Journal of Dental School

Vol. 44 No. 1 (2026)

Ethical Perspectives and Attitudes of Dentists Towards Endodontic Instrument Fracture: A Cross-Sectional Study in Iran

Journal of Dental School, Vol. 44 No. 1 (2026), 29 December 2025 , Page e16
https://doi.org/10.22037/jds.v44i1.50160

Abstract

Objective(s): Fracture of endodontic instruments is a common procedure complication with significant ethical implications. The attitudes and judgments of dentists concerning the disclosure and handling of such incidents are essential for ethical practice and patient trust. Methods: A cross-sectional study was performed alongside 361 dental practitioners across the country, utilizing a validated questionnaire to evaluate ethical conduct and regards concerning fractured endodontic instrument. Data were statistically analyzed using the chi-square test at a 5% significant threshold. Results: Among the participants, 85% experienced fractured instrument. Only 41.7% stated that they informed the patient when such an mishap occurred. Among cases with a good prognosis, 52.9% chose to complete treatment without informing the patient. In cases with a poor prognosis, 54.9% informed the patient and referred them to a specialist. Endodontists demonstrated more ethically aligned responses in some scenarios (p < 0.05). Conclusion: A significant portion of dentists are reluctant to report  fractured instrument, particularly in situations with a positive prognosis. This underscores the necessity for enhanced ethical training and consistent protocols regarding patient communication and mishap management.

Keywords:
  • Ethics
  • Endodontics
  • Root Canal Therapy
  • Treatment Failure
  • Complications

How to Cite

Farhad Mollashahi, N., Ansari, H., Farsi Moghadam, S., Farhad Mollashahi, L., & Yousefi, S. (2026). Ethical Perspectives and Attitudes of Dentists Towards Endodontic Instrument Fracture: A Cross-Sectional Study in Iran. Journal of Dental School, 44(1), e16. https://doi.org/10.22037/jds.v44i1.50160

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