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Supervisors: Dr. Nayda Nasco
Dr. Arwa Maltoof
Dr. Muneera Ghaithan
University of AdenFaculty of Dentistry
Needs of Endodontic Treatment in patients attended at the Conservative Clinic.
Authors: Fatima Abdahmed YaffaiAmani SalehMarwa Mohammed LardhiElham Saleh Almashdly Rehab Yassin AbassDunia Badr NagiHibaAllah Mustafa
Introduction
• Increased awareness among people
• The introduction of x-rays
• Development of latest instruments and techniques
Endodontic therapy extends to the dentists and the patients the
opportunity to save teeth
Root canal treatment can be performed on any tooth of the dental arch
In Yemen there are no published studies that can give us the real information about the pulpally involved teeth that
need endodontic treatment
1. To determine the needs of E.T. according to patient's sex and age.
2. To identify the most common etiological factors leading to the need of E.T
3. To identify the most frequent symptoms expressed by the patients.
4. To estimate the frequency of teeth needing E.T according to the location in the dental arches.
5. To identify the pulpal and periapical status of the teeth those need E.T.
Aims
Methods
An observational, retrospective survey
(344) of dental sheets
Conservative clinic Aden Faculty of Dentistry
March to May 2010.
To evaluate the pulp status the following classification was used
Normal pulp:asymptomatic, respond normally to pulp testing Reversible pulpitis:slight pain, after different stimulus. The teeth responded within normal limits to palpation and percussion.
Irreversible pulpitis: sharp, dull, irradiated or diffuse spontaneous pain Pulp Necrosis: No response to the application of cold or heat stimuli or cavity test.
The presence of periapical lesions was evaluated as:
Yes: When some radiolucency was observed in the radiograph
No: When no observable
radiographic changes
Quantitative analysis of the collected data was performed by
using the statistical program SPSS, version 11.5.
The relative frequency (%) of all variables studied was obtained and the relation between them was assessed by the nonparametric Chi-square test (p < 0.05)
Results & Discussion
19.8
80.2
0
10
20
30
40
50
60
70
80
90
Need ET Do not need ET
Distribution of patients according to the needs of endodontic treatment
This is less than we expected
0
10
20
30
40
50
60
Male Female
55.9
44.1
Needs of endodontic treatment according to genders
Statistical significance p<0.05
Ismail , Ismail, Syuhada; 2008
0
5
10
15
20
25
30
≤19 20-24 25-39 40-59 ≥60
20.623.5 25
29.4
1.5
The need ET according to Age Group
Sunders and Saunders 1988
Statistical significance p<0.05
The need of E.T. according to gender and age groups.
0
5
10
15
20
25
30
35
40
45
50
Male Female
28.9
10
28.9
16.7
26.3
23.3
13.2
50
2.6
≤1920-2425-3940-59≥59
Statistical significance p<0.05
Chief complaint expressed by patients treated at the Conservative Clinic
Pain was the most common chief complaint expressed by all patients
regardless of the treatment they received
The high prevalence of pain in patients who need endodontic treatment is attributed to the fact that most endodontic patient come
to the clinic when their pulp is in the irreversible state
63%
24%
4% 9%
Caries
Trauma
Endodontic failureOthers
A.S. Al-Yahya, , H.A. Selirn, , E.E. GuileSerene and Spolsky 1981
Etiological factors
35%
37%
2%
26% Upper Anterior TeethUpper Posterior TeethLower Anterior TeethLower Posterior Teeth
Distribution of teeth that need ET according to location in the dental arches
Ingle and Taintor 1976
7%
52%
24%
7%
6%4%
Reversible pulpitis
Irreversible pulpitis
Pulp necrosis
Asymptomatic PP
Symptomatic PP
Endodontic failureSerene and Spolsky 1995Ørstavik and Hörsted-Bindslev 1993 ,
Final Diagnosis of patients needed ET
58.8
19.1
0
10
20
30
40
50
60
70
Radiographical change
No radiographical change
The periapical Status of teeth that needed ET
Conclusions
The results of this study indicate that • The needs of endodontic treatment in this group of
patients was low, male needed endodontic treatment more than female.
• Dental caries was responsible for the majority of cases that needed endodontic treatment.
• Pain was the commonest complain of the patients that seek for dental treatment.
• Maxillary teeth showed the highest percentage of affected teeth.
• Most of the cases exhibited irreversible pulpitis followed by pulp necrosis.
Recommendation1.To develop new researches concerning
the need of endodontic in our population
2.Efforts should be held by to popularize the ET between people as a way for preserving pulpally involved teeth instead of extraction, through puplic dental health programs.
3. Improvement of ET depend on good educational and practical programs in the dental schools to minimize Iatrogenic cause for loosing tooth vitality
Special Thanks to: Dr-Nayda Nasco Dr-Huda BasaleemDr-Arwa MaltoofDr-Muneera Ghaithan