International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: Editor-in-chief: Marcos Roberto Tovani Palone
Open Access
Journal Browser
International Journal of Dental Sciences and Research. 2021, 9(1), 1-5
DOI: 10.12691/ijdsr-9-1-1
Open AccessArticle

Etiologies of Complications during Endodontic Treatment: A Survey among Dentists of the Town of Abidjan

Marie-Chantal Avoaka-Boni1, , Wendpoulomdé Aimé Désiré Kaboré2, Stéphane X Djolé1, Kouakou Florent Kouadio1 and Koffi TD Kouadio1

1Department of Conservative Dentistry and Endodontics, Félix Houphouët Boigny University, Abidjan, 22 BP: 612 Abidjan 22, Ivory Coast

2Department of Conservative Dentistry and Endodontics/Research Center of Health Sciences, Joseph KI-ZERBO University, 03 BP 7021 Ouagadougou 03, Burkina Faso

Pub. Date: January 03, 2021

Cite this paper:
Marie-Chantal Avoaka-Boni, Wendpoulomdé Aimé Désiré Kaboré, Stéphane X Djolé, Kouakou Florent Kouadio and Koffi TD Kouadio. Etiologies of Complications during Endodontic Treatment: A Survey among Dentists of the Town of Abidjan. International Journal of Dental Sciences and Research. 2021; 9(1):1-5. doi: 10.12691/ijdsr-9-1-1


Objective: This study aimed to identify the etiologies of complications linked with the various stages of the operating procedure for endodontic treatment by means of a survey among dentists in the town of Abidjan so as to better understand and prevent such complications. Materials and Methods: This was a prospective and descriptive study. A data collection form was devised for this purpose. The following variables were collected: the type of practice, the number of years in practice, the frequency of root canal treatments performed, the complications encountered and identification of the etiological factors. Results: The questionnaire was completed by 135 dentists. Among them, 65.9% performed up to 10 endodontic treatments per month. The majority (92.7%) stated that they encountered between 1 and 4 cases of complications per month in the course of endodontic treatment. The absence of preoperative radiography was the most often cited reason (64.44%) followed by erroneous diagnoses (14.07%). Conclusion: Altogether, the results show non-adherence to the procedures for performing endodontic treatments, which is the source of most complications. There is an urgent need to realign practitioners with the rules of good practice during endodontic procedures.

root canal treatment complication etiologies dental surgeons of Abidjan

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  PETERS LB, LINDEBOOM JA, ELST ME, WESSELINK PR. Prevalence of apical periodontitis relative to endodontic treatment in an adult Dutch population: a repeated cross- sectional study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111: 523-8.
[2]  RIBEIRO DM, RÉUS JC, FELIPPE WT, PACHECO-PEREIRA C, DUTRA KL, SANTOS JN. Technical quality of root canal treatment performed by undergraduate students using hand instrumentation: a meta-analysis. Int Endod J 2018; 5: 269-83.
[3]  DE MOOR R, HULSMANN M, KIRKEVANG LL, TANALP J, WHITWORTH J. Undergraduate curriculum guidelines for endodontology. Inter Endod J 2013; 46:1105-14.
[4]  RICUCCI D, RUSSO J, RUTBERG M, BURLESON JA, SPÅNGBERG LS. A prospective cohort study of endodontic treatments of 1,369 root canals: results after 5 years. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology & Endodontics. 2011; 112: 825-42.
[5]  TABASSUM S and KHAN FR. Failure of endodontic treatment: The usual suspects. Eur D Journal 2016; 10(1):144-47.
[6]  ESTRELA C, HOLLAND R, ESTRELA CR, ALENCAR AH, SOUSA-NETO MD, PECORA JD. Characterization of successful root canal treatment. Braz Dent J 2014; 25:3-11.
[7]  AVOAKA-BONI MC, GNAGNE-KOFFI NY, ASSOUMOU ADOU NM. Survey of general practitioners in Abidjan on the use of the surgical field in dentistry. Rev Odontostomatol Trop 2009; 127: 15-8.
[8]  SCHWARTZ D. The statistical method in medicine: etiological investigations. Rev Stat App 1960; 8(3): 5-27.
[9]  AVOAKA-BONI MC, SINAN AA, ADOU J, YAO-BOHOUSSOU L, ABOUATTIER MANSILLA E. Endodontic retreatment: Survey of practitioners in the city of Abidjan. Rev Iv Odonto-Stomatol 2007; 9:31-6
[10]  FAYE B, SARR M, LEYE F, TOURÉ B, KANE AW. Study of root canal filling techniques used in Dakar. Rev Iv Odonto-Stomatol 2009; 11:24-30
[11]  DEL FABBRO M, AFRASHTEHFAR KI, CORBELLA S, EL-KABBANEY A, PERONDI I, TASCHIERI S. In Vivo and In Vitro Effectiveness of Rotary Nickel-Titanium vs Manual Stainless Steel Instruments for Root Canal Therapy: Systematic Review and Meta-analysis. J Evid Based Dent Pract 2018; 18(1):59-69.
[12]  MANCINO D, KHAROUF N. Root canal treatment of dilacerated second maxillary premolars: planning the shaping procedure. J Clin EXP Dent. 2018: 1: 624-27.
[13]  GUILLEMIN F. The Android Surgeon Is yet to Be Born…, but Surgeons Can Be Helped by a Computer. Oncology 2016; 18: 273-74.
[14]  TSESIS I, ROSEN E, BJORNDAL L, TASCHIERI S, GIVOL N. [Medicolegal aspects of iatrogenic root perforations]. Refu'at ha-peh veha-shinayim (1993) 2014; 31(2): 15-8, 85.
[15]  AIDASANI GL, MULAY S. Management of iatrogenic errors: Furcal perforation. JICDRO 2018; 10(1): 42-6.
[16]  AL-ABDULWAHHAB BM, AL-THABIT H, AL-HARTHI A, SHAMINA R, AL-ASHGAI A, AL-QABBANI F, AL-GHAMDI S, AL-TAHER R. The attitudes of dental interns to the use of the rubber dam at Riyadh dental colleges. Saudi Endod J 2012; 2: 75-9.
[17]  PETERS OA, PETERS FC, FOKKE C. Ethical principles and considerations in endodontic treatment. ENDO-Endodontic Practice Today 2007; 1: 101-08.
[18]  COHEN S, SCHWARTZ S. Endodontic complications and the law. J Endod 1987; 13: 191-7.
[19]  WU J, LEI G, YAN M, YU Y, YU J, ZHANG G. Instrument separation analysis of multiused ProTaper Universal rotary system during root canal therapy. J Endod 2011; 37: 758-63.
[20]  DAHAN S. Quiz: Fractured instruments removal. Inf dent 2013; 95 (16/17): 1-3.
[21]  McGuigan MB, Louca C, Duncan HF. The impact of fractured endodontic instruments on treatment outcome. Br Dent J 2013a; 214: 285-9.
[22]  GLIKPO M, BUKIET F. Réintervenir en Endodontie: Eliminer les matériels et matériaux, renégocier. Réal Clin 2016; 27: 255-62.
[23]  KABORÉ WAD, GARÉ JV, NIANG SO, GUIGUIMDÉ PWL, OUÉDRAOGO Y, RODRIGUEZ I. Dental care offer in urban areas in Burkina Faso: Example of the City of Ouagadougou. Rev Iv Odonto-Stomatol 2015; 7: 42-9.
[24]  WHITWORTH J. Methods of filling root canals: principles and practices, Endod Topics 2005; 12: 2-24.
[25]  PETERS DD. Two years in vitro solubility evaluation of four gutta-percha sealer obturation techniques, J Endod 1986; 12: 139-45.
[26]  LI GH, NIU LN, SELEM LC, EID AA, et al. Quality of obturation achieved by an endodontic core-carrier system with crosslinked gutta-percha carrier in single-rooted canals. J Dent 2014; 42: 1124-34.
[27]  GARY S, CHEUNG P. Instrument fracture: mechanisms, removal of fragments, and clinical outcomes. Endod Topics 2009; 16:1-26.