study
Huikai Chew ; Kasmawati Mokhtar ; Yew Hin Beh ; Wan Mohd Nazri Wan Zainon ; Azirrawani Ariffin
Archives of Orofacial Sciences 2022;17(1):47-59
ABSTRACT
Head and neck cancer patients require oral assessment and management prior, during and after cancer
treatment to minimise oral complications. Hence, this study aimed to evaluate sociodemographic data,
oral health management, oral complications derived from cancer treatment, time frame in completing
dental treatment and association between oral management and complications. Purposive record
sampling of head and neck cancer patients who completed radiotherapy and/or chemotherapy at
Hospital Universiti Sains Malaysia (HUSM) from 2011 to 2017 were reviewed. A checklist was used
to record the data and analysed using descriptive statistics and Pearson Chi-square test. A number
of 194 patient records were reviewed with majority were Malays (88.1%), males (61.3%) with the
mean age of 57.18 years old. Only 21% of the patients had oral assessment prior to cancer treatment.
About 84% of the referred patients were dentally fit within 1 month. Mucositis and fungal infections
were the most prevalent complications. The relationship between oral assessment prior to cancer
treatment and oral complications was not significant (p = 0.134). Despite the insignificant association
due to several limitations, oral assessment and management prior, during and after cancer therapy
are recognised as crucial for improving quality of life. A standard institutional operating procedure is
recommended to improve patient care.
Head and Neck Neoplasms--therapy
;
Dental Care