scholarly journals Access to root canal treatment in a Nigerian sub-population: assessment of the effect of dental health insurance

2021 ◽  
Vol 21 (1) ◽  
pp. 470-7
Author(s):  
Paul Ikhodaro Idon ◽  
Olawale Akeem Sotunde ◽  
Temiloluwa Olawale Ogundare ◽  
Janada Yusuf ◽  
John Oluwatosin Makanjuola ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Health Insurance ◽  
Root Canal ◽  
Dental Health ◽  
Insurance Coverage ◽  
Root Canal Treatment ◽  
Insurance Status ◽  
Dental Insurance ◽  
Chi Square ◽  
One Year

Background: The final pathway of tooth mortality lies between tooth extraction, and the more expensive and less accessible root canal treatment (RCT). Aim: To determine the extent to which individuals’ financial resources as measured by socioeconomic status and dental insurance coverage affects their access to RCT. Methods: A hospital-based study that used a 15-item questionnaire to collect data among patients scheduled for RCT. All scheduled subjects (N = 291) over a one-year period constituted the sample for the study. Using the SPSS software, associa- tions between the subjects’ variables, and the dental insurance status were carried out with Chi square and independent t test respectively at 95% confidence interval. Results: Two hundred and ninety-one subjects were to have 353 RCTs within the study period. A high proportion (79.7%, p < 0.001) of the subjects had dental health insurance, majority (95.3%) of which was government funded. 20.9% of those with previous tooth loss was due to inability to afford cost of RCT. The lowest socioeconomic group had the highest pro- portion (90%, p = 0.421) of insured that visited for RCT. Conclusion: Dental insurance increased access to RCT. Socioeconomic status did not affect dental insurance status and dental visit for RCT. Keywords: Dental insurance; health insurance; root canal treatment.

scholarly journals Characteristics, Treatment, and Prognosis of Cracked Teeth: A Comparison with Data from 10 Years Ago

2021 ◽  
Author(s):  
Tae Yeon Lee ◽  
Sung Eun Yang ◽  
Hye Min Kim ◽  
Min Joo Kye
Keyword(s):  
Root Canal ◽  
Statistical Significance ◽  
Treatment Method ◽  
Root Canal Treatment ◽  
Periodontal Pocket ◽  
P Value ◽  
Chi Square ◽  
Pocket Depth ◽  
Persistent Symptoms ◽  
Probing Depth

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.

Retreatment and Restoration Using Individual Formable Fibre Post and Crown - Case Report

2020 ◽  
Vol 48 ◽  
pp. 15-21
Author(s):  
Rinda Wanodyatama ◽  
Tri Endra Untara ◽  
Tunjung Nugraheni
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Root Canals ◽  
Gutta Percha ◽  
Surgical Methods ◽  
Dental Hospital ◽  
Conservative Dentistry ◽  
One Year ◽  
Endodontic Retreatment

Endodontic retreatment is an attempt to reachieve a healthy periapical after it was previously been carried out an inadequate or reinfected endodontic retreatment that has been filled due to the leakage of apical and coronal. One stage in this retreatment is an uptake of obturasi material using hedstrom file (H-file). The solvent material used in this endodontic retreatment is xylol. Case report. A 22-year-old male patient came to the Clinic of Conservative Dentistry Dental Hospital Prof. Soedomo, Faculty of Dentistry, Gadjah Mada University (UGM) wanted to treat his mandibular second right premolar (45) that has been painful since two months ago. The tooth had root canal treatment one year ago. The pain suddenly appears and disappears as soon as the patient consumes painkillers. Dental preoperative (periapical) radiograph tooth 45 showed a picture of gutta percha root canals and radiolucent images at the tip of the root of the tooth. Diagnosis of tooth 45 is non-vital tooth after root canal treatment accompanied by apical, symptomatic periodontitis. The operator performed a root canal treatment by dismantling the restoration on the occlusal part of tooth 45 and taking gutta percha using a hedstrom file followed by treatment of the root canal, crown lengthening, installation of individual formable fiber post and porcelain fused to metal crown. Conclusion. Retreatment of root canal treatment with non-surgical methods still can be conducted effectively and obtain good results with the final treatment results in smaller lesions in the apical portion of tooth 45.

scholarly journals Delayed replantation: Can it be a success?

1970 ◽  
Vol 6 (4) ◽  
pp. 497-501
Author(s):  
A Parolia ◽  
M Kundabala ◽  
N Shetty ◽  
ST Manuel
Keyword(s):  
Medical Journal ◽  
Case Report ◽  
Key Words ◽  
Male Patient ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
One Year

This case report describes delayed replantation of an avulsed maxillary central incisor in a 17-year-old male patient following an injury on fall one day earlier. Avulsed maxillary right permanent central incisor was replanted back into the socket after extra-oral root canal treatment. One year follow up showed validity of treatment, with no evidence of resorption in the replanted tooth. Key words: Replantation, Maxillary central incisor, Resorption doi: 10.3126/kumj.v6i4.1742     Kathmandu University Medical Journal (2008), Vol. 6, No. 4, Issue 24, 497-501     

scholarly journals Association between health insurance status and malignant glioma

2020 ◽  
Vol 7 (5) ◽  
pp. 531-540
Author(s):  
Igor Fischer ◽  
Hendrik-Jan Mijderwijk ◽  
Ulf D Kahlert ◽  
Marion Rapp ◽  
Michael Sabel ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Health Insurance ◽  
Brain Tumors ◽  
Malignant Neoplasms ◽  
German Population ◽  
Insurance Status ◽  
Health Insurance Status ◽  
Neurosurgical Patients ◽  
Insured Patients ◽  
Privately Insured

Abstract Background Prior studies have suggested an association between patient socioeconomic status and brain tumors. In the present study we attempt to indirectly validate the findings, using health insurance status as a proxy for socioeconomic status. Methods There are 2 types of health insurance in Germany: statutory and private. Owing to regulations, low- and middle-income residents are typically statutory insured, whereas high-income residents have the option of choosing a private insurance. We compared the frequencies of privately insured patients suffering from malignant neoplasms of the brain with the corresponding frequencies among other neurosurgical patients at our hospital and among the German population. To correct for age, sex, and distance from the hospital, we included these variables as predictors in logistic and binomial regression. Results A significant association (odds ratio [OR] = 1.59, CI = 1.45-1.74, P &lt; .001) between health insurance status and brain tumors was found. The association is independent of patients’ sex or age. Whereas privately insured patients generally tend to come from farther away, such a relationship was not observed for patients suffering from brain tumors. Comparing the out of house and in-house brain tumor patients showed no selection bias on our side. Conclusion Previous studies have found that people with a higher income, level of education, or socioeconomic status are more likely to suffer from malignant brain tumors. Our findings are in line with these studies. Although the reason behind the association remains unclear, the probability that our results are due to some random effect in the data is extremely low.

scholarly journals Age-related Differences in Breast Cancer Mortality according to Race/Ethnicity, Insurance, and Socioeconomic Status

2019 ◽  
Author(s):  
Yazmin San Miguel ◽  
Scarlett Lin Gomez ◽  
James D. Murphy ◽  
Richard B. Schwab ◽  
Corinne McDaniels-Davidson ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Socioeconomic Status ◽  
Health Insurance ◽  
Cancer Mortality ◽  
Breast Cancer Mortality ◽  
Insurance Status ◽  
Younger Patients ◽  
Younger Women ◽  
Health Insurance Status ◽  
Race Ethnicity

Abstract Purpose We assessed breast cancer mortality in older versus younger women according to race/ethnicity, neighborhood socioeconomic status (nSES), and health insurance status. Methods The study included female breast cancer cases 18 years of age and older, diagnosed between 2005 and 2015 in the California Cancer Registry. Multivariable Cox proportional hazards modeling was used to generate hazard ratios (HR) of breast cancer specific deaths and 95% confidence intervals (CI) for older (60+ years) versus younger (<60 years) patients separately by race/ethnicity, nSES, and health insurance status. Results Risk of dying from breast cancer was higher in older than younger patients after multivariable adjustment, which varied in magnitude by race/ethnicity (P-interaction<0.0001). Comparing older to younger patients, higher mortality differences were shown for non-Hispanic white (HR=1.43; 95% CI, 1.36-1.51) and Hispanic women (HR=1.37; 95% CI, 1.26-1.50) and lower differences for non-Hispanic blacks (HR=1.17; 95% CI, 1.04-1.31) and Asians/Pacific Islanders (HR=1.15; 95% CI, 1.02-1.31). HRs comparing older to younger patients varied by insurance status (P-interaction<0.0001), with largest mortality differences observed for privately insured women (HR=1.51; 95% CI, 1.43-1.59) and lowest in Medicaid/military/other public insurance (HR=1.18; 95% CI, 1.10-1.26). No age differences were shown for uninsured women. HRs comparing older to younger patients were similar across nSES strata. Conclusion Our results provide evidence for the continued disparity in black-white breast cancer mortality, which is magnified in younger women. Moreover, insurance status continues to play a role in breast cancer mortality, with uninsured women having the highest risk for breast cancer death, regardless of age.

scholarly journals Influence of apical foramen cleaning in the repair of periapical lesions

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 ◽  
...  
Keyword(s):  
Root Canal ◽  
Endodontic Treatment ◽  
Periapical Lesion ◽  
Chi Square ◽  
Periapical Lesions ◽  
Group I ◽  
Significant Difference ◽  
Chi Square Test ◽  
Group Ii ◽  
One Year

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.

scholarly journals Association of type of file fracture and method of removal in a university setting

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1761-1765
Author(s):  
Preethi Mariona ◽  
Delphine Priscilla Antony S ◽  
Sreedevi Dharman
Keyword(s):  
Root Canal ◽  
Fracture Incidence ◽  
Common Method ◽  
Root Canal Treatment ◽  
Canal System ◽  
Chi Square ◽  
Chi Square Test ◽  
Root Canal System ◽  
University Setting

Some mishaps tend to occur during treatment in the root canal system, for example, file fractures. The challenge of the removal depends on the type of file fractured and the method which is used to remove it, generally it is decided based on the level of the fracture. Any file can fracture inside the root canal which is based on the curvature, anatomy. Specific techniques and measures have been employed to remove this file from the root canal system. The aim of the study is to find the association of file fracture with the method of removal. The details of all patients who underwent a root canal treatment where noted and the details of 16 patients with file fractures during the procedure were shortlisted. The type of file fractures was analyzed, such as K files, rotary files, H files, other instruments. The method of removal was usually ultrasonic, mechanical, manual or combination of any of the above. Excel tabulation was done and imported to SPSS for results. Chi-square test performed. The most common and used file to fracture in the root canal system was rotary files which had a fracture incidence of 31% and most common method used to retrieve was using ultrasonic of an incidence of 37.5. Chi-square test shows p>0.05, which is statistically not significant. The study concludes that rotary files fracture the most and the method used to retrieve them was mechanical, but as a whole, the most common method used was ultrasonic.

scholarly journals Impact of local health insurance schemes on primary care management and control of hypertension: a cross-sectional study in Shenzhen, China

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031098 ◽  
Author(s):  
Haitao Li ◽  
Zhu Wu ◽  
Xia Hui ◽  
Yanhong Hu
Keyword(s):  
Primary Care ◽  
Social Capital ◽  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Hypertension Management ◽  
Insurance Status ◽  
Local Health ◽  
Hypertensive Patients ◽  
And Control

BackgroundIn China, the local health insurance coverage is usually related to timely reimbursement of hypertensive care in primary care settings, while health insurance that is not local could represent an obstacle for accessibility and affordability of primary care for hypertensive patients.ObjectiveTo investigate whether local health insurance schemes have a positive impact on hypertension management and control.DesignWe performed an on-site, face-to-face, patients survey in community health centres (CHCs) in Shenzhen, China.Setting and participantsHypertensive patients seeking healthcare from CHCs were selected as study participants using a systematic sampling design.Main measuresWe obtained information about insurance status, social capital, drug treatment and control of hypertension. Multivariable stepwise logistic regression models were constructed to test the associations between insurance status and hypertension management, as well as insurance status and social capital.ResultsA total of 867 participants were included in the final study analysis. We found that the participants covered by local insurance schemes were more likely to be managed in primary care facilities (61.1% vs 81.9%; OR=2.58, 95% CI: 1.56 to 4.28), taking antihypertensive drugs (77.2% vs 88.0%; OR=2.23, 95% CI: 1.37 to 3.62) and controlling blood pressure (43.0% vs 52.4%; OR=1.46, 95% CI: 1.03 to 2.07) when compared with those with insurance coverage that is not local. The participants covered by local insurance schemes reported a higher score of perceived generalised trust than those without (4.23 vs 3.97; OR=0.74, 95% CI: 0.53 to 0.86).ConclusionOur study demonstrates that local health insurance coverage could help improve management and control of hypertension in a primary care setting. Policymakers suggest initiating social interventions for better management and control of hypertension at the primary care level, although the causal pathways across insurance status, social capital and control of hypertension deserve further investigations.

Abstract P162: Different Types of Health Insurance are Associated With Varying Levels of Glycemic Control and Insulin Resistance: The Multi-ethnic Study of Atherosclerosis (MESA)

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Rebecca Gold ◽  
Jonathan Unkart ◽  
Robyn McClelland ◽  
Todd Gilmer ◽  
Alain G Bertoni ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Health Insurance ◽  
Glycemic Control ◽  
Fasting Glucose ◽  
Insurance Coverage ◽  
Undiagnosed Diabetes ◽  
Insurance Status ◽  
Model Assessment ◽  
Ethnic Study ◽  
Diabetes Status

Introduction: Health insurance may influence patient access and care, and thereby glycemic control. In this study, we assessed associations of insurance status with measures of glucose regulation and whether these associations varied by different insurance types, diabetes status, and/or diabetes medication use. Methods: We used baseline data (2000-2002) from the Multi-Ethnic Study of Atherosclerosis ( N = 6,627), a cohort study of adults from four racial/ethnic groups without clinically apparent cardiovascular disease. Using multivariable linear regression to adjust for confounders (age, race, sex, study site, usual site of medical care, alcohol and tobacco use, education, income, dyslipidemia, hypertension, BMI), we measured associations of insurance status and insurance type with fasting glucose and homeostasis model assessment of insulin resistance (HOMA-IR). Results: Approximately 50% of the cohort were female and the mean age and BMI were 62y and 28 kg/m 2 , respectively. Overall, 598 (9%) participants were uninsured, while 6,029 (3,343-Private, 830-Medicare, 104- Medicaid, 77-Military, 1,675-Multiple) had insurance. Fourteen percent of the total cohort had diabetes. The proportion of undiagnosed diabetes was higher in uninsured (5%) compared with insured (3%). Compared to the uninsured, insured participants had significantly lower fasting glucose (Table 1). This association persisted only among participants with diabetes. Private, Medicare, and Multiple insurance types were associated with lower fasting glucose, and only among participants with diabetes. Notably, Medicaid was associated with higher HOMA-IR. Conclusion: In this large multiethnic cohort, health insurance was associated with significantly lower fasting glucose. These findings demonstrate insurance coverage is relevant towards improving glycemic control in patients with diabetes. However, our study also highlights nuances and limitations to this relationship, suggesting that all types of insurance may not be equivalent.

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