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