Endodontic treatments on permanent teeth in pediatric patients aged 6–12 years old

Backgroud/purpose: The prevalence of carious lesions and traumatic injury in individuals between ages 6 and 12 is high. This study aimed to characterize pediatric patients aged 6–12 treated in the endodontic clinic and investigate the prevalence and patterns of their provided endodontic treatments....

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Main Authors: Su-Min Lee, Ya-Hsin Yu, Bekir Karabucak
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Journal of Dental Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1991790222002872
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author Su-Min Lee
Ya-Hsin Yu
Bekir Karabucak
author_facet Su-Min Lee
Ya-Hsin Yu
Bekir Karabucak
author_sort Su-Min Lee
collection DOAJ
description Backgroud/purpose: The prevalence of carious lesions and traumatic injury in individuals between ages 6 and 12 is high. This study aimed to characterize pediatric patients aged 6–12 treated in the endodontic clinic and investigate the prevalence and patterns of their provided endodontic treatments. Materials and methods: Clinical and radiographic records of patients (ages 6–12) referred to the postgraduate Endodontics clinic from June 2017 to June 2020 were reviewed. Demographics, pre-and post-operative conditions, type of endodontic treatment, and behavioral management were collected. Results: A total of 6350 teeth from 6089 patients were treated in this period, and 425 teeth (6.7%) from 405 patients were included. Ages 9–11 were the most commonly treated age group. Significantly more lower molars (41.9%) and upper anterior teeth (36.7%) were treated (P < 0.05). The majority of teeth were diagnosed with pulp necrosis (39.5%), and the most common periapical diagnosis was normal apical tissues (39.8%), then symptomatic apical periodontitis (38.8%). The most common etiological factor was caries (63.5%). Two hundred six teeth (48.5%) were treated with root canal therapy, 161 teeth (37.9%) with vital pulp therapy, 46 teeth (10.8%) with apexification or regenerative endodontic procedure, 12 teeth (2.8%) with non-surgical retreatment. A statistically high number of patients (87.8%) tolerated the endodontic procedures without any sedation (P < 0.0001). Conclusion: Pediatric patients aged 6–12 compose around 7% of the population treated at the postgraduate Endodontics clinic, reflecting the high demand for endodontic treatment in a pediatric mixed dentition population.
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spelling doaj.art-dd2f36eb5ccf4c8ba3516d72e6cdbd3b2023-06-09T04:27:26ZengElsevierJournal of Dental Sciences1991-79022023-07-0118311091115Endodontic treatments on permanent teeth in pediatric patients aged 6–12 years oldSu-Min Lee0Ya-Hsin Yu1Bekir Karabucak2Corresponding author. Department of Endodontics, School of Dental Medicine, University of Pennsylvania, 240 S. 40th Street, Philadelphia, PA 19104-6030, USA.; Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USADepartment of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USADepartment of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USABackgroud/purpose: The prevalence of carious lesions and traumatic injury in individuals between ages 6 and 12 is high. This study aimed to characterize pediatric patients aged 6–12 treated in the endodontic clinic and investigate the prevalence and patterns of their provided endodontic treatments. Materials and methods: Clinical and radiographic records of patients (ages 6–12) referred to the postgraduate Endodontics clinic from June 2017 to June 2020 were reviewed. Demographics, pre-and post-operative conditions, type of endodontic treatment, and behavioral management were collected. Results: A total of 6350 teeth from 6089 patients were treated in this period, and 425 teeth (6.7%) from 405 patients were included. Ages 9–11 were the most commonly treated age group. Significantly more lower molars (41.9%) and upper anterior teeth (36.7%) were treated (P < 0.05). The majority of teeth were diagnosed with pulp necrosis (39.5%), and the most common periapical diagnosis was normal apical tissues (39.8%), then symptomatic apical periodontitis (38.8%). The most common etiological factor was caries (63.5%). Two hundred six teeth (48.5%) were treated with root canal therapy, 161 teeth (37.9%) with vital pulp therapy, 46 teeth (10.8%) with apexification or regenerative endodontic procedure, 12 teeth (2.8%) with non-surgical retreatment. A statistically high number of patients (87.8%) tolerated the endodontic procedures without any sedation (P < 0.0001). Conclusion: Pediatric patients aged 6–12 compose around 7% of the population treated at the postgraduate Endodontics clinic, reflecting the high demand for endodontic treatment in a pediatric mixed dentition population.http://www.sciencedirect.com/science/article/pii/S1991790222002872Pediatric patientMixed dentitionImmature permanent toothRoot canal therapyVital pulp therapyBehavioral management
spellingShingle Su-Min Lee
Ya-Hsin Yu
Bekir Karabucak
Endodontic treatments on permanent teeth in pediatric patients aged 6–12 years old
Journal of Dental Sciences
Pediatric patient
Mixed dentition
Immature permanent tooth
Root canal therapy
Vital pulp therapy
Behavioral management
title Endodontic treatments on permanent teeth in pediatric patients aged 6–12 years old
title_full Endodontic treatments on permanent teeth in pediatric patients aged 6–12 years old
title_fullStr Endodontic treatments on permanent teeth in pediatric patients aged 6–12 years old
title_full_unstemmed Endodontic treatments on permanent teeth in pediatric patients aged 6–12 years old
title_short Endodontic treatments on permanent teeth in pediatric patients aged 6–12 years old
title_sort endodontic treatments on permanent teeth in pediatric patients aged 6 12 years old
topic Pediatric patient
Mixed dentition
Immature permanent tooth
Root canal therapy
Vital pulp therapy
Behavioral management
url http://www.sciencedirect.com/science/article/pii/S1991790222002872
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AT bekirkarabucak endodontictreatmentsonpermanentteethinpediatricpatientsaged612yearsold