scholarly journals Frequency, distribution and obturation technique of root canal retreatment among patients attending a teaching dental hospital in Chennai - A retrospective study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 230-236
Author(s):  
Krishna Kanth Jaju ◽  
Raghu Sandhya ◽  
Mahalakshmi Jayaraman

The aim of the study was to determine frequency, distribution and obturation technique of root canal retreatment among patients attending a teaching dental hospital in Chennai from June 2019 to March 2020. Three hundred seventy case records of endodontic retreatment were obtained, 262 met inclusion criteria. Patients above 18 years of age, patients who visited from June 2019 to March 2020 and patients who have already finished root canal treatment and had complaints of pain were included. Data were tabulated into excel sheets under the headings age, gender, teeth no, obturation technique. Then data were analyzed using SPSS software (23.0). The statistical analysis of the data was performed using chi-square test. Out of the 262 case sheets analysed, 64.9% were male and 35.1% were female. Most commonly affected age group was 18-30 years (38.5%), the least affected age group was above 60 years (6.9%). Most commonly affected teeth were 11,21 (26%,11.8%), least commonly involved were 17,27,32,33 (0.4% - 0.8%). Matched taper single cone technique was most commonly used (57.6%) followed by lateral compaction (40.5%), least commonly preferred technique was warm vertical compaction (1.9%). Overall results of the study are statistically not significant (P>0.05). Within the limitations of this study, it was concluded that the prevalence of retreatment cases was high in upper anterior teeth followed by lower posterior. Whereas the association of retreatment cases was least in upper posterior and lower left lateral and canines. Incidence of retreatment cases in relation to root canal treated teeth was higher in male among the 18 - 30 year's age group.

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 609-613
Author(s):  
Reshmi B ◽  
Bhagyalakshmi T ◽  
Arvind S

Anterior tooth fractures are more commonly found in younger patients than in adults. Kids in school accidentally fall and break their anterior tooth. It not only has an impact on aesthetics but physiological disturbances due to their friends. The aim of this study is to assess the gender difference in patients who underwent root canal treatment in anterior teeth after trauma. The data was collected from the dental information archiving software of saveetha dental college, from June 2019 to March 2020. The parameters collected were age, gender, a tooth which had undergone trauma. The data was collected and tabulated in the excel sheet and was transferred to the SPSS software by IBM for statistical analysis like chi-square test between trauma teeth and age and gender and traumatized tooth. This study reveals that males had a higher incidence of fracture than females and they belonged to the age group of 2-4 years with a P-value of 0.213 >0.05 (statistically insignificant).   This study concludes that male children are more prone for anterior tooth fracture than the female children, and they must be educated on the importance of teeth and safety during sporting or any other physical activities.


2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Taher AlOmari ◽  
Rami Al-Fodeh ◽  
Ruba Mustafa ◽  
Hamza El-Farraj ◽  
Waheeb Khaled ◽  
...  

This study aimed at assessing the performance of Reciproc Blue (RB) and XP Endo Shaper (XPS), used for canal retreatment on extracted teeth, in terms of debris extrusion and obturating materials removal. Thirty mandibular premolars were prepared to ProTaper X2 file, obturated using warm vertical compaction, and then incubated for 28 days at 100% humidity at 37°C. Teeth were randomly assigned into two groups, according to the system used for retreatment (RB and XPS). During retreatment, debris extruded beyond the apex was collected in preweighed Eppendorf tubes, and the retreatment time was measured. Afterward, the teeth were longitudinally sectioned to assess the remaining obturating materials. Data were statistically analyzed using the Mann–Whitney test and chi-square test at a 95% confidence level. All the samples had extruded debris at varying weights ranging from 0.125 mg to 3.680 mg. XPS extruded less debris than RB, but no difference was detected (Mann–Whitney test; P > 0.05 ). RB and XPS required 54.9 ± 17.9 and 22.3 ± 9.3 seconds to perform retreatment procedures, respectively (Mann–Whitney test; P < 0.05 ). The sealer was found in all the samples. Compared to the RB group, fewer samples with remaining gutta-percha were found in the XPS group (Chi-square test; P < 0.05 ). None of the files fractured during the retreatment procedure. The tested files appear to extrude debris beyond the apex. Although XPS was able to remove the gutta-percha completely from the majority of the canals, it was unable to remove the sealer.


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.


2020 ◽  
Vol 17 (3) ◽  
pp. 81-89 ◽  
Author(s):  
Nazafatul Ain ◽  
Saira Khan ◽  
Muhammad Marwat ◽  
Nisar Khan ◽  
Iftikhar Ahmad ◽  
...  

Background: Global Health Estimates 2015 has shown the stroke as second leading global cause of death and 3rd leading global cause for DALYs for year 2015. The objectives of this study were to determine the frequency, distribution and determinants of hypertension in adult stroke population of D.I.Khan Division, Pakistan. Materials & Methods: This cross-sectional study was conducted in Department of Community Medicine, Gomal Medical College, D.I.Khan, Pakistan from February 1, 2017 to April 30, 2017. A sample 217 was selected with margin of error 5.59%, 90%CL and 50% prevalence of hypertension in 200,000 adults at risk of stroke population through consecutive sampling. All indoor adult patients of stroke were eligible. Sex, age groups, and residence and presence of hypertension were variables. Frequency and distribution of hypertension were analyzed by count and percentage. Hypotheses for distribution were substantiated by chi-square goodness-of-fit and of association by chi-square test of association. Results: Out of 217 patients with stroke, 123 (56.7%) were men and 94 (43.3%) were women, 86 (39.6%) were≤60 years and 131 (60.4%) were>60 years, and 105 (48.4%) were urban and 112 (51.6%) were rural. Frequency of hypertension was 132/217 (60.83%). Out of 132 patients with hypertension, men were 74 (34.10%), women 58 (26.73%), age group≤60 years 46 (21.20%), >60 years 86 (39.63%), urban 72 (33.18%) and rural 60 (27.65%). Presence of hypertension was associated to residence (p=.023) but not to sex (p=.817) and age groups (p=.072). Conclusion: Frequency of hypertension in adult stroke population of D.I.Khan Division, Pakistan was found to be similar as expected. Frequency was more in men, in older age group (of>60years) and in urban population. The presence of hypertension in adult stroke population of D.I.Khan Division was associated to residence but not to sex and age groups.


2019 ◽  
Vol 17 (4) ◽  
pp. 131-143 ◽  
Author(s):  
Muhammad Marwat ◽  
Iftikhar Ahmad ◽  
Fariha Ashiq ◽  
Sania Ali ◽  
Sher Zamir ◽  
...  

Background: Global Health Estimates 2015 has shown IHD as second leading global cause of death and 3rd leading global cause for DALYs for 2015. The objectives of this study were to determine frequency, distribution and determinants of DM in adult acute coronary syndrome (ACS) population of D.I.Khan Division, Pakistan. Materials & Methods: This cross-sectional study was conducted in Departments of Ophthalmology & Community Medicine, Gomal Medical College, D.I.Khan, from February 1, 2017 to April 30, 2017. 331 cases were selected with margin of error 4.511%, 90%CL and 25% prevalence of DM in 73,438 adults assumed to have IHD. All indoor adult patients of ACS were eligible. Sex, age groups, and residence and presence of DM were variables. Frequency and distribution were analyzed by count and percentage. Hypotheses for distribution were substantiated by chi-square goodness-of-fit and of association by chi-square test of association. Results: Out of 331 patients with ACS, 225 (68.0%) were men and 106 (32.0%) women, 221 (66.8%) ≤60 years and 110 (33.2%) >60 years, and 210 (63.4%) urban and 121 (35.6%) rural. Frequency of DM was 79/331 (23.87%). Out of 79 patients with DM, men were 44 (13.29%), women 35 (10.57%), age group ≤60 years 57 (17.22%), >60 years 22 (6.65%), urban 53 (16.01%) and rural 60 (7.85%). Our prevalence of DM was lower than expected (p=.00214), our distribution by sex was similar to expected (p=.4993) while our distribution for age groups (p=.01209) and residence (p=.00005) were not similar to expected. Presence of DM was associated to sex (p=.011) but not to age groups (p=.0304) and residence (p=.5241). Conclusion: Prevalence of DM in adult ACS population of D.I.Khan Division, Pakistan was found lower than expected. The prevalence was more in men than women, more in younger age group (≤60 years) than older age group (>60 years) and more in urban than rural population. Our prevalence of DM was lower than expected, our distribution by sex was similar to expected while our distribution for age groups and residence were not similar to expected. The presence of DM was associated to sex but not to age groups and residence.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1239-1244
Author(s):  
Shreya Svitlana Anand ◽  
Hemavathy Muralidoss ◽  
Jaiganesh Ramamurthy

The aim of the study was to identify if amoxicillin is the drug of choice for dentoalveolar abscess. The retrospective evaluation was conducted using data provided by a private hospital. 86000 patients had reported to the outpatient department, a private hospital between June 2019 and March 2020, and the data was collected and analyzed. Patients diagnosed with dentoalveolar abscess were selected for the study. The antibiotic prescribed for treatment was recorded. A retrospective analysis was done based on the collected data. The data was entered in a methodical manner [serial number, name, age, gender, tooth number. Statistical analysis was performed in the statistical software SPSS and data were analyzed by descriptive statistics and Chi-square test. The retrospective study consisted of 27 subjects infected with Dentoalveolar Abscess. In this study we observed that 100% of the patients affected with dentoalveolar abscess were prescribed Amoxicillin and the most affected individuals among the study population belonged to the young adult population (age group 18-35 years) [51.85%], followed by patients aged 36-55 years [33.33%] and least affected belonging to age group 56-75 years [14.81%]. Around 74.07% of the population were prescribed Amoxicillin alone, 18.51% have prescribed a combination of Amoxicillin and Metronidazole, followed by 7.4% of the study population were prescribed the combination of Amoxicillin and Clavulanic acid. Within the limits of this study, we find that the drug prescribed for Dentoalveolar abscess in a private dental hospital is predominantly Amoxicillin. Hence, we conclude that amoxicillin is the drug of choice for dentoalveolar abscesses.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 423-427
Author(s):  
Anupama Deepak ◽  
Subramaniam EMG ◽  
Ganesh Jeevanandan ◽  
Jeevitha M

Dental caries is one of the most infectious diseases of childhood resulting in chronic progression rate. They are of different types and patterns being rampant caries, nursing bottle caries. These are known to spread from the mother to the baby during infancy. Early childhood caries in the presence of one or more decayed or filled tooth surfaces in any primary teeth in a child 72 months age or younger. It is generally associated with unusual dietary patterns. Caries in children are mainly caused by the bacteria Streptococcus mutans. One of the reasons identified for ECC in children is the improper feeding patterns in children and prolonged use of baby bottles for milk feeding, especially at night. The aim of this study is to assess the prevalence of ECC anterior teeth in children. A retrospective study was carried out using digital records of 731 subjects. These data were collected from DIAS and coded in MS Excel sheets. The collected data was analysed by computer software SPSS version 21 using Chi-square test and graphical illustration was done. From the above study, it was found that ECC was more prevalent in 2-4 years and predominantly in male children (54.61%). Therefore, from this study, it can be concluded that ECC is highly prevalent in the maxillary anterior teeth in children. 


DENTA ◽  
2017 ◽  
Vol 11 (1) ◽  
pp. 88
Author(s):  
Yongki Hadinata W ◽  
Karlina Samadi

<p><strong><em>Background :</em></strong><em> There are some factors can cause endodontic failure such as inadequate in cleaning or shaping step, non hermetic obturation, or poor restoration, which can cause bacteria multiply. <strong>Purpose :</strong> To report the management of endodontic failure with nonsurgical treatment. <strong>Case :</strong> 46-year-old woman came to Airlangga Dental Hospital Conservative Dentistry Department to treat her upper right tooth which show symptomatic pain in the last 2 weeks. The tooth has been treated and crowned with porcelain fused to metal about 10 years ago. Clinical examination show the presence of fistula on premolar buccal gingiva, react to percussion.  Radiographic examination show not hermetic obturation in one root canal and radiolucency in the periapical area. The diagnosis for maxillary first premolar is previously treated tooth with chronic periapical abscess.. <strong>Treatment :</strong> Crown and post was removed from the tooth, and endodontic retreatment was done. Follow up 6 months after the retreatment show no reaction to percussion, and radiographic examination show no enlargement periapical lesion. <strong>Conclusion :</strong> Nonsurgical endodontic retreatment always become the first choice to resolve endodontic failure for previously treated tooth.</em></p><p><strong><em>Keywords :</em></strong><em> endodontic failure, maxillary first premolar, nonsurgical endodontic retreatment</em></p><p><strong><em>Correspondence:</em></strong><em> Yongki Hadinata W., drg. PPDGS Ilmu Konservasi Gigi Fakultas Kedokteran Gigi Universitas Airlangga, Surabaya. Jl. Mayjen. Prof. Dr. Moestopo No. 47, Surabaya.</em></p>


2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.


2012 ◽  
Vol 23 (3) ◽  
pp. 199-204 ◽  
Author(s):  
Bruno Carvalho de Vasconcelos ◽  
Leonardo de Alencar Matos ◽  
Elilton Cavalcante Pinheiro-Júnior ◽  
Antônio Sérgio Teixeira de Menezes ◽  
Nilton Vivacqua-Gomes

This study evaluated the accuracy of three electronic apex locators (Root ZX, Novapex, and Justy II) in root canal length determinations using different apical file sizes, considering the apical constriction (AC) and the major foramen (MF) as anatomic references. The diameter of the apical foramina of 40 single-rooted teeth was determined by direct visual measurement and the master apical file was established. Electronic measurements were then performed using 3 instruments: the selected master apical file (adjusted file), one size smaller (intermediate file), and two sizes smaller (misfit file). The distances from the tip of files fixed in the canals to the MF and to the AC were measured digitally. Precision at AC and at MF for the misfit, intermediate and adjusted apical files was as follows: 80%/88%/83% and 78%/83%/95% (Root ZX); 80%/85%/80% and 68%/73%/73% (Novapex); and 78%/80%/78% and 65%/78%/70% (Justy II). Considering the mean discrepancies, statistically significant differences were found only for the adjusted file at MF, with Root ZX presenting the best results at MF. The chi-square test showed significant differences between the acceptable measurements at AC and at MF for the Justy II and Novapex (± 0.5 mm) regardless of file adjustment. Under the conditions of the present study, all devices provided acceptable electronic measurements regardless of file adjustment, except for Root ZX which had its performance improved significantly when the precisely fit apical file was used. Justy II and Novapex provided electronic measurements nearest to the AC.


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