ROOT CANAL TREATMENT;

FREQUENCY IN DEPARTMENT OF ENDODONTIC IN DENTAL COLLEGES OF KARACHI

Abstract

Objective: To determine the frequency of root canal treatment in endodontic department of dental colleges of Karachi. Study
Design: Cross-sectional study. Place and duration of study: Department of endodontics, Sir Syed Dental College & Hospital, Karachi from
1st May 2011 to 31st August 2011. Material and Methods: Of the 400 teeth from 370 individuals (age range 12-50 years) were endodontically
treated during four months by faculty members and postgraduate residents enrolled in a specialisation programme in department of
Endodontics. All patients were examined clinically and radiographically. For each case, information was collected in specifically designed
proforma including location of the affected tooth, age and gender and reasons for endodontic treatment. Results: Of the 400 treated teeth, 225
(56.25%) were mandibular and 175 (43.75%) were maxillary teeth. 236 teeth (59.0%) were from females and 164 (41.0%) from males.
Significant differences were found between the maxillary and mandibular arch. Molars and premolars required significantly more frequent
endodontic treatment than canines and incisors as revealed in fig.1. The most frequently treated tooth was the mandibular right first molar
(9.12%) followed by the mandibular left first molar (7.07%). The mandibular first molar was the most common tooth to undergo endodontic
procedure than maxillary first molar. The most frequently diagnosed pathosis was irreversible pulpitis (44%), pulp necrosis (22%), retreatment
endodontic (17%), elective RCTs (10%) traumatic exposures were (7%) as shown in fig. II. Conclusions: Irreversible pulpitis was the most
frequent cause of root canal treatment followed by pulp necrosis. Teeth of females required more endodontic treatment than males. The most
frequent root canals were carried out in mandibular molars than maxillary molars.