Clinical factors related to noncompletion of root canal therapy

D J Caplan; B A White

doi:10.1111/j.1752-7325.2001.tb03349.x

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Clinical factors related to noncompletion of root canal therapy

Journal article

Peer reviewed

Clinical factors related to noncompletion of root canal therapy

D J Caplan and B A White

Journal of public health dentistry, Vol.61(1), pp.6-13

2001

DOI: 10.1111/j.1752-7325.2001.tb03349.x

PMID: 11317604

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Abstract

This study identified clinical factors related to noncompletion of root canal therapy (RCT) among patients in a dental health maintenance organization (HMO) based in Portland, OR. A secondary analysis of a case-control study was conducted using data from 303 individuals enrolled continuously in the HMO from January 1, 1987, through December 31, 1994, who received endodontic access on a permanent nonwisdom tooth in 1987 or 1988. Person- and tooth-level characteristics were evaluated to compare patients whose accessed tooth was obturated by December 31, 1994, with patients whose accessed tooth was not obturated by that date. Written and electronic records were reviewed to ascertain study variables, and multivariate logistic regression models were developed to describe differences between the two groups. Incomplete RCT was more common among patients who were symptomatic prior to access and had more missing first molars at access. It also was more common among teeth that were decayed, had more pockets > or = 5 mm, and had fewer decayed or filled surfaces at access. Because patients with greater evidence of past and current oral disease were less likely to have completed RCT, they may require additional counseling about the importance of carrying through with prescribed treatment.

DMF Index

Oregon

Multivariate Analysis

Humans

Middle Aged

Male

Statistics as Topic

Patient Dropouts

Case-Control Studies

Periodontal Pocket - complications

Dental Restoration, Permanent

Dental Caries - complications

Counseling

Tooth Extraction

Treatment Refusal

Adult

Female

Root Canal Preparation

Retrospective Studies

Root Canal Therapy

Root Canal Obturation

Logistic Models

Tooth Loss - complications

Molar

Chi-Square Distribution

Health Maintenance Organizations

Patient Compliance

Details

Title: Subtitle: Clinical factors related to noncompletion of root canal therapy
Creators: D J Caplan - Department of Dental Ecology, School of Dentistry, University of North Carolina, CB #7450, Chapel Hill, NC 27599-7450, USA. dan_caplan@unc.edu
B A White
Resource Type: Journal article
Publication Details: Journal of public health dentistry, Vol.61(1), pp.6-13
Publisher: United States
DOI: 10.1111/j.1752-7325.2001.tb03349.x
PMID: 11317604
ISSN: 0022-4006
eISSN: 1752-7325
Grant note: 5T32DE07191-05 / NIDCR NIH HHS
Language: English
Date published: 2001
Academic Unit: Preventive and Community Dentistry
Record Identifier: 9983917667002771

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