Perceptions of Endodontic Treatment Outcomes Provided by Undergraduate Students and Endodontic Specialists

Perceptions of Endodontic Treatment Outcomes Provided by Undergraduate Students and Endodontic Specialists

Emilia Karova DMD, Assoc. Prof, PhD, Irina Tsenova DMD, Viktoria Petrova DMD, Alexander Bonchev, DMD, Violeta Dogandzhiyska, DMD, PhD

Medical University – Sofia, Bulgaria, Faculty of Dental Medicine, Department of Conservative Dentistry

American Journal of Geographical Research and Reviews

Introduction: A growing interest from investigators and practitioners have been registered in assessing patients’ quality of life and satisfaction with effectiveness of provided dental care. Specific treatment-related satisfaction measures have been introduced to recognize individuals’ perceptions of root canal treatment outcomes.
Methods: Two hundred systemically healthy patients with irreversible inflammation of the dental pulp were endodontically treated and filled in anonymously a questionnaire consisting of two parts: 1) personal and demographic information (age, gender, occupation, education, income), and 2) seven semantic differential scales evaluating personal satisfaction two weeks after root canal treatment was completed. Level of satisfaction was assessed by assigning scores from 1 to 10 along continuous bipolar scales, separately for each treated tooth.
Results: Very high overall satisfaction was registered in both groups with the scores being higher for patients treated by students but the difference was insignificant (p=0.068). Patients were significantly more pleased with their root canal treatment provided by specialists followed by undergraduate students (p=0.017). On the contrary, satisfaction with treatment cost was significantly lower for those treated by specialists compared to values registered by students’ patients (p< 0.0001).
Conclusions: Endodontic treatment provided by undergraduate students and endodontic specialist resulted in an extremely high level of overall satisfaction almost equal for both groups. Treatment painfulness, postoperative esthetics and chewing ability were highly appreciated regardless of the treatment provider but perception of postoperative pleasantness was significantly higher for specialists. Significantly greater satisfaction with the treatment cost was registered in the group treated by students.

Keywords: endodontic specialists, endodontic treatment outcome, perception, satisfaction, undergraduate students

Free Full-text PDF

How to cite this article:
Emilia Karova, Irina Tsenova, Viktoria Petrova, Alexander Bonchev, Violeta Dogandzhiyska. Perceptions of Endodontic Treatment Outcomes Provided by Undergraduate Students and Endodontic Specialists. International Journal of Dental Research and Reviews, 2019, 2:12. DOI: 10.28933/ijdrr-2019-02-1606


1. Dame-Teixeira N, Alves LS, Ardenghi TM, et al. Traumatic dental injury with treatment needs negatively affects the quality of life of Brazilian schoolchildren. Int J Paed Dent 2012; 23:266–273 doi: 10.1111/ipd.12002.
2. Wolfart S, Moll D, Hilgers R-D, et al. Implant placement under existing removable dental prostheses and its effect on oral health-related quality of life. Clin Oral Impl Res 2012; 0:1–6 doi: 10.1111/clr.12030
3. Al Habashneh R, Khader YS, Salameh S. Use of the Arabic version of Oral Health Impact Profile-14 to evaluate the impact of periodontal disease on oral health-related quality of life among Jordanian adults. J Oral Sci 2012; 54: 113–120.
4. Manjith CM, Karnam SK, Manglam S, et al. Oral Health-Related Quality of Life (OHQoL) among adolescents seeking orthodontic treatment. J Contemp Dent Practice 2012; 13: 294–298.
5. Alves LS, Dame-Teixeira N, Susin C, et al. Association among quality of life, dental caries treatment and intraoral distribution in 12-year-old South Brazilian schoolchildren. Community Dent Oral Epid 2013; 41, 22–29.
6. Dugas NN, Lawrence HP, Teplitsky P, et al. Quality of life and satisfaction outcomes of endodontic treatment. J Endod 2002; 28, 819–827.
7. Hamasha AA, Hatiwsh A. Quality of life and satisfaction of patients after nonsurgical primary root canal treatment provided by undergraduate students, graduate students and endodontic specialists. Int Endod J 2013; 46, 1131–1139.
8. Newsome PR, Wright GH. A review of patient satisfaction: 2. Dental patient satisfaction: an appraisal of recent literature. Br Dent J 1999; 186:166–170.
9. Sampogna F, Johansson V, Axtelius B, et al. Quality of life in patients with dental conditions: comparing patients’ and providers’ evaluation. Community Dent Health 2009; 26:234–238.
10. Yamalik N. Dentist-patient relationship and quality care 3. Communication. Int Dent J 2005;55:254–256.
11. Schouten BC, Eijkman MA, Hoogstraten J. Dentists’ and patients’ communicative behavior and their satisfaction with the dental encounter. Community Dent Health 2003; 20:11–15.
12. Sondell K, Soderfelt B, Palmqvist S. Dentist-patient communication and patient satisfaction in prosthetic dentistry. Int J Prosthodont 2002;15: 28–37.
13. Carr-Hill R. The measurement of patient satisfaction. J Public Health 1992;14: 236–49.
14. Sitzia J, Wood N. Patient satisfaction: a review of issues and concepts. Soc Sci Med 1997; 45:1829–1843.
15. Skaret E, Berg E, Raadal M, et al. Factors related to satisfaction with dental care among 23-years olds in Norway. Community Dent Oral Epidemiol 2005; 33:150–157.
16. Ayala-Luis J, Johansson V, Sampogna F, et al. A multivariable analysis of patient dental satisfaction and oral health-related quality-of-life. A cross-sectional study based on DVSS and OHIP-14. Acta Odontologica Scandinavica, 2014; 72: 187–193
17. Ware, J. E., Jr., Snyder, M. K, Wright, W. R. Some Issues in the Measurement of Patient Satisfaction with Health Care Services. 1977; Rand Corp., Santa Monica, Calif. (P-6021).
18. Davies, A. R., Ware, J. E., Jr. Development of a Dental Satisfaction Questionnaire for the Health Insurance Experiment. 1982; Rand Corp., Santa Monica, Calif. (R-2712-HHS).
19. Chapko MK, Bergner M, Green K, et al. Development and validation of a measure of dental patient satisfaction. Med Care 1985; 23:39–49.
20. Corah NL, O’Shea RM, Pace LF, et al. Development of a patient measure of satisfaction with the dentist: the dental visit satisfaction scale. J Behav Med 1984; 7:367–373.
21. Hengst, A., Roghmann, K. The two dimensions in satisfaction with dental care. Med Care 1978; 16: 202-213.
22. Wolff, M. H., Putnam, S. M., James, S. A., et al. The medical interview satisfaction scale: Development of a scale to measure patient perceptions of physician behavior. J. Behav Med 1978; 1: 391-401.
23. Osgood C, Suci G, Tannenbaum P. The measurement of feeling. Urbana: The University of Illinois Press, 1957.
24. American Association of Endodontists. Public Education Report. Surveys document more people choosing root canal therapy over extraction, 1987.
25. Newsome PR, Wright GH. A review of patient satisfaction: 1. Concepts of satisfaction. Br Dent J 1999; 186:161–165.

Terms of Use/Privacy Policy/ Disclaimer/ Other Policies:
You agree that by using our site, you have read, understood, and agreed to be bound by all of our terms of use/privacy policy/ disclaimer/ other policies (click here for details).

This work and its PDF file(s) are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.