The Outcomes of Endodontic Treatment in Dental Department, Somdet Phraphutletlha Hospital, Samutsongkhram Province
Keywords:
Endodontic treatment, Treatment outcomes, Influence factorsAbstract
Background: Studying the success rates and factors associated with endodontic treatment is crucial for prognosis and for assisting dentists and patients in making informed decisions about selecting the most appropriate treatment plan for each individual patient, especially when there are more than one treatment option for that tooth.
Objectives: The purpose of this study was to evaluate the outcomes and influence factors of endodontic treatment in Dental department, Somdet Phraphutletlha Hospital, Samutsongkhram province.
Methods: The retrospective study recalled 137 treated teeth from 1 Jan 2022 to 31 Dec 2025, follow up period is 7-43 months. The criteria used for evaluation of the outcomes were clinical and radiographic examination by applying Gutmann’s criteria. Factors influencing the endodontic treatment outcome were analyzed using Chi-square test or Fisher’s exact test at significant level of 0.05.
Results: From the 137 samples, the majority were female (65%), aged 18-77 years. Based on clinical symptoms and radiographic assessments, the success rate of endodontic treatment was 73%, while the failure rate was 27%. Factors significantly associated with endodontic treatment success (p-value<0.05) included tooth type (p=0.010), status of the pulp (p<0.001), and pre-operative periapical lesion (p<0.001).
Conclusion: The success rate of endodontic treatment was 73% for 100 and the failure rate was 27%. Tooth type, status of the pulp and pre-operative periapical lesion were significantly associated with the success of endodontic treatment.
References
Ramesh A, Pillai R, Afzal A Santhosh A, Arunima GS. Healing of periapical lesion by non-surgical endodontic therapy: A case series. IJCE 2024;9(2):99-102.
Tomson PL, Simon SR. Contemporary Cleaning and Shaping of the Root Canal System. Prim Dent J 2016;5(2):46-53.
Fransson H, Dawson V. Tooth survival after endodontic treatment. Int Endod J 2023;56(S2):140-53.
Burns LE, Kim J, Wu Y, Alzwaideh R, McGowan R, Sigurdsson A. Outcomes of primary root canal therapy: An updated systematic review of longitudinal clinical studies published between 2003 and 2020. Int Endod J 2022;55(7):714-31.
Karamifar K, Tondari A, Saghiri MA. Endodontic Periapical Lesion: An Overview on the Etiology, Diagnosis and Current Treatment Modalities. Eur Endod J 2020;5(2):54-67.
Stueland H, Ørstavik D, Handal T. Treatment outcome of surgical and non-surgical endodontic retreatment of teeth with apical periodontitis. Int Endod J 2023;56(6):686-96.
Mehta D, Coleman A, Lessani M. Success and failure of endodontic treatment: predictability, complications, challenges and maintenance. Br Dent J 2025;238(7):527-35.
Berrezouga L, Bouguezzi A, Belkhir MS. Outcome of initial endodontic treatment performed by one specialist, in 122 Tunisian patiens: A retrospective study. Int J Dent. 2018 Jul 30;2018:3504245.doi:10.1155/2018/3504245.
Martin JFB, Georgiou AC, Nunes PD, Afreixo VMA, Palma PGR,Shemesh H. CBCT – assessed outcomes and prognostic factors of primary endodontic treatment and retreatment: A systematic review and meta-analysis. JOE 2025;51(6):687-706.
กัลยา ชยวัฑโฒ, มินตรา จันทราภิรัตน์, นวพร กีรติไพศาลสกุล. ผลการรักษาคลองรากฟันกรามแท้ในกลุ่มงานทันตกรรม โรงพยาบาลบางสะพาน จังหวัดประจวบคีรีขันธ์: การศึกษาแบบย้อนหลัง. วารสารแพทย์เขต 4-5 2566;42(1):27-38.
นธร ขจรไพร, ศรัณย์พร วงษ์มานิตย์. ผลการรักษารากฟันในผู้ป่วยที่ได้รับการรักษาจากคลินิกทันตกรรม โรงพยาบาลพรหมบุรี จังหวัดสิงห์บุรี. วารสารกรมการแพทย์ 2562;44(5):87-94.
เกศรินทร์ เจริญแสงสุริยา, ณัฏฐวิทย์ นันบุญตา. ปัจจัยที่มีความสัมพันธ์กับผลการรักษาคลองรากฟันโดยวิธีปกติในโรงพยาบาลกลาง. วารสารโรงพยาบาลเจริญกรุงประชารักษ์ 2566;19(1):16-29.
Sivavetpikul P, Wisithphrom K, Puapichartdumrong P. The outcome of endodontic treatment performed by dental students: A retrospective study. CU Dent J 2019;42:39-52.
Booranapanich W, Osiri S, Ongchavalit L. Treatment outcome and prognosis factors of initial root canal treatment performed by undergraduate dental students: a retrospective study. Khon Kaen Dent J 2024;27(3):104-16.
Laukkanen E, Vehkalahti MM, Kotiranta AK. Radiographic outcome of root canal treatment in general dental practice: tooth type and quality of root filling as prognostic factors. Acta Odontol Scand 2021;79(1):37-42.
Azim AA, Griggs JA, Huang GTJ. The Tennessee study: factors allecting treatment outcome and healing time following nonsurgical root canal treatment. Int Endod J 2016;49(1):6-16.
Sunde PT, Giving E, Dilshad T, Handal T, Ørstavik D. Radiographic outcome of endodontic treatment of teeth with primary apical periodontitis: results from a postgraduate clinic. Dent J 2025;13(12),593;doi.org/10.3390/dj13120593.
Barreiro CM, Piñón MR, Sans FA, Nagendrababu V, Vinothkumar TS, González JM, et al. Predictors of periapical bone healing associated with teeth having large periapical lesions following nonsurgical root canal treatment or retreatment: a cone beam computed tomography-based retrospective study. Int Endod J 2024;57(1):23-36.
Pirani C, Chersoni S, Montebugnoli L, Prati C. Long-term outcome of non-surgical root canal treatment: a retrospectyive analysis. Odontalogy 2015;103(2):185-93.
Siqueira JF, Rôças IN, Ricucci D, Hülsmann M. Causes and management of post-treatment apical periodontitis. Br Dent J 2014;216:305-12.
Banomyong D, Chailert O. Clinical recommendation for coronal restoration of endodontically treated teeth: Direct resin composite or Crown/Onlay?. Thai Endod J 2023;2(1):29-40.
De Andrade SG, De Siqueira G, Augusto MG, Leon GA, Brandão HCB, Tribst JPM, et al. Post-endodontic restorative treatments and their mechanical behavior: A narrative review. Dentistry Review 2023;3(4):1-11.
Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Int Endod J 2011;44(7):583-609.
Suganna M, Jena D, Jhala SN, Baghel RS, Afzal N, Singh S. Single tooth implant vs non-surgical root canal: long-term survival rates. J Pharm Bioallied Sci 2024;16(supply4):3156-9.
Hamasha AAH, Nbhan AF. Root canal treatment with postcore restoration versus implant restoration. Saudi Endod J 2019;9(2):88-95.
Setzer FC, Kim S. Comparison of long-term survival of implants and endodontically treated teeth 2014;93(1):19-26.
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