FREQUENCY DETERMINATION OF AETIOLOGICAL FACTORS IN TEETH TREATED ENDODONTICALLY

Teeth Treated Endodontically

Abstract

Background: Root canal treatment is an important treatment modality to restore the damaged or carious teeth so that the natural dentition can be preserved. Various indications of root canal treatment have been identified which have seriously insulted to the pulpal tissue and need early and effective treatment. Therefore it is very important to educate the patients and their relatives to prevent these factors.
Objective: The main objective of this study was to to ascertain the frequency of different aetiological factors for the root canal treatment in 200 patients
Design: Descriptive study.
Place and duration of study: At Operative Dentistry Department of Armed Forces Institute of Dentistry from January 2010 to July 2010.
Methods: Total of 200 fulfilling the inclusion criteria reporting in OPD of Operative Dentistry Department of AFID Rawalpindi were included in the study.
Results: A total of 200, 70 (35%) were females and 130 (65%) were males. The frequency of exposed teeth requiring root canal therapy in descending order were mandibular 1st Molar (19.5%), maxillary first molar (17.5%),maxillary second molar (13.5%), mandibular second molar (12.5%), mandibular second pre molar (9%), maxillary central incisors (8%), maxillary second premolar (6%), maxillary canine (4%), mandibular canine (3%), maxillary first premolar and lateral incisors (2.5%) each, and mandibular first premolar and lateral incisors (1%) each.
Common indications for root canal therapy were necrotic pulp 47.5% involving 95 teeth, irreversible pulpitis 42.5% involving 85 teeth, trauma 6.5% involving 13 teeth, short obturation 2.5% involving 5 teeth and chronic hyperplastic pulpitis 1% involving 2 teeth.
Conclusion: Necrotic pulp was the most common indication of initial RCT followed by irreversible pulpitis., while short obturation was the common indication of failed RCT.