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http://dx.doi.org/10.14368/jdras.2019.35.3.143

Characteristics of teeth referred to a dental university hospital for endodontic reason  

Jeon, Su-Jin (Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital)
Hwang, Soo-Jeong (Department of Dental Hygiene, College of Medical Science, Konyang University)
Seo, Min-Seock (Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.35, no.3, 2019 , pp. 143-152 More about this Journal
Abstract
Purpose: The aim of this study is to investigate the characteristics of patients and teeth referred to a university dental hospital for endodontic problem. Materials and Methods: From January, 2017 to December, 2018, patients who were referred to a university dental hospital for endodontic problem were collected from clinical records. A total of 1171 patient records were analyzed. The status of the referred teeth was divided into three groups according to whether they were treated endodontically based on radiographs and clinical records at the time of referred visit. Results: 69.9% of the referred teeth were maxillary and mandibular first and second molars. The average time from referral to actual visit is 9.03 days and 65.6% of the case referred with referring letter. The most primary reasons of referral were persistent clinical symptom (pain, swelling, and sinus tract) (37.9%), diagnosis difficulty (16.7%), blockage of canal space (13.8%) and difficult tooth anatomy (11.4%). In the case of referral before endodontic treatment, the most primary reason of referral was failure to make a proper diagnosis. If the teeth were referred in the middle of endodontic treatment, the most primary reason of referral was persistent clinical symptom and blockage of canal space. In the case of referral after root canal filling, the most primary reason of referral was persistent clinical symptom. Conclusion: In the case of molars, the rate of persistent clinical symptom and blockage of canal space were the most primary reason of referral, and the rate of apical surgery and management of trauma was high in the case of anterior teeth.
Keywords
referral; referring letter; endodontic;
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1 Caplan DJ, Reams G, Weintraub JA. Recommendations for endodontic referral among practitioners in a dental HMO. J Endod 1999;25:369-75.   DOI
2 Sebring D, Dimenas H, Engstrand S, Kvist T. Characteristics of teeth referred to a public dental specialist clinic in endodontics. Int Endod J 2017;50:629-35.   DOI
3 Waldman HB, Feigen ME. Endodontists in a period of improving dental economics and changing realities of practice. J Endod 1990;16:179-81.   DOI
4 Unruh AM. Gender variation in clinical pain experience. Pain 1996;65:123-67.   DOI
5 Cotti E, Zedda A, Deidda M, Piras A, Flore G, Ideo F, Madeddu C, Pau VM, Mercuro G. Endodontic infection and endothelial dysfunction are associated with different mechanisms in men and women. J Endod 2015;41:594-600.   DOI
6 Abbot PV. Analysis of a referral-based endodontic practice: Part 1. Demographic data and reasons for referral. J Endod 1994;20:93-6.   DOI
7 Hommez GM, De Moor RJ, Braem M. Endodontic treatment performed by Flemish dentists. Part 2. Canal filling and decision making for referrals and treatment of apical periodontitis. Int Endod J 2003;36:344-51.   DOI
8 Abbott JA, Wolcott JF, Gordon G, Terlap HT. Survey of general dentists to identify characteristics associated with increased referrals to endodontists. J Endod 2011;37:1191-6.   DOI
9 Barnes JJ, Patel S, Mannocci F. Why do general dental practitioners refer to a specific specialist endodontist in practice? Int Endod J 2011;44:21-32.   DOI
10 Ree MH, Timmerman MF, Wesselink PR. Factors influencing referral for specialist endodontic treatment amongst a group of Dutch general practitioners. Int Endod J 2003;36:129-34.   DOI
11 Messer HH. Clinical judgement and decision making in endodontics. Aust Endod J 1999;25:124-32.   DOI
12 Pothukuchi K. Case assessment and treatment planning: what governs your decision to treat, refer or replace a tooth that potentially requires endodontic treatment? Aust Endod J 2006;32:79-84.   DOI
13 Abbott PV. Analysis of a referral-based endodontic practice: Part 1. Demographic data and reasons for referral. J Endod 1994;20:93-6.   DOI
14 Toure B, Faye B, Kane AW, Lo CM, Niang B, Boucher Y. Analysis of reasons for extraction of endodontically treated teeth: a prospective study. J Endod 2011;37:1512-5.   DOI
15 Tzimpoulas NE, Alisafis MG, Tzanetakis GN, Kontakiotis EG. A prospective study of the extraction and retention incidence of endodontically treated teeth with uncertain prognosis after endodontic referral. J Endod 2012;38:1326-9.   DOI
16 Harty FJ. A survey of endodontic procedures performed by practitioners in limited practice. Int Endod J 1992;25:25-8.   DOI
17 American Association of Endodontists. AAE Endodontic case difficulty assessment form and guidelines. Available from: https://www.aae.org/specialty/wpcontent/uploads/sites/2/2017/10/2006casedifficultya ssessmentformb_edited2010.pdf (updated 2019 Sep 4).
18 Buckley M, Spangberg LS. The prevalence and technical quality of endodontic treatment in an American subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79,92-100.   DOI
19 Chrysanthakopoulos NA. Reasons for extraction of permanent teeth in Greece: a five-year followup study. Int Dent J 2011;61:19-24.   DOI
20 Kim S. Prevalence of referral reasons and clinical symptoms for endodontic referrals. Restor Dent Endod 2014;39:210-4.   DOI
21 Weiger R, Hitzler S, Hermle G, Lost C. Periapical status, quality of root canal fillings and estimated endodontic treatment needs in an urban German population. Endod Dent Traumatol 1997;13:69-74.   DOI
22 Saunders WP, Saunders EM, Sadiq J, Cruickshank E. Technical standard of root canal treatment in an adult Scottish sub-population. Br Dent J 1997;10:382-6.
23 de Moor RJ, Hommez GM, De Boever JG, Delme KI, Martens GE. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J 2000;33:113-20.   DOI
24 Kirkevang LL, Horsted-Bindslev P, Orstavik D, Wenzel A. Frequency and distribution of endodontically treated teeth and periapical periodontitis in an urban Danish population. Int Endod J 2001;34:198-205.   DOI