International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 8 , ISSUE 4 ( October-December, 2018 ) > List of Articles


Analyzing the Reasons for Patients Opting-out from Root Canal Treatment and Preferring Extraction in South Indian Population—Prospective Study

Kadandale Sadasiva, Sreeram Rayar, Kumarappan Senthilkumar, Manu Unnikrishnan, Udayakumar Jayasimharaj

Keywords : Dental anxiety, Misbelief, Patient counseling, and education, Planning, and patient preferences, Root canal treatment, Tooth extraction

Citation Information : Sadasiva K, Rayar S, Senthilkumar K, Unnikrishnan M, Jayasimharaj U. Analyzing the Reasons for Patients Opting-out from Root Canal Treatment and Preferring Extraction in South Indian Population—Prospective Study. Int J Prosthodont Restor Dent 2018; 8 (4):108-113.

DOI: 10.5005/jp-journals-10019-1217

License: CC BY-NC 4.0

Published Online: 01-05-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Aim: To evaluate the reasons behind patients opting out from root canal treatment (RCT) and undergoing extraction in south Indian population. Materials and methods: Data of 561 patients reported to the department of conservative dentistry and endodontics from the period 1st January 2013 to 31st December 2017 for the treatment of irreversible pulpitis and who eventually decided for extraction were collected. The questionnaires were sent to the patient and collected. The reasons documented were entered into Statistical Package for the Social Sciences (SPSS) statistical software for statistical analysis. The results subjected to frequency distribution tests. Results: The study reveals the primary reason for the patient not undergoing RCT were misbelief in the success of RCT 14.97%, followed by cost factor 13.90% and for immediate pain relief following extraction 13.19%. Conclusion: The patient's misbelief associated with the failure of RCT was the major reason for the patients to opt out of RCT and preferring extraction. Clinical significance: The psychology of the patients in regard towards the root canal treatment can be clearly understood by this study. The article gives an insight into the acceptance and rejection of RCT by patients and therefore helping dentists/specialists in formulating better treatment plans according to the patient needs.

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  1. (Last accessed on 30/10/2018,-13.44).
  2. Gross man's Endodontic practice, 12th edition, B. Suresh Chandra, V. Gopikrishna, p 390.
  3. access on 20-10-2018 10 : 23 AM).
  4. Vaughn LM, Jacquez F, Baker RC. Cultural health attributions, beliefs, and practices: effects on healthcare and medical education. Open Medl Edu J. 2009;2:64-74.
  5. Friedman S, Mor C. The success of endodontic therapy-healing and functionality. J Calif Dent Assoc. 2004 Jun;32(6):493-503.
  6. Friedman S, Mor C. The success of endodontic therapy-healing and functionality. J Calif Dent Assoc. 2004 Jun;32(6):493-503.
  7. Gorduysus MO, Gorduysus MG. Endodontic patient profile of Hacettepe university, faculty of dentistry in Ankara, Turkey. Int Dent J. 2000 Oct;50(5):274-278.
  8. (accessed on 27-10-2018 12:50 pm).
  9. Pennington MW, Vernazza CR, Shackley P, Armstrong NT, Whitworth JM, Steele JG. Evaluation of the cost-effectiveness of root canal treatment using conventional approaches versus replacement with an implant. Int Endod J 2009;42:874-883.
  10. Cunningham CJ, Mullaney TP. Pain control in endodontics. Dent Clin North Am. 1992 Apr;36(2):393-408.
  11. Pak JG, White SN. Pain prevalence and severity before, during and after root canal treatment: A systematic review. J Endod. 2011 Apr;37(4):429-438.
  12. Van Wijk AJ, Hoogstraten J. Reducing fear of pain associated with endodontic therapy. Int Endod J. 2006 May;39(5):384-388.
  13. Vodanoviæ M. Strah od stomatologa. Zdrav život. 2008;57(7): 66-70.
  14. Van Wijk AJ, Hoogstraten J. Experience with dental pain and fear of dental pain. J Dent Res. 2005;84(10):947-950.
  15. Gale EN, Carlsson SG, Eriksson A, Jontell M. Effects of dentists’ behavior on patients’ attitudes. J Am Dent Assoc. 1984 Sep;109(3):444-446. 16 Hammarstrand G, Berggeren U, Hackeberg M. Psychophysiological therapy vs. hypnotherapy in the treatment of patients with dental phobia. Eur J Oral Sci. 1995 Dec;103(6): 399-404.
  16. Perkoviæ I, Romiæ MK, Periæ M, Krmek SJ. Level of anxiety and pain perception of endodontic patients. Acta stomatol Croat 2014;48(4):258-267.
  17. Locker D, Liddell A. Clinical correlates of dental anxiety among older adults. Community Dent Oral Epidemiol. 1992 Dec;20(6):372-375.
  18. Hamedya R, Shakibaa B, v Fayazi S, Paka JG, v White SN. Patient-centered endodontic outcomes: A narrative review. Iranian Endod J 2013;8(4):197-204
  19. Hägglin C, Hakeberg M, Ahlqwist M, Sullivan M, Berggren U. Factors associated with dental anxiety and attendance in middle-aged and elderly women. Community Dent Oral Epidemiol. 2000 Dec;28(6):451-460.
  20. Klages U, Ulusoy Ö, Kianifard S, Wehrbein H. Dental trait anxiety and pain sensitivity as predictors of expected and experienced pain in stressful dental procedures. Eur J Oral Sci. 2004 Dec;112(6):477-483.
  21. Donaldson D. Anxiety: its management during the treatment of the adolescent dental patient. Int Dent J. 1982 Mar;32(1): 44-55.
  22. Umanah AU, Osagbemiro BB, Arigbede AO. Pattern of demand for endodontic treatment by adult patients in Port- Harcourt, South- South Nigeria. J West Afr Coll Surg. 2012 Jul-Sep;2(3):12-23.
  23. Estrela C, Holland R, Estrela CR, Alencar AH, Sousa-Neto MD, Pécora JD. Characterization of successful root canal treatment. Braz Dent J 2014;25(1)3-11.
  24. videos/. Last accessesed on 25/12/2018,8.01am
  25. Malentacca A, Castellucci A. Problem solving within the scope and challenges of endodontic procedures. Last accessed on 25/12/2018, 9.48 a.m
  26. Olcay K, Ataoglu H, Belli S. Evaluation of related factors in the failure of endodontically treated teeth: A cross-sectional study. J Endod. 2018 Jan;44(1):38-45.
  27. Yamaguchi M, Noiri Y, Itoh Y, Komichi S, Yagi K, Uemura R, et al. Factors that cause endodontic failures in general practices in Japan. BMC Oral Health. 2018 Apr;18(1):70.
  28. Borse S, Sanap A, Mehta V, Borse N, Bhosale S, Oswal P. Effect of different irrigation devices on removal of smear layer–A systematic review. Int J Contemp Med Res. 2017;4(6):1371- 1377.
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