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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 5 Issue 2 April-June 2019

Original Articles

Evaluation of different Causes for Root Canals Failures in a known population
Asma Altaf, Nuzhat Mir, Mansha Jeelani

Background: The primary goal of endodontic treatment is to eliminate or reduce the microbes from root canal space by chemo mechanical preparation and to prevent re-infection and promote periapical healing by hermetically sealing the root canal space. Hence; the present study was undertaken for assessing and evaluating different Causes for Root Canals Failures in a known population. Materials & Methods: A total of 100 patients were included in the present study. Inclusion criteria included: Patients who underwent root canal therapy and reported with postoperative pain, Patients with negative history of any other systemic illness. Intra-oral Periapical (IOPA) radiographs were taken. All patients were informed regarding the study and written consent was obtained. IOPA radiographs were assessed for presence of presence or absence of periapical radiolucency, quality of obturation, missed canal, dislodged/fractured restorations, iatrogenic problems: perforation, file separation, ledges etc. Results: Incomplete obturation was the cause of root canal failure in 53 percent of the cases. Missed canals were found to be present in 24 percent of the cases. Significant results were obtained while assessing the different causes of root canal therapy failure. In the present study, we observed that, out of 24 patients with missed canals, in 19 patients, molar was involved while in the remaining 5 patients, premolars were involved. While assessing distribution of various causes of root canal failure according to tooth type, significant results were obtained. Conclusion: Root canal failure can occur due to a number of reasons with most common being missed canal, inadequate obturation and fractured coronal obturation. Key words: Pulp, Root canal, Restoration

 
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