Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Int Endod J. 2022 May;55(5):453-466. doi: 10.1111/iej.13699. Epub 2022 Feb 20.
To document treatment outcomes and related resources, in patients undergoing root canal treatment (RCT) in county public dental clinics, by monitoring patient records for 12 months from treatment start.
The subjects comprised 243 patients starting RCT at 20 public dental clinics in Västra Götaland county, Sweden. Their computerized dental records were monitored prospectively for a year after starting their endodontic treatment. Treatment was completed with either a root filling or extraction. The following treatment-specific variables were registered: number of appointments and days until treatment was completed, possible complications and prescriptions for antibiotics, and for the root filled teeth: type of coronal restoration and further procedures undertaken within the year. The treatment outcomes were compared with the preoperative variables and in a logistic regression analysis.
Complete data were available for 240 patients (98.8%): 128 women and 112 men, with a mean age of 48.5 years (SD = 16.3). Molar teeth predominated (n = 113, 47.1%). Most cases were completed with a root filling (n = 169, 70.4%). The remainder were extracted (n = 32, 13.3%) or were still uncompleted (n = 39, 16.3%). On average, a root filling was completed in 2.4 (SD = 0.9) appointments, or extraction at the third appointment (SD = 1.6). The molars were less often completed and often predominant among the extracted teeth. The indication for extraction was often for endodontic or RCT-related reasons. Most complications were registered in the molars and antibiotics were prescribed in 20 cases. Most root filled teeth were restored with a direct restoration. Four root filled teeth (2.4%) were extracted within the time period.
Patient records, followed from the start of treatment, show that 12 months on, the root filling had not been completed in just under 30% of the teeth. Of these, about half were extracted. Of particular concern is the outcome for endodontic treatment of molar teeth. In the general practice setting, molar endodontics are not only technically challenging but also very demanding in terms of chairside resources. In the present study, a successful outcome was achieved in just over half the cases.
通过监测患者从治疗开始后 12 个月的病历，记录在瑞典西约特兰郡 20 家公立牙科诊所接受根管治疗（RCT）的患者的治疗结果和相关资源。
本研究的对象为 243 名在瑞典西约特兰郡 20 家公立牙科诊所开始接受 RCT 的患者。从他们开始接受牙髓治疗开始，对他们的计算机化牙科记录进行了为期一年的前瞻性监测。治疗完成后采用根管填充或拔牙。记录了以下特定于治疗的变量：就诊次数和完成治疗所需的天数、可能出现的并发症以及抗生素的处方，以及对于接受根管填充的牙齿：冠部修复的类型和一年内进行的进一步治疗。将治疗结果与术前变量进行比较，并进行逻辑回归分析。
240 名患者（98.8%）的完整数据可用：128 名女性和 112 名男性，平均年龄为 48.5 岁（标准差=16.3）。磨牙牙位（n=113，47.1%）占主导地位。大多数病例采用根管填充（n=169，70.4%）完成治疗。其余的牙齿被拔出（n=32，13.3%）或仍未完成治疗（n=39，16.3%）。平均而言，根管填充需要 2.4 次（标准差=0.9）就诊，或在第三次就诊时进行拔牙（标准差=1.6）。磨牙牙位的治疗完成情况较差，且拔牙中磨牙牙位居多。拔牙的原因通常是牙髓或 RCT 相关原因。大多数并发症发生在磨牙中，20 例患者开具了抗生素处方。大多数接受根管填充的牙齿采用直接修复。4 颗根管填充牙（2.4%）在观察期内被拔出。
从治疗开始就开始跟踪患者病历，结果显示，12 个月后，近 30%的牙齿的根管填充治疗尚未完成，其中约一半的牙齿被拔出。特别令人关注的是磨牙的牙髓治疗结果。在常规临床实践中，磨牙的牙髓治疗不仅技术上具有挑战性，而且对椅旁资源的要求也很高。在本研究中，只有略多于一半的病例获得了成功的结果。
