Survival rate and associated factors affecting pulpectomy treatment outcome in primary teeth

Abstract Objectives To evaluate the survival rates of pulpectomized primary teeth treated under general anesthesia (GA) or local anesthesia (LA), and to determine which factors affected tooth survival following pulpectomy. Materials and methods This retrospective study collected data from dental rec...

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Autores principales:	Methaphon Songvejkasem, Prim Auychai, Oitip Chankanka, Siriporn Songsiripradubboon
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	general anesthesia primary teeth pulpectomy survival rate Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/9e2d5bb48ea74bb7a53e39ba9db2c68b
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spelling	oai:doaj.org-article:9e2d5bb48ea74bb7a53e39ba9db2c68b2021-12-02T12:59:21ZSurvival rate and associated factors affecting pulpectomy treatment outcome in primary teeth2057-434710.1002/cre2.473https://doaj.org/article/9e2d5bb48ea74bb7a53e39ba9db2c68b2021-12-01T00:00:00Zhttps://doi.org/10.1002/cre2.473https://doaj.org/toc/2057-4347Abstract Objectives To evaluate the survival rates of pulpectomized primary teeth treated under general anesthesia (GA) or local anesthesia (LA), and to determine which factors affected tooth survival following pulpectomy. Materials and methods This retrospective study collected data from dental records. Patients under 5 years of age received dental treatment under GA or LA during 2007–2016, with at least one anterior or posterior tooth receiving a pulpectomy, were recruited. Pulpectomy was considered a failure if the tooth required extraction or retreatment due to pulp treatment failure. Survival analysis was used to assess the outcome. The cumulative survival probability was analyzed with the Kaplan–Meier estimator. Cox regression analysis was used to evaluate the associations between tooth survival and possible prognosis factors; sex, age, dental arch (upper/lower), tooth type (anterior/posterior), molar type (first/second molar), molar location (upper/lower molar), root filling material type, restoration type, preoperative radiographic findings and presence of pathologic root resorption. Results Two hundred and twenty‐seven primary teeth were included. At the 5‐year follow‐up, the survival rates of the pulpectomized teeth treated under GA and LA were 81.4% and 87.4%, respectively, which were not significantly different (p ≥ 0.05). A radiolucency on the preoperative radiograph was the only factor associated with tooth extraction or retreatment following pulpectomy, with a hazard ratio of 3.88 (95% CI = 1.29–11.65). Conclusions Pulpectomized primary teeth treated under GA and LA demonstrated high survival rates. Preoperative radiolucency is a possible associated factor that decreases tooth survival following pulpectomy. Why this paper is important Pulpectomy treatment under GA and LA provided high 5‐year cumulative survival rates, which were not significantly different. Pulpectomy treatment in teeth with a preoperative radiolucency were 3.9‐fold as likely to fail as teeth without pathology. Based on our findings, practitioners could apply these findings and discuss with caregivers about the treatment options, outcomes, and prognosis of pulpectomized teeth.Methaphon SongvejkasemPrim AuychaiOitip ChankankaSiriporn SongsiripradubboonWileyarticlegeneral anesthesiaprimary teethpulpectomysurvival rateDentistryRK1-715ENClinical and Experimental Dental Research, Vol 7, Iss 6, Pp 978-986 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	general anesthesia primary teeth pulpectomy survival rate Dentistry RK1-715
spellingShingle	general anesthesia primary teeth pulpectomy survival rate Dentistry RK1-715 Methaphon Songvejkasem Prim Auychai Oitip Chankanka Siriporn Songsiripradubboon Survival rate and associated factors affecting pulpectomy treatment outcome in primary teeth
description	Abstract Objectives To evaluate the survival rates of pulpectomized primary teeth treated under general anesthesia (GA) or local anesthesia (LA), and to determine which factors affected tooth survival following pulpectomy. Materials and methods This retrospective study collected data from dental records. Patients under 5 years of age received dental treatment under GA or LA during 2007–2016, with at least one anterior or posterior tooth receiving a pulpectomy, were recruited. Pulpectomy was considered a failure if the tooth required extraction or retreatment due to pulp treatment failure. Survival analysis was used to assess the outcome. The cumulative survival probability was analyzed with the Kaplan–Meier estimator. Cox regression analysis was used to evaluate the associations between tooth survival and possible prognosis factors; sex, age, dental arch (upper/lower), tooth type (anterior/posterior), molar type (first/second molar), molar location (upper/lower molar), root filling material type, restoration type, preoperative radiographic findings and presence of pathologic root resorption. Results Two hundred and twenty‐seven primary teeth were included. At the 5‐year follow‐up, the survival rates of the pulpectomized teeth treated under GA and LA were 81.4% and 87.4%, respectively, which were not significantly different (p ≥ 0.05). A radiolucency on the preoperative radiograph was the only factor associated with tooth extraction or retreatment following pulpectomy, with a hazard ratio of 3.88 (95% CI = 1.29–11.65). Conclusions Pulpectomized primary teeth treated under GA and LA demonstrated high survival rates. Preoperative radiolucency is a possible associated factor that decreases tooth survival following pulpectomy. Why this paper is important Pulpectomy treatment under GA and LA provided high 5‐year cumulative survival rates, which were not significantly different. Pulpectomy treatment in teeth with a preoperative radiolucency were 3.9‐fold as likely to fail as teeth without pathology. Based on our findings, practitioners could apply these findings and discuss with caregivers about the treatment options, outcomes, and prognosis of pulpectomized teeth.
format	article
author	Methaphon Songvejkasem Prim Auychai Oitip Chankanka Siriporn Songsiripradubboon
author_facet	Methaphon Songvejkasem Prim Auychai Oitip Chankanka Siriporn Songsiripradubboon
author_sort	Methaphon Songvejkasem
title	Survival rate and associated factors affecting pulpectomy treatment outcome in primary teeth
title_short	Survival rate and associated factors affecting pulpectomy treatment outcome in primary teeth
title_full	Survival rate and associated factors affecting pulpectomy treatment outcome in primary teeth
title_fullStr	Survival rate and associated factors affecting pulpectomy treatment outcome in primary teeth
title_full_unstemmed	Survival rate and associated factors affecting pulpectomy treatment outcome in primary teeth
title_sort	survival rate and associated factors affecting pulpectomy treatment outcome in primary teeth
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/9e2d5bb48ea74bb7a53e39ba9db2c68b
work_keys_str_mv	AT methaphonsongvejkasem survivalrateandassociatedfactorsaffectingpulpectomytreatmentoutcomeinprimaryteeth AT primauychai survivalrateandassociatedfactorsaffectingpulpectomytreatmentoutcomeinprimaryteeth AT oitipchankanka survivalrateandassociatedfactorsaffectingpulpectomytreatmentoutcomeinprimaryteeth AT siripornsongsiripradubboon survivalrateandassociatedfactorsaffectingpulpectomytreatmentoutcomeinprimaryteeth
_version_	1718393583063531520

Survival rate and associated factors affecting pulpectomy treatment outcome in primary teeth

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