Evaluation of Quality of Record-Keeping and Root Canal Therapy Performed by Two Predoctoral Cohorts

<b>Objectives:</b> A retrospective clinical audit was carried out to evaluate and compare the quality of record-keeping (QRK) and quality of root canal therapy (QRCT) performed by 4th-year and 5th-year predoctoral students. <b>Methods:</b> Electronic records and periapical radiographs of 702 root canal treated teeth performed by 4th-year and 5th-year predoctoral students from July 2018 to December 2021 were evaluated in compliance with standard European Society of Endodontology (ESE) and American Association of Endodontists (AAE) guidelines. Associations between the QRK and the QRCT were statistically analysed using the chi-square test (<i>p</i> < 0.05). <b>Results:</b> Overall acceptability of the QRK and the QRCT was 72.08% and 50.57%, respectively. The reference point of working length was the most common criterion not recorded (33.91%). No significant difference was observed in the QRK between 4th-year (76.05%) and 5th-year (69.70%) students (<i>p</i> = 0.226), as well as the QRCT between 4th-year (51.33%) and 5th-year (50.11%) students (<i>p</i> = 0.755). Acceptable root canal fillings were significantly higher in anterior teeth (57.48%) than in posterior teeth (47.54%) (<i>p</i> = 0.015). Satisfactory QRK was significantly associated with satisfactory QRCT (<i>p</i> = 0.046). <b>Conclusions:</b> Both predoctoral cohorts showed no difference in QRK and QRCT. However, QRK was better than QRCT. Comprehensive and accurate record-keeping positively impacted the QRCT.