TY - JOUR

T1 - Indications for root canal treatment in a Swedish county dental service

T2 - patient- and tooth-specific characteristics

AU - Wigsten, E.

AU - Jonasson, P.

AU - Bjorndal, L.

AU - Dawson, V. S.

AU - Fransson, H.

AU - Frisk, F.

AU - Markvart, M.

AU - Pigg, M.

AU - Wolf, E.

AU - Kvist, T.

AU - EndoReCo

PY - 2019

Y1 - 2019

N2 - AimTo study patient- and tooth-specific characteristics of teeth indicated for root canal treatment, in the public dental service of the county of Vastra Gotaland, Sweden.MethodologyDuring a designated 8-week period, general dental practitioners working at 20 different public dental clinics consecutively registered indications for undertaking root canal treatment. The patients' subjective level of pain was also registered (visual analogue scale) at the very first appointment. The following information was retrieved from computerized dental records and radiographs: gender, age, number of remaining teeth, tooth group, previous restoration, number of restored surfaces, dental caries and tooth substance loss. Gender and age were compared using both descriptive and analytical statistics.ResultsThe material comprised 243 teeth in 243 patients: 128 (52.7%) women and 115 (47.3%) men, mean age 48.3years. Molar teeth predominated (47.7%). Most of the teeth (83.5%) had previously been restored and exhibited significant loss of tooth substance, more than a third of the crown (71.3%). Dental caries was present in 127 teeth (62.9%). Dental trauma was implicated in only seven cases (2.9%). Initial treatment was frequently undertaken at an emergency visit, for relief of symptoms (64.9%). The most commonly registered indication was pulpal necrosis with apical periodontitis (38.1%), followed by pulpitis (37.7%). Retreatment of a root filled tooth was reported in 18 teeth (7.4%).ConclusionsIn the general Public Dental Service of Sweden, root canal treatment is most frequently undertaken in molars. The primary indication is relief of symptoms. Retreatment of root filled teeth is uncommon.

AB - AimTo study patient- and tooth-specific characteristics of teeth indicated for root canal treatment, in the public dental service of the county of Vastra Gotaland, Sweden.MethodologyDuring a designated 8-week period, general dental practitioners working at 20 different public dental clinics consecutively registered indications for undertaking root canal treatment. The patients' subjective level of pain was also registered (visual analogue scale) at the very first appointment. The following information was retrieved from computerized dental records and radiographs: gender, age, number of remaining teeth, tooth group, previous restoration, number of restored surfaces, dental caries and tooth substance loss. Gender and age were compared using both descriptive and analytical statistics.ResultsThe material comprised 243 teeth in 243 patients: 128 (52.7%) women and 115 (47.3%) men, mean age 48.3years. Molar teeth predominated (47.7%). Most of the teeth (83.5%) had previously been restored and exhibited significant loss of tooth substance, more than a third of the crown (71.3%). Dental caries was present in 127 teeth (62.9%). Dental trauma was implicated in only seven cases (2.9%). Initial treatment was frequently undertaken at an emergency visit, for relief of symptoms (64.9%). The most commonly registered indication was pulpal necrosis with apical periodontitis (38.1%), followed by pulpitis (37.7%). Retreatment of a root filled tooth was reported in 18 teeth (7.4%).ConclusionsIn the general Public Dental Service of Sweden, root canal treatment is most frequently undertaken in molars. The primary indication is relief of symptoms. Retreatment of root filled teeth is uncommon.

KW - dental care

KW - endodontics

KW - general dental care

KW - public dental service

KW - questionnaire

KW - root canal therapy

KW - FILLED TEETH

KW - PERIAPICAL STATUS

KW - ENDODONTIC RETREATMENT

KW - TECHNICAL QUALITY

KW - FILLINGS

KW - RESTORATIONS

KW - SURVIVAL

KW - ADULTS

U2 - 10.1111/iej.12998

DO - 10.1111/iej.12998

M3 - Journal article

C2 - 30107035

VL - 52

SP - 158

EP - 168

JO - International Endodontic Journal

JF - International Endodontic Journal

SN - 0143-2885

IS - 2

ER -