Abstract

Introduction: The endodontic therapy or root canal therapy (RCT) requires the removal of diseased pulpal tissue to avoid and intercept pulpal or periradicular pathosis and the defense of the disinfected tooth from potential microorganism entrenchment. This study was carried out with an objective to identify the reasons for root canal treatment and to understand disease pattern, outcome of previous treatments and their cost effectiveness.

Materials and methods: The Department of Operative Dentistry, Lahore Medical and Dental College, Lahore, conducted this cross-sectional descriptive research. A total of 200 patients reporting to the Department of Operative Dentistry were included. Information was collected by means of a specially developed proforma, with information on sociodemographic variables and basic dental odontogram and a criterion for the treatment and re-treatment of the root canal.

Results: Irreversible pulpitis (86) 43.0% was the most predominant cause followed by necrotic pulp (44) 22%. Failed RCT comprised of (29) 14.5%, followed closely by trauma, which accounted (22) 11.0% of the teeth.

Conclusion: There is a need to implement effective prevention measures along with patient education and early treatment of carious lesions to reduce the need for root canal surgery. In general practice and educational programs in the endodontics discipline, there is also a need for careful supervision of root canal procedures.

Key words: RCT, Irreversible pulpitis, necrotic pulp, Failed RCT