Department of Conservative Dentistry and Endodontics, Gandaki Medical College, Pokhara, Nepal.
Department of Oral Medicine and Radiology, Gandaki Medical College, Pokhara, Nepal.
JNMA J Nepal Med Assoc. 2021 Aug 12;59(240):741-744. doi: 10.31729/jnma.5424.
Endodontics is the study of prevention, diagnosis and treatment of diseases or injuries to the dental pulp. The ultimate goal of modern dental care is tooth preservation and root canal therapy/treatment is an available therapeutic strategy to retain teeth. The aim of the study is to find the prevalence of patients visiting a tertiary care center who had endodontic indications.
The descriptive cross-sectional study included 516 patients accepted for endodontic treatment, between August 2019 and December 2019 in a tertiary care center. Ethical approval was taken from the ethical review board of Nepal Health Research Council (reference number: 425-2019). Convenience sampling method was used. The data were entered in Statistical Package for Social Sciences version 20 software and analysed using descriptive statistics. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data.
Out of 1740 patients, 516 (29.66%) (95% Confidence Interval= 21.46% - 27.51%) had endodontic indications. Symptomatic irreversible pulpitis 306 (59.30%) was the most prevalent pulpal disease. Maxillary teeth 300 (58.13%) had more endodontic diseases. While in individual dental elements most affected by endodontic diseases was the mandibular molar teeth 149 (28.87%). Females 348 (67.44%) were predominant for demanding endodontic management than males 168 (32.5%).
More female patients and of younger age group in this study population demanded endodontic treatment. Irreversible pulpitis was responsible for the majority of the cases treated and more affected were the posterior teeth.
牙髓学是研究牙髓疾病或损伤的预防、诊断和治疗的学科。现代牙科护理的最终目标是保留牙齿，根管治疗/治疗是保留牙齿的一种可行的治疗策略。本研究的目的是找出在一家三级保健中心就诊的有牙髓指征的患者的患病率。
这项描述性横断面研究纳入了 2019 年 8 月至 2019 年 12 月期间在一家三级保健中心接受根管治疗的 516 名患者。尼泊尔健康研究委员会伦理审查委员会（编号：425-2019）批准了该研究。采用便利抽样法。数据输入到社会科学统计软件包 20 版中，并使用描述性统计进行分析。计算了 95%置信区间的点估计值，以及二项数据的频率和比例。
在 1740 名患者中，有 516 名（29.66%）（95%置信区间=21.46% - 27.51%）有牙髓指征。最常见的牙髓疾病是有症状的不可复性牙髓炎 306 例（59.30%）。上颌牙 300 颗（58.13%）患牙病的比例更高。而在个体牙齿元素中，下颌磨牙 149 颗（28.87%）受牙髓病影响最大。女性 348 例（67.44%）比男性 168 例（32.56%）更需要接受牙髓治疗。
在本研究人群中，更多的女性患者和更年轻的年龄组需要接受牙髓治疗。不可复性牙髓炎是导致大多数病例治疗的主要原因，受影响的主要是后牙。
