Comparing Quality of Life of Patients Undergoing Root Canal Treatment or Tooth Extraction

Wigsten, Emma; Davidson, Thomas; Bjørndal, Lars; Dawson, Victoria; Fransson, Helena; Frisk, Fredrik; Jonasson, Peter; Kvist, Thomas; Markvart, Merete; Pigg, Maria; Wolf, Eva

doi:10.1016/j.joen.2019.10.012

Cited by 43 publications

(48 citation statements)

References 29 publications

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“…Recently, there has been rising attention describing the consequences of disease or medical decisions by measuring its effect on patients’ daily living and quality of life [ 5 ]. Numerous efforts have been employed to evaluate the relationship between quality of life and health related factors, leading to the widely spread term health-related quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of AP increases during life and by the age of 50 years one in two individuals is affected by this disease [ 4 ]. Treatment options of AP include mainly root-canal treatment (RCT) or the extraction of the affected tooth [ 5 ]. In case of tooth extraction, the edentulous area can be restored by fixed or removable dental prostheses (FDP and RDP, respectively), implant supported crowns (ISC), or remains edentulous.…”

Section: Introductionmentioning

confidence: 99%

“…Other surveys sent diverse clinical scenarios to different dentist groups and revealed that clinical backgrounds and experiences, as well as factors related to the region of dental education and practice can affect the chosen treatment plan for AP. To the best of our knowledge, there is no definite treatment protocol for teeth with AP, raising the concerns that some affected but restorable teeth might get extracted and affect the oral health-related quality of life of patients negatively [ 5 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey

Conrad

Retelsdorf

Attia

et al. 2020

IJERPH

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Currently, there is no standard treatment protocol for apical periodontitis (AP). Thus, restorable teeth might get extracted and replaced prosthetically. This study evaluated German dentists’ preferred AP treatment decisions and the influencing factors for selecting tooth retention by initial/repeated surgical/non-surgical root-canal treatment (RCT) or extraction with/without prosthetic replacement. Through an online-survey, participants (n = 260) rated different treatment options for four case scenarios with AP in anterior/posterior teeth without/with previous RCT. Statistical analysis included the Friedman test for intra-case comparisons and Chi-squared test for factor-associations (p ≤ 0.05). Tooth retention using initial/repeated RCT was ranked first in all scenarios and rated as (very) appropriate by most participants, while implant-supported crowns (ISC) and apicoectomy had the second ratings. ISC were preferred more on posterior teeth or previous root-canal-treated teeth. Rating levels of treatment options displayed significant differences for all case scenarios. Posterior tooth retention by RCT demonstrated a significant association with work experience. Tooth retention with previous RCT displayed a significant correlation with dentists’ privately insured patients. Most dentists preferred tooth preserving with initial/repeated RCT, while others selected non-evidence-based choices. This reflects a lack of consensus of AP treatment decisions in Germany. Fixed treatment guidelines and further evaluation of treatment–decision-correlated factors are recommended for correct treatment planning.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey

Conrad

Retelsdorf

Attia

et al. 2020

IJERPH

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“…Patient-centred outcomes should be analysed in interventional studies because they reflect how the patient perceives improvements and positive impacts regarding the intervention. In fact, knowledge about the impact of endodontic treatment on OHRQoL remains limited (Neelakantan et al 2020, Wigsten et al 2020. Pragmatic clinical trials assessing this outcome allow us to comprehend the effects of endodontic treatment on functional limitation, physical pain, psychological discomfort and social inability.…”

Section: Introductionmentioning

confidence: 99%

The impact of two root canal treatment protocols on the oral health‐related quality of life: a randomized controlled pragmatic clinical trial

Diniz‐de‐Figueiredo

Lima²,

Oliveira

et al. 2020

Int Endodontic J

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Aim To assess the impact of two root canal treatment protocols on the oral health‐related quality of life (OHRQoL) of patients in need of root canal treatment on their anterior teeth. Methodology The sample consisted of 120 participants (mean age: 34 years) enrolled in a pragmatic randomized clinical trial evaluating two root canal treatment protocols. Anterior teeth with nonvital pulps were allocated for root canal preparation with either hand files and filled with lateral compaction of gutta‐percha (manual protocol) or canal preparation with a single file in a reciprocating movement and filled with a single cone technique (Reciproc protocol). OHRQoL data were assessed using the Oral Health Impact Profile instrument (OHIP‐14), which was administered before the root canal intervention (baseline), and 6 and 12 months after treatment. Demographic and clinical characteristics of participants were collected at baseline. Data were analysed using bivariate analyses, Poisson univariate and multiple regression (α = 0.05). Results The drop‐out rate from baseline was 27% and 28% at 6 and 12 months after treatment, respectively. Both root canal protocols significantly enhanced patients' OHRQoL, regardless of the follow‐up time (P < 0.001). After 6 months, patients treated with the Reciproc protocol had significantly lower OHIP‐14 overall scores (P = 0.030), as well as significantly lower scores for psychological discomfort (P = 0.031) and social disability (P = 0.013). After 12 months, no significant difference was observed between the two root canal protocols for OHIP‐14 overall scores (P = 0.174). Either large or moderate effect sizes were observed for all domains and overall scores at both evaluation times, irrespective of the protocol. Low‐income persons (RR = 2.03) and the Reciproc protocol (RR = 1.52) had a higher likelihood of a positive impact on OHRQoL 12 months after root canal treatment. Conclusions The two root canal protocols improved the OHRQoL and differences in scores were observed only after 6 months with poorer OHRQoL for the manual protocol. After 12 months, patients with low‐income status and treated with Reciproc were associated with a greater improvement in OHRQoL scores.

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“…PPED most commonly found were endodontic treatments where we found a percentage of 32.6% and is more correlated to the maxilla. Although the lower molars appear like the teeth most prone to endodontic treatment, when it shows an overview the maxilla is more stricken 19 . A possible explanation for this might be that region is more prone to trauma which would cause pulp necrosis and extensive carious lesions leading to endodontic treatment.…”

Section: Discussionmentioning

confidence: 99%

Dental developmental anomalies and post-eruption dental disorder

et al. 2021

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Panoramic radiographs are complementary exams to evaluate oral alterations in an early manner, these changes can be dental developmental anomalies, and post-eruption dental disorder. Aim: This study evaluated the findings in panoramic radiographs and correlated the variables of gender and dental location. Methods: A retrospective study was through the observation of 1.111 panoramic radiographs from the Radiology Department in Brazil. It was included patients from 5 to 79 years of age of both gender, and it classified the anomalies in shape, size, and number and post-eruption dental changes in and correlated with gender and location. Patients with syndromes were excluded from the sample. Results: The majority of the sample was composed of fameles 752 (67.7%), as to the frequency of dental developmental anomalies related lesions 684 cases (61.6%) and post-eruption dental disorder 567 (51.8%), in the radiographs. The most prevalent change was endodontic treatment (32.6%), followed by root dilaceration (25.9%), and included tooth (19.5%). The most prevailing alteration when correlated with the gender variables was the cyst root (p<0.01) in females, and orthodontic treatment (p=0.02) in males and the variable location in the mandible was root dilaceration, giroversion, impacted tooth, taurodontia, microdontia, and endodontic treatment (p<0.01). Conclusion: Our findings provide evidence that dental developmental anomalies e post-eruption dental disorder are frequent alterations in the population with particular characteristics of distribution by sex and location.

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Comparing Quality of Life of Patients Undergoing Root Canal Treatment or Tooth Extraction

Cited by 43 publications

References 29 publications

German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey

German Dentists’ Preferences for the Treatment of Apical Periodontitis: A Cross-Sectional Survey

The impact of two root canal treatment protocols on the oral health‐related quality of life: a randomized controlled pragmatic clinical trial

Dental developmental anomalies and post-eruption dental disorder

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