Initial Endodontic Therapy Outcomes: A Naval Postgraduate Dental School Analysis
Abstract
Initial non-surgical not canal treatment (NSRCT) has been examined with multiple endodontic studies and shown to be associated with high clinical outcomes. Numerous patient and treatment variables affecting endodontic outcomes have been identified. However, few studies have examined military populations. This retrospective study evaluated the outcomes and affecting factors of initial NSRCT performed by U.S. Navy Endodontists and endodontic residents, 600 subjects, that received root canal therapy, had follow-up examinations performed at a minimum of 1-year post treatment, Clinical and radiographic data were obtained from the initial NSRCT appointment at the follow-up examination. Data were analyzed using Fisher's Exact test to determine the healed rate and odds ratios to evaluate the influence of covariate factors on endodontic outcomes. The endodontic outcome was calculated as healed and functional. Healed was defined as the absence of a radiographic lesion and no clinical symptoms. Functional was defined as the complete absence of clinical symptoms. Analysis determined the healed rate to be 72.0 and the functional rate to be 93.1 , Further analysis revealed a negative effect on endodontic outcomes for those subjects presenting with a pre-operative sinus tract, a pedapical lesion, lesions larger than 5 mm, a diagnosis of pulpnecrosis, and teeth that experienced procedural complications. Retrospective analysis of initial NSRCT indicated a healed rate of 72.0 with a functional rate of 93.1 . The pre-treatment status of the tooth was found to be the most significant prediction of endodontic outcomes.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 01, 2018
- Accession Number
- AD1128391
Entities
People
- Jason L. Hicks
Organizations
- Uniformed Services University of the Health Sciences