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Healing proportions for vital pulp treatments are high and range between 92% and 96% (Kerekes & Tronstad 1979, Petersson et al. 1982, Sjogren et al. 1990), and are about 10% lower for the treatment of the infected root canal with apical radiolucency (Kerekes & Tronstad 1979, Sjogren et al. 1990). In contrast, the estimated healing proportion among GDPs ranges from 50 to 75% (Odesjo et al. 1990, De Gleen et al. 1993, Kirkevang et al. 2000, Kabak & Abbott 2005). Root canal treatment is one of the most technically challenging clinical procedures. In a radiographic examination of randomly selected individuals from Aarhus Kirkevang et al. (2000) observed that 59% of the root-filled teeth showed inadequate lateral seal and 40% displayed inadequate length. Furthermore, 52% of the treated teeth were associated with signs of apical periodontitis. An evaluation of the same population in 2003 (Kirkevang et al. 2006) disclosed that a large proportion of suboptimal treatments was still apparent. Quality-shaping factors in root canal treatment Despite the high proportion of suboptimal treatments reported, few studies have been concerned with factors that might improve the quality of root canal treatments performed in general practice. It is assumed that quality-shaping factors are related to the individual dentist in terms of knowledge, skills, as well as attitudes (Fig. 7). The context in which the dentist works would also be influenced by external environmental factors such as the society represented by the National Health Insurance, the remuneration system, but also the expectations and demands of the patient - as viewed through malpractice claims (Fig. 7). Hypothesis The pei1on associated low confide Aim V: To explore V) in term~ se/f-aware1 Hypothesis Endodontic is relative/] treatment f:. Aim VI: To study re 10-year pe. endodontic Hypothesis IV: The performance of root fillings of suboptimal quality amongst Danish GDPs might be associated with the use of suboptimal treatment procedures. Aim IV: To investigate the rate of adoption of new endodontic advances among a group of GDPs (Study IV). ex th1 Fig. 7. Three by GDPs. 22
1ge between 92% and n et al. 1990), and are ith apical radiolucency the estimated healing 1990, De Gleen et al. ial treatment is one of ~raphic examination of )0) observed that 59% , displayed inadequate id with signs of apical
Page 1 and 2: FACULTY OF HEALTH SCIENCES UNIVERSI
Page 3 and 4: I. /l { Endodontic treatment: reaso
Page 5 and 6: CONTENTS Preface ..................
Page 7 and 8: Preface The present dissertation ha
Page 9 and 10: INCLUDED PUBLICATIONS I. Bj0rndal L
Page 11 and 12: :mt or treat apical Jmplicated, suc
Page 13 and 14: )ically based on 1988, Odesjo et 1i
Page 15 and 16: years of age. The 7 to 1.96. Concom
Page 17 and 18: of tooth treated, the naire also as
Page 19 and 20: 1agement for caries ie for inclusio
Page 21 and 22: ast one year after he primary outco
Page 23: h retaining pulp vitality gnificant
Page 27 and 28: were randomly selected at that time
Page 29 and 30: VJ): 11 complications' occurred >rr
Page 31 and 32: ished in a lower number techniques
Page 33 and 34: 32 GDP:= - = Decisive influence 100
Page 35 and 36: table 10. In the 'technical -fillin
Page 37 and 38: iquency ;urance register containing
Page 39 and 40: ita from 1997 and 2003 tas 6.5% for
Page 41 and 42: ~mphasizes the importance pulp vita
Page 43 and 44: to impair the endodontic 1ay also t
Page 45 and 46: ced at both universities in ins to
Page 47 and 48: ind female patients were s of the p
Page 49 and 50: e rates obtained amongst may be dif
Page 51 and 52: English summary There is a great di
Page 53 and 54: follow-up, and the vast tors shapin
Page 55 and 56: Dansk resume lnden for endodontisk
Page 57 and 58: 1g blev udf0rt (62.4%). f0rt, havde
Page 59 and 60: References Allard U, Palmqvist S (1
Page 61 and 62: ution of methods to 1ational Journa
Page 63 and 64: and quality of root -:Jontic Journa
Page 65 and 66: lontic treatment, d adult, general
Page 67 and 68: 1alence of apical ics and Dental ~-
Page 69 and 70: Bj¢rndal & Reit Endodontic treatme
Page 75 and 76:
ppendix II Bj0rndal L, Laustsen MH,
Page 77 and 78:
Reasons for root canal treatment Bj
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
~ "'l'J/lli'l!{JjtflFfl[;Ofi'1tra a
Page 85 and 86:
, caries in adults 291 I yr. With a
Page 87 and 88:
'I' caries in illf11/1s 293 vitalit
Page 89 and 90:
J caries in adults 295 ncy' at J yr
Page 91 and 92:
, caries in adults 297 !I Developme
Page 93 and 94:
Bj¢rndal & Reit Adoption of new te
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
ppendix Bj0rndal L, Laustsen MH, Re
Page 101 and 102:
OOOOE Volume 103, Number 4 Bj¢mdal
Page 103 and 104:
OOOOE Volume 103, Number 4 Bj¢mda!
Page 105 and 106:
OOOOE Volume 103, Number 4 Bj¢mdal
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doi:lO. 1111/j. 1365-2591.2008.014
Page 109 and 110:
BjPrndal & Reit Endodontic malpract
Page 111:
Bf¢rndal & Reit Endodontic malprac
Page 114:
FACULTY OF HEAL TH SCIENCES UNIVERS
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