Saturday 4 June 2011

Outcome of non-surgical root canal treatment, Muhimbili National Hospital, Tanzania

Outcome of non-surgical root canal treatment, Muhimbili National Hospital, Tanzania A.M. RUKOMA, L.C. CARNEIRO, and G.J. MANDARI, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania
Abstract for a presentation made in International Association of Dental Researchers, Mombasa Kenya

Background: Non Surgical Root Canal Treatment (NS-RCT) is of major importance in dental practice, its goal being prevention and/or elimination of pathological lesion of endodontic origin in the root canal and periapical areas. Also it has an advantage of retaining teeth which otherwise would have been extracted.
Objective: To determine the types of teeth treated, quality of the obturation and patient satisfaction with NS-RCT among patients attending Muhimbili National Hospital (MNH) dental clinics.
Methods: A cross-sectional prospective analytical study assessed the outcome of NS-RCT performed on patients aged 13 years and above attending the dental clinics of MNH (April-October, 2008). Of the 128 patients selected by a convenient sampling method, 120 received NS-RCT on single teeth. Analysis included evaluation of post-obturation periapical radiographs and level of satisfaction was assessed using a Likert scale. Epi Info version 6 was used to analyze data and Chi-square test was used to compare variables. Statistical level of significance was 0.05.
Results: Of the treated teeth, there were significantly more maxillary teeth (75.0%) (p=0.001). Tooth type most treated were the anteriors (40%; maxillary 36.7% and mandibular 3.3%) followed by molars (30.8%: maxillary 14.2% and mandibular 16.6%) and premolars (29.2%; maxillary 24.2% and mandibular 5%). Overall, 65% of the teeth were adequately obturated (apical and lateral seal). Apical seal was adequate (GP tip within 2mm of the radiological apex) in 68.3% while lateral seal was adequate (no lateral voids) in 75% of the obturated teeth and higher in anterior teeth (p<0.05). Almost all patients (96.6%) showed a high level of overall satisfaction with NS-RCT. Satisfaction with mastication (97.5%) was slightly more than with appearance (90.8%). Males were more satisfied than females however, there was no significant difference.
Conclusion: Anterior teeth were the most tooth type treated and adequately obturated. Level of satisfaction was high.

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