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ANALYSIS OF REASONS OF ROOT CANAL TREATMENT AND RE-TREATMENT

Dr. Aliya Ehsan, Dr. Jawwad Iqbal Afridi, Dr. Aqil Malik

Objective: To identify the reasons for root canal treatment and to understand disease pattern, outcome of previous treatments and their cost effectiveness. Materials and methods: This cross-sectional descriptive study was carried out in the Department of Operative Dentistry, Lahore Medical and Dental College, Lahore (LMDC). A total of 200 patients reporting in operative dentistry department were included. Information was obtained through a specifically designed proforma, which contained the basic dental odontogram and a criterion of reasons for root canal treatment and re-treatment. Results: Irreversible pulpitis (86) 43.0% was the most predominant cause followed by necrotic pulp (44) 22%. Failed RCT comprised of (29) 14.5%, followed closely by trauma, which accounted (22) 11.0% of the teeth. Conclusion: There is a need for implementation of effective preventive measures along with patient’s education and early treatment of carious lesions to reduce the need for root canal treatments. There is also a need for arrangement of proper monitoring of the root canal treatments done in general practice and educational programs in the discipline of endodontics. Key words: RCT, Irreversible pulpitis, necrotic pulp, Failed RCT.

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