Department of Conservative Dentistry and Endodontics, Institute of Medicine, Maharajgung Medical Campus, Dental Teaching Hospital, Kathmandu, Nepal.
Mechi Dental Care, Ilam, Nepal.
Kathmandu Univ Med J (KUMJ). 2022 Jul-Sep;20(79):264-267.
Background Dental caries is considered as the most prevalent oral disease in Nepalese population that frequently needs endodontic therapy or root canal treatment (RCT). Pulp infection is one of the most common sequels of dental caries which when left untreated leads to pulpal necrosis and peri-radicular diseases. Patients usually reports to the dental hospital after there is pain, sensitivity, swelling or fracture of the tooth structure which usually impedes their normal routine of daily life. RCT is one of the efficacious therapeutic procedures that can save the teeth retaining its aesthetics and function. Objective To determine the need of RCT among patients attending Tertiary Care Hospital. Method A cross-sectional epidemiological study was conducted in the Department of Conservative Dentistry and Endodontics over the period of one year from April 2019 to April 2020. Ethical approval was taken from the Institutional Review Committee Kathmandu University School of Medical Sciences. In total, 7566 records of the patients that needed endodontic therapy and other treatments were collected and the need of endodontic therapy versus other treatments were assessed. The data obtained were analyzed using the SPSS version 20. The association between various patient-related variables were calculated by chi square test and mean, standard deviation, frequency and percentage were calculated using descriptive statistics. P value was set at < 0.05 for statistical significance. Result Among the total study population, (n=7566), the mean age was 34.97±14.34 years among which 4387 (58%) were females and 3179 (42%) were males. The type of treatment required by the study participants were significantly associated with age and sex (p < 0.001) and p < 0.001, respectively). Conclusion The findings of this study concluded that there was an increased need for endodontic therapy among patients visiting the department compared to other treatments. There was a significant association between gender and age showing females and elderly patients in greater need for endodontic therapy.
龋齿被认为是尼泊尔人群中最普遍的口腔疾病，经常需要进行根管治疗（RCT）。牙髓感染是龋齿最常见的后果之一，如果不进行治疗，会导致牙髓坏死和根尖周疾病。患者通常在出现疼痛、敏感、肿胀或牙齿结构破裂等症状后才会前往牙科医院就诊，这些症状通常会妨碍他们的日常生活正常进行。RCT 是一种有效的治疗程序，可以保留牙齿的美观和功能。目的：确定在三级保健医院就诊的患者中需要进行 RCT 的情况。方法：本研究为横断面流行病学研究，于 2019 年 4 月至 2020 年 4 月在牙髓病学和根管治疗科进行。研究获得了 Kathmandu University School of Medical Sciences 机构审查委员会的伦理批准。共收集了 7566 例需要牙髓治疗和其他治疗的患者记录，并评估了牙髓治疗的必要性与其他治疗方法的比较。使用 SPSS 版本 20 分析获得的数据。使用卡方检验计算各种患者相关变量之间的关联，并使用描述性统计计算均值、标准差、频率和百分比。统计学显著性设为 P 值<0.05。结果：在总研究人群（n=7566）中，平均年龄为 34.97±14.34 岁，其中 4387 名（58%）为女性，3179 名（42%）为男性。研究参与者所需的治疗类型与年龄和性别显著相关（P<0.001）和 P<0.001）。结论：本研究的结果表明，与其他治疗方法相比，到该科室就诊的患者对根管治疗的需求增加。性别和年龄之间存在显著关联，表明女性和老年患者更需要根管治疗。
