Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication

Aim. To investigate predisposing aspects related to the indication for root canal treatment (RCT) at Dental Schools of Brazil. Methods. Data of 207 patients referred to endodontic treatment at undergraduate Dental Schools of Brazil were collected over a period of 8 months. Patient-related data inclu...

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Main Authors: Maria Tereza Pedrosa Albuquerque, Lorena Caetano Abreu, Leticia Martim, Eliseu Aldrighi Münchow, Juliana Yuri Nagata
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2021/7973356
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author Maria Tereza Pedrosa Albuquerque
Lorena Caetano Abreu
Leticia Martim
Eliseu Aldrighi Münchow
Juliana Yuri Nagata
author_facet Maria Tereza Pedrosa Albuquerque
Lorena Caetano Abreu
Leticia Martim
Eliseu Aldrighi Münchow
Juliana Yuri Nagata
author_sort Maria Tereza Pedrosa Albuquerque
collection DOAJ
description Aim. To investigate predisposing aspects related to the indication for root canal treatment (RCT) at Dental Schools of Brazil. Methods. Data of 207 patients referred to endodontic treatment at undergraduate Dental Schools of Brazil were collected over a period of 8 months. Patient-related data included age, gender, first dental visit, tooth brushing frequency, number of remaining teeth, and previous endodontic treatment, and tooth-related information regarding number, type, and location in the mouth of teeth that need RCT, waiting time for the endodontic treatment, endodontic diagnosis, pain report, and dental crown condition was collected for each participant. Bivariate analysis (Chi-square test; p<0.05) associated gender and tooth/patient-related conditions. Poisson regression analysis compared multiple endodontic need and exposure variables. Results. Patients were mainly comprised of women (65.2%), aged 18–39 years (69.6%). Previous RCT was significantly more prevalent in women when compared to men p=0.005. First dental visit at later moment (after 20 years of age) demonstrated 400% greater prevalence of multiple RCT demand when compared to patients that attended the dental office at age below seven years p=0.032. Most of the patients presented only one tooth needing RCT (80.2%), mainly premolars (44.9%). Interestingly, women underwent more RCT in maxillary teeth p=0.016 and significantly contributed with their report to the diagnosis process when compared to men p=0.014. Regarding dental crown condition, 45.4% of all teeth registered unsatisfactory restorations, which were more pronounced in female patients p=0.018. Unsatisfactory restorations or dental caries had 75% and 82%, respectively, less prevalence of multiple RCT indication when compared to sound dental crown p=0.001. Conclusions. RCT was undertaken more frequently in young female adults’ premolars presenting unsatisfactory restorations. First dental visit, number of teeth with previous endodontic treatment, tooth group, and dental crown condition were significantly associated with the necessity of multiple endodontic treatments.
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spelling doaj-art-a9864f70acf540d7af28fd25ddb2c9ac2025-08-20T03:39:11ZengWileyInternational Journal of Dentistry1687-87362021-01-01202110.1155/2021/7973356Tooth- and Patient-Related Conditions May Influence Root Canal Treatment IndicationMaria Tereza Pedrosa Albuquerque0Lorena Caetano Abreu1Leticia Martim2Eliseu Aldrighi Münchow3Juliana Yuri Nagata4Department of Clinical Dentistry EndodonticsDepartment of Clinical Dentistry EndodonticsDentistry Department EndodonticsFederal University of Rio Grande do Sul/Department of Conservative DentistryDentistry Department EndodonticsAim. To investigate predisposing aspects related to the indication for root canal treatment (RCT) at Dental Schools of Brazil. Methods. Data of 207 patients referred to endodontic treatment at undergraduate Dental Schools of Brazil were collected over a period of 8 months. Patient-related data included age, gender, first dental visit, tooth brushing frequency, number of remaining teeth, and previous endodontic treatment, and tooth-related information regarding number, type, and location in the mouth of teeth that need RCT, waiting time for the endodontic treatment, endodontic diagnosis, pain report, and dental crown condition was collected for each participant. Bivariate analysis (Chi-square test; p<0.05) associated gender and tooth/patient-related conditions. Poisson regression analysis compared multiple endodontic need and exposure variables. Results. Patients were mainly comprised of women (65.2%), aged 18–39 years (69.6%). Previous RCT was significantly more prevalent in women when compared to men p=0.005. First dental visit at later moment (after 20 years of age) demonstrated 400% greater prevalence of multiple RCT demand when compared to patients that attended the dental office at age below seven years p=0.032. Most of the patients presented only one tooth needing RCT (80.2%), mainly premolars (44.9%). Interestingly, women underwent more RCT in maxillary teeth p=0.016 and significantly contributed with their report to the diagnosis process when compared to men p=0.014. Regarding dental crown condition, 45.4% of all teeth registered unsatisfactory restorations, which were more pronounced in female patients p=0.018. Unsatisfactory restorations or dental caries had 75% and 82%, respectively, less prevalence of multiple RCT indication when compared to sound dental crown p=0.001. Conclusions. RCT was undertaken more frequently in young female adults’ premolars presenting unsatisfactory restorations. First dental visit, number of teeth with previous endodontic treatment, tooth group, and dental crown condition were significantly associated with the necessity of multiple endodontic treatments.http://dx.doi.org/10.1155/2021/7973356
spellingShingle Maria Tereza Pedrosa Albuquerque
Lorena Caetano Abreu
Leticia Martim
Eliseu Aldrighi Münchow
Juliana Yuri Nagata
Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication
International Journal of Dentistry
title Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication
title_full Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication
title_fullStr Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication
title_full_unstemmed Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication
title_short Tooth- and Patient-Related Conditions May Influence Root Canal Treatment Indication
title_sort tooth and patient related conditions may influence root canal treatment indication
url http://dx.doi.org/10.1155/2021/7973356
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