Analysis of reasons for retreatment and extraction of endodontically treated teeth: A transversal study
Keywords:Endodontically treated teeth, Retreatment, Extraction
OBJECTIVE: Was to analyze the reasons related to retreatment and extraction of endodontically treated teeth.
METHODS: Data were collected consecutively during a 12-month period from data of patients who had indication for root canal retreatment or extraction of endodontically treated teeth after an initial visit. The patients were scheduled for a new consultation and the need for root canal retreatment or extraction was confirmed by three previously calibrated examiners. After that, a clinical form was completed, including data about the patient and tooth, presence of apical radiolucency, reasons for root canal retreatment or extraction, and the treatment option. The aforementioned variables related to the patients and the teeth were computed and are given as their absolute value and percentage.
RESULTS: Inadequate filling was the most frequent reason (40.5%) to perform root canal retreatment; non-surgical root canal retreatment was the most frequent treatment option (95%). Failure or fracture on definitive restoration (prosthetic crown) was the most frequent reason (30%) to perform extraction of endodontically treated teeth; tooth extraction with prosthetic rehabilitation was the most frequent treatment option (78%).
CONCLUSION: Inadequate filling and failure or fracture on definitive restoration associated with apical radiolucency should be taken into account during the decision-making process regarding endodontically treated teeth with questionable prognosis.
Friedman S, Abitol S, Lawrence H. Treatment outcome in endodontics: The Toronto Study-Phase I: initial treatment. J Endod. 2003;29:787-93. https://doi.org/10.1097/00004770-200312000-00001
Imura N, Pinheiro ET, Gomes BP, Zaia AA, Ferraz CC, Souza-Filho FJ. The outcome of endodontic treatment: a retrospective study of 2000 cases performed by a specialist. J Endod. 2007;33:1278-82. https://doi. org/10.1016/j.joen.2007.07.018
John V, Chen S, Parashos P. Implant or the natural tooth—a ontemporary treatment planning dilemma? Aust Dent J. 2007;52:138-50. https://doi.org/10.1111/j.1834-7819.2007.tb00521.x
Jung Re, Pjetursson BE, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res. 2008;19:119-30. https://doi.org/10.1111/j.1600-
Avila G, Galindo-Moreno P, Soehren S, Misch CE, Morelli T, Wang HL. A novel decision-making process for tooth retention or extraction. J Periodontol 2009;80:476-91. https://doi.org/10.1902/jop.2009.080454
Ng Y-L, Mann V, Gulabivala K. Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J 2010;43:171-89. https://doi.org/10.1111/j.1365-2591.2009.01671.x
Estrela C, Holland R, Estrela CR, Alencar AH, Sousa-Neto MD, Pécora JD. Characterization of successful root canal treatment. Braz Den J. 2014;25:3-11. https://doi.org/10.1590/0103-6440201302356
Pothukuchi K. Case assessment and treatment planning: what governs your decision to treat, refer or replace a tooth that potentially requires endodontic treatment? Aust Endod J. 2006;32:79-84. https://doi. org/10.1111/j.1747-4477.2006.00010.x
Marending M, Peters OA, Zehnder M. Factors affecting the outcome of orthograde root canal therapy in a general dentistry hospital practice. Oral Surg Oral Pathol Oral Rad and Endod. 2005;99:119-24. https://doi.
Wang CH, Chueh LH, Chen SC, Feng YC, Hsiao CK, Chiang CP. Impact of diabetes mellitus, hypertension, and coronary artery disease on tooth extraction after nonsurgical endodontic treatment. J Endod. 2011;37:1-5. https://doi.org/10.1016/j.joen.2010.08.054
Zadik Y, Sandler V, Bechor R, Salehrabi R. Analysis of factors related
to extraction of endodontically treated teeth. Oral Surg Oral Med Oral
Pathol Oral Radiol Endod. 2008;106:31-5. https://doi.org/10.1016/j.
Touré B, Faye B, Kane AW, Lo CM, Niang B, Boucher Y. Analysis of reasons for extraction of endodontically treated teeth: a prospective study. J Endod. 2011;37:1512-5. https://doi.org/10.1016/j.joen.2011.07.002
Touré B, Kane AW, Diouf A, Faye B, Boucher Y. Preoperative pain and medication used in emergency patients with irreversible pulpitis or acute periodontitis: a prospective comparative study. J Orofac Pain.2007;21:303-8.
Levin A, Shemesh A, Katzenell V, Gottlieb A, Ben Itzhak J, Solomonov M. Use of cone-beam computed tomography during retreatment of a 2-rooted maxillary central incisor: case report of a complex diagnosis and treatment. J Endod. 2015;41(12):2064-7. https://doi.org/10.1016/j.
Yang H, Tian C, Li G, Yang L, Han X, Wang Y. A cone-beam computed tomography study of the root canal morphology of mandibular first premolars and the location of root canal orifices and apical foramina in a Chinese subpopulation. J Endod. 2013;39:435-38. https://doi.org/10.1016/j.joen.2012.11.003
Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of non-surgical root canal treatment: part 2: tooth survival. Int Endod J. 2011;44:610-25. https://doi.org/10.1111/j.1365-2591.2011.01873.x
Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol. 1965;20:340-9. https://doi.org/10.1016/0030-4220(65)90166-0
Pinheiro ET, Gomes BPFA, Ferraz CCR, Sousa ELR, Teixeira FB, Souza-
Filho FJ. Microorganisms from canals of root-filled teeth with periapical lesions. Int Endod J. 2003;36:1-11. https://doi.org/10.1046/j.1365- 2591.2003.00603.x
Figdor D, Davies JK, Sundqvist G. Starvation survival, growth and recovery of Enterococcus faecalis in human serum. Oral Microbiol Immunol. 2003;18:234-9. https://doi.org/10.1034/j.1399-302X.2003.00072.x
Siqueira JF, Rôças IN, Riche FN, Provenzano JC. Clinical outcome of the endodontic treatment of teeth with apical periodontitis using an antimicrobial protocol. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.
Asgary S, Eghbal MJ, Ghoddusi J. Two-year results of vital pulp therapy in permanent molars with irreversible pulpitis: an ongoing multicenter randomized clinical trial. Clin Oral Investig. 2014;18:635-41. https://doi.
Fuss Z, Lustig J, Katz A, Tamse A. An evaluation of endodontically treated vertical root fractured teeth: impact of operative procedures. J Endod. 2001;27:46-8. https://doi.org/10.1097/00004770-200101000-00017
Heling I, Gorfil C, Slutzky H, Kopolovic K, Zalkind M, Slutzky-Goldberg I. Endodontic failure caused by inadequade restaurative procedures: review and treatment recommendations. J Prosth Dent. 2002;87:674-8. https://
Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J. 2002;35: 680–9. https://doi.org/10.1046/j.1365-2591.2002.00546.x
Tsesis I, Rosen E, Taschieri S, Telishevsky Strauss Y, Ceresoli V, Del Fabbro M. Outcomes of surgical endodontic treatment performed by a modern technique: an updated meta-analysis of the literature. J Endod. 2013;39:332-9. https://doi.org/10.1016/j.joen.2012.11.044
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.