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Factors Associated with Incomplete Endodontic Care.

Carla Y Falcon¹, Anthony R Arena¹, Rebecca Hublall¹

¹Department of Endodontics, Rutgers School of Dental Medicine, Rutgers, The State University of New Jersey, Newark, New Jersey.

Journal of Endodontics

|June 22, 2021

Summary

Patients receiving palliative endodontic care were less likely to complete root canal therapy (RCT). This highlights a significant association between prior palliative treatment and incomplete endodontic care, impacting overall dental health outcomes.

Keywords:

Delayed root canal therapy Medicaid incomplete endodontic treatment

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Area of Science:

Endodontics
Dental Public Health

Background:

Incomplete endodontic treatment is linked to adverse health consequences.
Root canal therapy (RCT) completion is crucial for preserving dental health.

Purpose of the Study:

To investigate factors associated with the completion of initial nonsurgical root canal therapy (RCT).
To assess the impact of palliative endodontic care and demographic factors on RCT completion.

Main Methods:

Retrospective chart review of 1806 patients at a postgraduate endodontic clinic.
Analysis of variables including palliative care, Medicaid status, age, and distance from the clinic.
Bivariate and binary logistic regression analyses to determine significant associations.

Main Results:

Palliative care, Medicaid recipient status, age group, and distance from the clinic were significantly associated with RCT completion (P < .05).
Palliative care (P < .05) and age group (P < .05) were significant factors in logistic regression.
Patients without prior palliative care had 8.5 times higher odds of completing RCT compared to those who received it.

Conclusions:

Incomplete nonsurgical endodontic treatment is strongly associated with prior palliative care.
Further research is needed to identify factors influencing endodontic care completion.
Improving public health care program design is essential for patient-centered outcomes.