Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 4880

Original article / research
Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : ZC146 - ZC148

The Factors Responsible for Endodontic Treatment Failure in the Permanent Dentitions of the Patients Reported to the College of Dentistry, the University of Aljouf, Kingdom of Saudi Arabia

Azhar Iqbal

1. Assistant Professor and Head, Department of Conservative Dentistry, College of Dentistry, University of Aljouf, KSA.

Correspondence Address :
Dr. Azhar Iqbal,
Assistant Professor and Head, Department of Conservative Dentistry, College of Dentistry, University of Aljouf, KSA.
E-mail: Drazhariqbal16@gmail.com

Abstract

Introduction: The endodontic failure is a common problem in dentistry. The success of endodontic and re-endodontic treatment depends on many factors. These includes periodontal disease, root fractures, residual necrotic pulp tissue, presence of peri-radicular infection, broken instruments, mechanical perforations, root canal underfillings, root canal overfillings, missed canals or unfilled canals.

Aim: The present research was aimed at evaluating the different factors responsible for endodontic treatment failure in permanent dentitions of the patients.

Materials and Methods: In the present in vivo cross-sectional study, 90 patients, who reported in endodontic section of Department of Conservative Dentistry, with post endodontic treatment pain, tenderness to percussion, swelling and sinus tract in their permanent dentitions were considered as endodontic failure cases, and were considered for endodontic re-treatment. The teeth with vertical root fracture and badly broken down unrestorable teeth were excluded from the present study. The study subjects were divided into three groups on the basis of their age. Informed consent was taken from the study subjects and the approval was taken for this study from the college ethical committee.

Results: The results were obtained as frequencies and percentages after analysing the collected informations by using SPSS version 10 computer soft ware. The majority of the endodontic failures were noted in the age group III (41.11%) and minimum endodontic failures were found in the age group I (24.44%). According to the tooth type, the majority of the endodontic failures were noted in maxillary molars (44.4%), mandibular molars (20%) and maxillary premolars (15.5%). The endodontic treatment performed by the general dental practitioners (GDPs) showed the most failure rate (78.8%). The factors which were most responsible for endodontic failures were underfilled canals (33.3%), unfilled and missed canals (17.7%).

Conclusion: This study concluded that endodontic failures are more related with the lack of knowledge on the part of the operator, complex anatomy of the teeth involved and lack of referral of such patients to the specialists.

Keywords

Conservative dentistry, Overfilling, Periapiacal, Underfilling

How to cite this article :

Azhar Iqbal. THE FACTORS RESPONSIBLE FOR ENDODONTIC TREATMENT FAILURE IN THE PERMANENT DENTITIONS OF THE PATIENTS REPORTED TO THE COLLEGE OF DENTISTRY, THE UNIVERSITY OF ALJOUF, KINGDOM OF SAUDI ARABIA. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Apr 26 ]; 10:ZC146-ZC148. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=ZC146-ZC148&id=7884

DOI and Others

DOI: 10.7860/JCDR/2016/14272.7884


Date of Submission: Apr 01, 2015
Date of Peer Review: Jun 01, 2015
Date of Acceptance: Dec 11, 2015
Date of Publishing: May 01, 2016


Financial OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • SCOPUS
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com