Changes in the Difficulty of Endodontic Cases Treated by Undergraduate Students at a University Clinic Between 1971 and 2019

Clin Exp Dent Res. 2025 Feb;11(1):e70071. doi: 10.1002/cre2.70071.

Abstract

Objective: This study aimed to assess the proportions of complicated endodontic cases treated by undergraduate dental students in a University clinic now and in the past.

Material and methods: Data were obtained from the electronic records and previous publications from the Faculty of Dentistry, University of Oslo, Norway. The operators were dental undergraduate students in their final 2 years of training. Proportions of tooth types, diagnosis, and retreatments were studied.

Results: The amount of endodontically treated molars increased from 18% in 1971% to 44% in 2019. The number of teeth with preoperative apical periodontitis increased from 31% to 46%, and retreatments from 9% to 15%. The changes were highly significant, with the greatest change occurring from 1984 to 2009.

Conclusion: Undergraduate students are exposed to more complicated teeth now than 50 years ago.

Keywords: apical periodontitis; dental education; endodontic treatment; endodontics; molars.

MeSH terms

  • Endodontics* / education
  • Female
  • Humans
  • Male
  • Molar
  • Norway / epidemiology
  • Periapical Periodontitis / epidemiology
  • Periapical Periodontitis / therapy
  • Retreatment / statistics & numerical data
  • Root Canal Therapy / statistics & numerical data
  • Students, Dental* / statistics & numerical data
  • Tooth, Nonvital / epidemiology
  • Tooth, Nonvital / therapy