scholarly journals Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Maria Tereza Pedrosa Albuquerque ◽  
Lorena Caetano Abreu ◽  
Leticia Martim ◽  
Eliseu Aldrighi Münchow ◽  
Juliana Yuri Nagata

Aim. To investigate predisposing aspects related to the indication for root canal treatment (RCT) at Dental Schools of Brazil. Methods. Data of 207 patients referred to endodontic treatment at undergraduate Dental Schools of Brazil were collected over a period of 8 months. Patient-related data included age, gender, first dental visit, tooth brushing frequency, number of remaining teeth, and previous endodontic treatment, and tooth-related information regarding number, type, and location in the mouth of teeth that need RCT, waiting time for the endodontic treatment, endodontic diagnosis, pain report, and dental crown condition was collected for each participant. Bivariate analysis (Chi-square test; p < 0.05 ) associated gender and tooth/patient-related conditions. Poisson regression analysis compared multiple endodontic need and exposure variables. Results. Patients were mainly comprised of women (65.2%), aged 18–39 years (69.6%). Previous RCT was significantly more prevalent in women when compared to men p = 0.005 . First dental visit at later moment (after 20 years of age) demonstrated 400% greater prevalence of multiple RCT demand when compared to patients that attended the dental office at age below seven years p = 0.032 . Most of the patients presented only one tooth needing RCT (80.2%), mainly premolars (44.9%). Interestingly, women underwent more RCT in maxillary teeth p = 0.016 and significantly contributed with their report to the diagnosis process when compared to men p = 0.014 . Regarding dental crown condition, 45.4% of all teeth registered unsatisfactory restorations, which were more pronounced in female patients p = 0.018 . Unsatisfactory restorations or dental caries had 75% and 82%, respectively, less prevalence of multiple RCT indication when compared to sound dental crown p = 0.001 . Conclusions. RCT was undertaken more frequently in young female adults’ premolars presenting unsatisfactory restorations. First dental visit, number of teeth with previous endodontic treatment, tooth group, and dental crown condition were significantly associated with the necessity of multiple endodontic treatments.

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Raidan Ba-Hattab ◽  
Ishrat Rahman ◽  
Lubna K. Elsayed ◽  
Wejdan F. Alasmari ◽  
Randa Abidia ◽  
...  

Aim. During endodontic treatment, dentists may face various unwanted procedural accidents, at any stage of the treatment that might compromise endodontic treatment outcome and bring obstacles to dentists as well. This study aimed to address and analyze several ethical concerns relating to the behavioural conduct of dentists towards endodontic instrument separation as well as perforation of the crown and/or root during root canal treatment in Riyadh, Saudi Arabia. Method. Hundred and eleven questionnaires were distributed among dentists working in Riyadh in university clinics and government and private sectors. Data were collected, reviewed, and statistically analyzed by Fisher’s exact and chi-square tests at a 5% significance level, using SPSS software. Results. 54.5% of the respondents have encountered instrument separation. 53.2% stated that they would inform the patient about the instrument separation. 43.6% of the respondents had experienced perforation during root canal treatment, and 54.9% reported that they would inform the patient of the accident. Conclusion. Within the limitation of this survey, we concluded that most of the dental professionals did not hesitate to adhere to the correct ethical conduct, and they would inform the patient if an incident occurred.


Author(s):  
Tae Yeon Lee ◽  
Sung Eun Yang ◽  
Hye Min Kim ◽  
Min Joo Kye

Abstract Objectives The purpose of this study was to analyze and to compare retrospectively the characteristics, the treatment process, and the prognosis of cracked teeth by comparing recent data with data from 10 years ago. Materials and Methods Sixty-eight cracked teeth from March 2009 to June 2010 (2009 data) and 185 cracked teeth from March 2019 to June 2020 (2019 data) were analyzed. The characteristics of cracked teeth and the treatment method depending on probing depth, caries, and symptoms, and prognosis depending on pocket depth and apical lesions were analyzed using R version 3.3.3 (R Foundation for Statistical Computing, Vienna, Austria) and T&F version 3.0 (YooJin BioSoft, Korea). To compare proportions, the two-sample proportion test was performed. The distribution of proportions within the samples from 2009 and 2019 data was analyzed using the Chi-square test or binomial test. A p-value <0.05 was considered to indicate statistical significance. Results Significantly fewer cracked teeth received root canal treatment before crown in 2019 than in 2009 (p = 0.032). In both 2009 and 2019, symptomatic cracked teeth and those with deep periodontal pockets (>6 mm) were significantly more likely to receive root canal treatment. In both years, cracked teeth with a probing depth less than 6 mm or without an apical lesion were significantly more likely to be asymptomatic at 3-month and 6-month follow-ups (p < 0.001). Conclusion Cracked teeth with a deep periodontal pocket or symptoms had a higher likelihood of endodontic treatment, and the presence of a deep periodontal pocket or apical lesion was associated with a higher risk of persistent symptoms. Therefore, clinicians should consider these factors when planning treatment and predicting patients’ prognosis.


2017 ◽  
Vol 5 (2) ◽  
pp. 89 ◽  
Author(s):  
Mazen Doumani ◽  
Adnan Habib ◽  
Nashwan Qaid ◽  
Saleem Abdulrab ◽  
Ahmad Reda Bashnakli ◽  
...  

Endodontics is a profession based on the work with other people so several factors should be considered during clinical decision-making process.Objective: The aim of this study was to evaluate the knowledge and awareness of patients in a sample of Saudi population regarding endodontic treatment.Methods: multiple-choice questionnaire regarding knowledge and awareness of root canal treatment distributed to 227 patients, the questionnaire comprised questions ranged from personal and social details to specific questions about endodontic treatment; the analysis of data was performed using methods of descriptive statistics.Results: The results shown that the strong spontaneous toothache was the most impact factor of the need for endodontic treatment in (53%) of respondents, (29%) of subjects do not know anything about root canal treatment, (47%) of respondents indicated that the pain was the most important concern associated with the root canal treatment.Conclusion: Toothache is the greatest motivation of patient to refer the dentist, and pain is the more important patients’ concerns associated with root canal treatment, knowledge and awareness of patients regarding root canal treatment is different among races and populations.


2020 ◽  
Vol 10 (2) ◽  
pp. 10-13
Author(s):  
Md Abdul Hannan Sheikh ◽  
Eyad Al Khalifa ◽  
Mozammal Hossain ◽  
Md Faruk Hossain ◽  
Nazneen Karim ◽  
...  

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13


2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Julia Machado Saporiti ◽  
Andressa Gomes ◽  
Melissa Feres Damian ◽  
Nadia De Souza Ferreira

Objective: The aim of this study was evaluate radiographically prevalence of apical periodontitis (AP) in endodontically treated teeth (ETT) and relate with demographic factors, quality of endodontic treatment and coronal restoration. Material and methods: Data were collected from dental records wich contained full-mouth radiographic series. In ETT, arch, dental group and presence of AP were evaluated. Quality of root canal filling, presence and quality of coronal restoration and type of restorative material were also collected. Data were evaluated using descriptive statistics and Chi-square Test. Results: Of 70 patients included in the final sample, the majority were female (54.3%) and age ranged from 13 to 77 years (47.14 ± 13.18). Of 1,333 teeth evaluated, 73 (5.4%) had endodontic treatment, being the majority maxillary (74%) and anterior teeth (52.1%). Of teeth without endodontic treatment, 320 (25.4%) had AP. Failure rate was high (52.8%) and quality of root canal filling and coronal restoration were considered inadequate in majority cases (58.3% and 47.7%, respectively). Dental group had a statistically significant relationship with presence of AP in ETT, being more frequent in anterior teeth (p = 0.019). Conclusion: It was concluded that prevalence of AP in ETT was high and dental group was the factor that most influenced prevalence of AP in ETT.KeywordsApical periodontitis; Radiography; Root canal filling.


2019 ◽  
Vol 9 (2) ◽  
pp. 88-98
Author(s):  
Sherly Vermita w ◽  
M Dedi Widodo ◽  
Leon Candra ◽  
Fenti Rialita

Anemia is a condition where there is a decrease in the number of red cell mass which is indicated by adecrease in hemoglobin level <11 g / dl, hematocrit, and erythrocyte count (red cell count). The Indragiri HilirDistrict Health Office for girlsin 2016 amounted to 22.8% of 880, 201 young women who experienced anemia.General Objectives Describe and determine Determinants that affect the incidence of anemia in youngwomen in SMA 1 Reteh in 2018. This type of research is observational analytic with Cross Sectional researchdesign. The population in this study were all young female in SMA 1 Reteh with a total of 405 female studentsand the number of samples in this study was 198 students taken using simple random techniques. Theanalysis used was univariate and bivariate analysis with chi-square test. The results showed values forknowledge (P value = 0.001), eating habits for inhibiting iron absorption (P value = 0.001), menstrual patterns(P value = 0.001) and nutritional status (P value = 0.001) meaning that there was a significant relationshipwith the incidence of anemia. It is better for the SMA 1 Reteh to be expected by the teacher to provide anemiaknowledge to the students and put information on anemia. And it is expected that students consumenutritious foods to avoid anemia


2011 ◽  
Vol 52 (1/3) ◽  
pp. 45-47
Author(s):  
Carolina Dos Santos Guimarães ◽  
Gerhilde Callou Sampaio ◽  
Élvia Barros de Almeida ◽  
Luciano Barreto Silva ◽  
Ana Paula Mourato ◽  
...  

Introduction: The present study sought to assess the effect of apical foramen cleaning in the repair of periapical lesions detected by radiography. Methods: The sample comprised 980 teeth collected from 25 February 1997 to 15 March 2005 which had been subjected to endodontic treatment and exhibited radiographically visible periapical lesions. The sample was then divided into two groups: Group I, 402 root canal treatments in which cleaning of the apical foramen had not been performed, and Group II, composed of the remaining 578 root canal treatments where the procedure had been performed. After one year, the teeth were clinically and radiographically evaluated. Results: In Group I, 360 canals (89.55%) had no evidence of periapical lesions, versus 521 (90.13%) in Group II. Partial presence of these lesions was observed in 23 canals (5.72%) in Group I versus 27 (4.67%) in Group II. No changes in images were observed in 19 (4.72%) canals in Group I and 30 in Group II. Pearson’s chi-square test showed no statistically significant difference between the Groups I and II (p = 0.732). Conclusions: These findings suggest that foramen cleaning is not a determinant of periapical lesion repair.


2021 ◽  
Vol 67 (2) ◽  
pp. 101-106
Author(s):  
Sanziana Adina Scarlatescu ◽  
◽  
Irina Gheorghiu ◽  
George Nicola ◽  
Andrei O. Al Aloul ◽  
...  

The objectives of root canal treatment are to prevent the apical parodontitis, to heal the acute or cronic apical periodontits and to maintain the results, keeping the teeth on the arch in a functional stage. Thus, accuratelly elimination of soft and hard tissues (cleaning and shaping of the root canal system), disinfection and complete, homogeneous and tridimensional filling of the root canal system are very important to successful endodontic treatment. Modern concepts in endodontic treatment rely on technological progress and therefore many cases are successfully fulfilled, but the practitioner may be put in front of procedural erorrs both during and after endodontic treatment. Apical blockage, ledging, zipping, stripping, perforations in the floor of the pulp canal chamber or root canals perforations are the most common errors, but in many clinical situations they can be prevented and even surpassed once happened.


2021 ◽  
Vol 33 (1) ◽  
pp. 36-44
Author(s):  
Héctor Monardes ◽  
Karin Steinfort ◽  
Nuria Almonacid ◽  
Marcela Bustos ◽  
Jaime Abarca

Introduction: to determine the frequency of fenestration and dehiscence bone defects present in maxillary teeth with apical periodontitis, mainly in teeth with endodontic treatment, as they are frequently cause of nonspecific symptoms after treatment. Methods: 1201 Maxillary Cone Beam Computed Tomography (CBCT) exams were analyzed and 803 teeth with apical periodontitis were selected. Results: of the teeth with apical periodontitis, 142 had a fenestration defect (18%) of which 105 teeth (74%) were endodontically treated. The highest frequency was observed in premolars, with no statistical differences between groups. Dehiscence defect was found in 139 teeth (17%) out of which 90 (65%) were endodontically treated. The highest frequency was observed in molars, with statistical differences in relation to other tooth types (p< 0.001). Conclusion: an important number of teeth with apical periodontitis present dehiscence or fenestration bone defects, especially in teeth with root canal treatment.


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