Indications of Root Canal Treatment for Patients Visiting Tertiary Care Hospital: A Hospital Based Prospective Study

Authors

  • Manisha Nepal Kathmandu University School of Medical Sciences, Kathmandu, Nepal
  • Snigdha Shubham Universal College of Medical Sciences, Bhairahawa, Nepal
  • Rupam Tripathi Western Regional Hospital, Pokhara, Nepal
  • Jwolan Khadka KIST Medical College, Lalitpur, Nepal
  • Kriti Shrestha Universal College of Medical Sciences, Bhairahawa, Nepal

DOI:

https://doi.org/10.3126/jucms.v11i01.54640

Keywords:

Diagnosis, Patients, Root canal treatment

Abstract

INTRODUCTION

Root Canal Treatment (RCT) when an irreversibly damaged or necrotic pulp with or without clinical and/or radiological findings of apical periodontitis occur. Apart from these there are various other reasons in which RCT is performed. There is paucity of literature revealing diseases requiring RCT and what are the presenting symptoms for patients requiring it. Hence, this study is conducted to overview the factors for it.

MATERIAL AND METHODS

Among 594 patients, 510 were included in the study. The survey form included patient specific characteristics such as: age, gender, tooth number and pain; tooth specific characteristic included swelling, previous root canal treatment, complain tooth characteristic, diagnosis and tooth wear. These data were matched with the respective radiograph and history form sheet. Two observers participated in collection of data in the study. Inter-observer agreement was tested with Cronbach’s alpha which was 0.79. The data were collected in a spreadsheet and simple descriptive statistical analysis was performed using SPSS software version 22 to get the results in percentages and frequencies.

RESULTS

54.1% of female patients had undergone RCT and 75.7% of patients presented with pain. The most common treated tooth was first molar. The most common pulpal diagnosis was symptomatic irreversible pulpitis (36.08%, n=184) followed by pulp necrosis (30.20%, n=154) and previously treated (17.25%, n=88). The most common periapical diagnosis was symptomatic apical periodontitis (62.94%, n=321).

CONCLUSION

Subjective symptoms were the most common factor for seeking treatment. Hence, a greater number of awareness campaign are required to acknowledge asymptomatic cases too.

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Author Biographies

Manisha Nepal, Kathmandu University School of Medical Sciences, Kathmandu, Nepal

Department of Conservative Dentistry and Endodontics 

Snigdha Shubham, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Conservative Dentistry and Endodontics 

Rupam Tripathi, Western Regional Hospital, Pokhara, Nepal

Department of Conservative Dentistry and Endodontics 

Jwolan Khadka, KIST Medical College, Lalitpur, Nepal

Department of Conservative Dentistry and Endodontics 

Kriti Shrestha, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Conservative Dentistry and Endodontics 

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Published

2023-05-11

How to Cite

Manisha Nepal, Snigdha Shubham, Rupam Tripathi, Jwolan Khadka, & Kriti Shrestha. (2023). Indications of Root Canal Treatment for Patients Visiting Tertiary Care Hospital: A Hospital Based Prospective Study. Journal of Universal College of Medical Sciences, 11(01), 45–49. https://doi.org/10.3126/jucms.v11i01.54640

Issue

Section

Original Articles