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Organization’s analysis of levels of oral health care and their influence on the success of endodontic therapy

Myrna Maria Arcanjo Frota, Liziane Vasconcelos Carneiro, Luciana Maria Arcanjo Frota, Suyane Maria Luna Cruz, Bruno Carvalho de Vasconcelos.

Introduction: The quality of crown restoration plays an important role in endodontic treatment success. Objective: This study aimed to analyze the presence and quality of crown restorations (CR) performed in patients subjected to endodontic treatment (ET) in a Dental Specialty Center DSC (DSC), in addition to assessing how effective health care provided to users of Brazilian Unified Public Health System (SUS) is. Methods: All patients who had completed ET in a DSC in northeastern Brazil from June to December 2013 were assessed. The presence/absence of CR and its quality, as well as the presence/absence of symptoms were assessed. Results: Of the 108 teeth subjected to assessment, 32.4% were found without a definitive restoration, of which 10.2% did not present CR of any kind. As regards patients’ symptoms, they were present in 15.7% of the assessed sample, of which 58.9% presented with no final CR or inadequate CR. As for success, regardless of ET quality, clinical examination revealed that whenever appropriate CRs were present, the best results were achieved (P < .05). Combination between inadequate CR and adequate ET offered 58.33% success rate, without statistical bias for any outcome (P < .05). The worst results were found when inadequate or absent CR were combined with inadequate ET. Conclusions: Under the conditions of this study, it was possible to conclude the majority of ETs performed remained without proper CR even six months after completion. Additionally, the presence/quality of CRs of paramount importance to treatment success. Keywords: Public health. Permanent

Keywords: Public health. Permanent dental restoration. Endodontics.

How to cite: Frota MMA, Carneiro LV, Frota LMA, Cruz SML, Vasconcelos BC. Organization’s analysis of levels of oral health care and their influence on the success of endodontic therapy. Dental Press Endod. 2017 Jan-Apr;7(1):43-9. DOI: http://dx.doi.org/10.14436/2358-2545.7.1.043-049.oar

Saturday, November 25, 2017 07:17