Endodontic Treatment Indications Classification in 400 Patients

Year 2023, Volume: 1 Issue: 3, 68 - 70, 20.12.2023

Ünal Albayrak , Buğra Doğan Mehran Moghbel

Abstract

Aim The aim of this study is to determine the distribution of etiological factors for endodontic treatment and to assess the condition of teeth and cases before endodontic treatment.
Material and method This study included the first 400 patients who sought treatment and were indicated for endodontic treatment
Results Among the teeth indicated for endodontic treatment, 195 (48,75%) had irreversible pulpitis, 63 (15,75%) had defective restoration, 81 (20,25%) had root canal treatment failure, 41 (10,25%) had necrosis and/or periapical lesions, and 20 (5%) had trauma as the etiological factors.
Conclusion This study revealed that irreversible pulpitis is the most important etiological factor for endodontic treatment. Root canal treatment failure and defective restorations are also significant factors. The most commonly affected teeth are the mandibular molars, maxillary molars, and maxillary central incisors.

Keywords

Dental pulp necrosis, Incisor, Molar, Pulpitis, Trauma

References

• Wigsten E, Jonasson P; EndoReCo; Kvist T. Indications for root canal treatment in a Swedish county dental service: patient- and tooth-specific characteristics. Int Endod J. Feb;52(2):158-168, 2019
• Scavo, R, Martinez R, Zmener O, Dipietro S, Grana D, Pameijer C.: Frequency and distribution of teeth requiring endodontic therapy in an Argentine population attending a specialty clinic in endodontics. Int Dent J., 61:257-60, 2011.
• Cyr, G., Arvis, L., Safavi, K., Langeland, K.: Major etiological factors leading to root canal procedures. J. Endod., 11:145, 1985.
• Saad, Y.A., Clem, H.W.: An evaluation of etiological factors in 382 patients treated in a postgraduate endodontic program. Oral Surg. Oral Med. Oral Pathol., 65:91, 1988.
• Al-Negrish ARS. Incidence and distribution of root canal treatment in the dentition among a Jordanian sub population. Int Dent J., 52:125-129, 2002
• Kirkevang LL, Hörsted-Bindslev P, Ørstavik D, Wenzel A. Frequency and distribution of endodontically treated teeth and apical periodontitis in an urban Danish population. Int Endod J. Apr;34(3):198-205, 2001.
• Umanah A, Osagbemiro B, Arigbede A. Pattern of demand for endodontic treatment by adult patients in port-harcourt, South-South Nigeria. J West Afr Coll Surg. Jul;2(3):12-23, 2012.
• Ahmed H, Durr-e-Sadaf, Rahman M. Frequency and distribution of endodontically treated teeth. J Coll Physicians Surg Pak. Oct;19(10):605-8, 2009.
• Oliveira B, Cruz A, Menezes C. Prevalence of endodontic diseases: an epidemiological evaluation in a Brazilian subpopulation. Braz J Oral Sci. 15:19-23, 2016.
• Demirbuga S, Tuncay O, Cantekin K, Cayabatmaz M, Dincer AN, Kilinc Hİ, Sekerci AE. Frequency and distribution of early tooth loss and endodontic treatment needs of permanent first molars in a Turkish pediatric population. Eur J Dent. 7: S099-S104 2013.
• Iqbal M, Chan S, Ku J. Relative frequency of teeth needing conventional and surgical endodontic treatment in patients treated at a graduate endodontic clinic--a Penn Endo database study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Jul;106(1):e62-7, 2008.
• Ajayi YO, Ajayi EO, Sote EO, Olatosi OO, Orenuga OO. Pattern of endodontic treatment in children in a Nigerian tertiary hospital. Nig Q J Hosp Med. Jan-Mar;19(1):32-6, 2009.
• Chala S, Abouqal R, Abdallaoui F. Prevalence of apical periodontitis and factors associated with the periradicular status. Acta Odontol Scand. Nov;69(6):355-9, 2011.
• Albuquerque MTP, Abreu LC, Martim L, Münchow EA, Nagata JY. Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication. Int J Dent. 30; 2021:7973356, 2021.
• Pérez AS, Bolado EC, Camacho-Aparicio LA, Hervert LP. Prevalence of pulp and periapical diseases in the endodontic postgraduate program at the national autonomous University of Mexico 2014-2019. J Clin Exp Dent. 1;15(6), 2023