DOI: 10.36347/sjds.2021.v08i02.003

Pages: 85-88

Aim: Our aim was to assess the reasons for endodontic failure among insured population. Objectives: To assess the quality of treatments performed, their success rate and reasons for endodontic failure among insured population. Material and Methods: The study was conducted retrospectively among insured population in Hyderabad, Telangana, India. The patients who attended the Out Patient Department (OPD) of Employees’ State Insurance Hospital, Sanath Nagar, Hyderabad were included. Records of 120 patients (involving 150 teeth) complaining of pain and/or swelling after endodontic treatment reported during a 2 year period, from June 2017 to June 2019 was utilized. Results: Age range of individuals in the study was 18 to 55 years and the average was 46.7 ±9.5 years. Out of them 80 (66.63%) were males and 40 (33.33%) were females. Poor prognosis cases were significantly higher in males (46.67%) compared to females (6.67). Fair prognosis cases were significantly higher in maxillary teeth (16.67%) compared to mandibular teeth (3.33%). The fair and poor prognosis cases in anterior teeth (5.33%, 3.33%) were significantly lesser than posterior teeth (14.67%, 50%).Similarly fair and poor prognosis tooth in younger patients aged 18-35 years (3.33%, 6.67%) were significantly lesser than older patients aged 36-55 years (16.67%, 36.67%). All patients were examined by experienced clinicians with minimum of 5years experience. Conclusion: Re-treatments are a task however, not impossible. Amongst the cases categorized saved tooth were 46.67% by Retreatment with/without endodontic treatment and 53.33% of cases were relieved of their complaints after extraction. Understanding anatomy, reasons for endodontic failure, age of the patient, Clinical and radiographic diagnosis, use of advanced instrumentation, technique sensitivity and giving them realistic expectations would increase success rate.