Publication: The Need of Endodontic Therapy among Patients Attending Tertiary Care Center in Central Nepal
Date
2022
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Dental caries is considered as the most prevalent oral disease in Nepalese population
that frequently needs endodontic therapy or root canal treatment (RCT). Pulp
infection is one of the most common sequels of dental caries which when left
untreated leads to pulpal necrosis and peri-radicular diseases. Patients usually
reports to the dental hospital after there is pain, sensitivity, swelling or fracture of
the tooth structure which usually impedes their normal routine of daily life. RCT is
one of the efficacious therapeutic procedures that can save the teeth retaining its
aesthetics and function.
Objective
To determine the need of RCT among patients attending Tertiary Care Hospital.
Method
A cross-sectional epidemiological study was conducted in the Department of
Conservative Dentistry and Endodontics over the period of one year from April 2019
to April 2020. Ethical approval was taken from the Institutional Review Committee
Kathmandu University School of Medical Sciences. In total, 7566 records of the
patients that needed endodontic therapy and other treatments were collected and
the need of endodontic therapy versus other treatments were assessed. The data
obtained were analyzed using the SPSS version 20. The association between various
patient-related variables were calculated by chi square test and mean, standard
deviation, frequency and percentage were calculated using descriptive statistics. P
value was set at < 0.05 for statistical significance.
Result
Among the total study population, (n=7566), the mean age was 34.97±14.34 years
among which 4387 (58%) were females and 3179 (42%) were males. The type of
treatment required by the study participants were significantly associated with age
and sex (p < 0.001) and p < 0.001, respectively).
Conclusion
The findings of this study concluded that there was an increased need for endodontic
therapy among patients visiting the department compared to other treatments.
There was a significant association between gender and age showing females and
elderly patients in greater need for endodontic therapy.
KEY WORDS
Endodontic therapy, Epidemiology, Periapical periodontitis, Pulpal pain, Treatment
need
Description
Acharya N,1 Humagain R,2 Dahal S,3 Kafle D4
1Department of Conservative Dentistry and Endodontics
Institute of Medicine, Maharajgung Medical Campus, Dental Teaching Hospital
Kathmandu, Nepal.
2Mechi Dental Care, Ilam, Nepal
3Department of Community Dentistry
Institute of Medicine, Maharajgung Medical Campus, Dental Teaching Hospital
Kathmandu, Nepal
4Department of Orthodontics
Kathmandu University School of Medical Sciences
Dhulikhel Hospital, Kavre, Nepal
Keywords
Endodontic therapy, Epidemiology, Periapical periodontitis, Pulpal pain, Treatment need