Aim: Our objective was to examine the survival and failure of root canal treatment (RCT) performed on permanent teeth of subjects ages 6 to 18 at a university clinic and to evaluate the predictors of the outcomes. Methods: This study was a retrospective chart review and was approved by the IRB. Subjects were identified through RCT codes in their electronic records and their clinical charts including radiographs were reviewed. The outcomes survival and failure were determined based on outcome definitions. Statistical analyses including bivariate and multivariate analyses adjusting for age, gender, socio-economic status, number of RCTs and tooth position for each outcome was conducted. Results: A sample of 773 subjects with 931 teeth were identified. Mean age at treatment was 14.76 years and majority of subjects had MassHealth insurance (66.3%). Mean number of RCT per patient was 1.2 (range: 1-5) and RCT was performed mostly on molars (68.7%). Only 45.5% (n=424) had at least a single follow-up. The mean follow-up duration was 22.5 months (range: 1-99). Overall, failure was observed in 15.3% (n=65). Age was significantly associated with survival (n=359) in our multivariate analysis, particularly those who were 15-18 years old had higher odds of survival (OR (95% CI): 3.99 (1.64, 9.7) when compared to younger age groups. Conclusions: Our results confirm that survival of RCT improves as the age of treatment increases. In particular, older children showed higher odds of survival. This is similar to the trends observed on RCT survival among adults.
I am from Kuwait. I graduated from Kuwait University in 2011. I enrolled in a 2 year general practice residency in 2012-2014. I started my masters program in Boston in 2015 and now in my final year of residency.
Associate Dean for Academic Affairs at the University of Detroit Mercy School of Dentistry
DDS, MPH, University of North Carolina
DScD, Boston University
Completed a Dentist-Geriatric Fellowship Program with the VA and the Harvard School of Dental Medicine in 1985, and directed the VA Geriatric Fellowship Program (1985–1992), the Geriatric Dental Program (1985–1994), and served as chief of the Dental Service from 1994–1998. Served as head of the Outcomes Section at the VA Center for Health Quality, Outcomes, and Economic Research from 2001 to 2003, when she retired from federal service. At Boston University Henry M. Goldman School of Dental Medicine, she was an adjunct assistant professor of periodontology and oral biology from 1990 to 1998, associate professor of health policy and health services research and later general dentistry from 1999 to 2005, and was promoted to professor of general dentistry in November of 2005.
Associate Professor, Director and Chair of the Advanced Specialty Education Program; Department of Endodontics
Associate Professor and Chair, Department of Endodontics
Director of the Advanced Specialty Education Program in Endodontics
BDS, Karnatak University, Dharwad, Karnatak, India
DMD, CAGS, MSD, Case Western Reserve University School of Dental Medicine
Thursday, April 26
10:00 AM – 1:00 PM
Clinical Assistant Professor, Department of Pediatric Dentistry Director of Research, Department of Pediatric Dentistry
Dr. Jayapriyaa R. Shanmugham, BDS, MPH, DrPH
Director of Research & Clinical Assistant Professor
Department of Pediatric Dentistry
Goldman School of Dental Medicine
700 Albany St (W building)
Boston, MA 02118