Outcomes of root canal treatment in Dental Practice-Based Research Network practices.
This study sought to quantify the incidence of root canal treatment (RCT) failure and identify its predictors in root canals that were performed or referred by general dentistry practices in a practice-based research network (PBRN). This retrospective cohort study involved 174 endodontically treated teeth. Mean duration from initial therapy to follow-up was 8.6 years. Permanent restorations were ultimately placed in 89% of teeth, although 18% of teeth were ultimately extracted anyway. Receiving a permanent restoration was a significant predictor of treatment failure (in other words, patients who did not receive a permanent restoration were more likely to experience RCT failure), whether failure was determined clinically or radiographically. This study of PBRN practices suggests a higher failure rate compared with studies that utilized highly controlled environments or populations with high levels of dental insurance.
Gilbert
Gregg H
GH
Department of General Dental Sciences, School of Dentistry, University of Alabama at Birmingham, USA.
Tilashalski
Ken R
KR
Litaker
Mark S
MS
McNeal
Sandre F
SF
Boykin
Michael J
MJ
Kessler
Allen W
AW
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging; D015331:Cohort Studies; D000044:Dental Abutments; D003731:Dental Caries / Q000000981:diagnostic imaging; D018865:Dental Research; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data; D003828:Denture, Overlay / Q000706:statistics & numerical data; D003830:Denture, Partial, Fixed / Q000706:statistics & numerical data; D003832:Denture, Partial, Removable / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D005792:General Practice, Dental; D006801:Humans; D008297:Male; D008875:Middle Aged; D010483:Periapical Diseases / Q000000981:diagnostic imaging; D011331:Private Practice; D016300:Radiography, Bitewing; D019233:Retreatment; D012189:Retrospective Studies; D012390:Root Canal Therapy / Q000706:statistics & numerical data; D014081:Tooth Extraction / Q000706:statistics & numerical data; D017211:Treatment Failure; D016896:Treatment Outcome; D055815:Young Adult