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17. Reasons for Failure of Primary Endodontic Treatment

Khadija Jahanzeb, Syed Imran Shah, Asim Qureshi, and Fasial Pasha


Objective: The aim of this study was to evaluate the causes of primary endodontic treatment failure.

Study Design: Observational study.

Place and Duration of Study: This study was conducted at the Operative Dentistry Department of Rehmat Memorial Dental Teaching Hospital, Abbottabad (Women Medical College and Dental College) from February 2018 to July 2018.

Materials and Methods: A total of 82 patients of both genders (male and female), referred for endodontic retreatment were included in the study. The study was approved by the institutional ethical committee.

Results: Results indicated pain as the primary presenting complaint of root canal treated teeth (81%). The maximum number of failed treatments were reported in the mandibular molars(58%). Radiographic evaluation indicated underobturation (47%), missed canals (22%) and poor obturation (15%) as being the major causes of failed endodontic treatment.

Conclusion: The major factors responsible for endodontic treatment failure in this study were the defects in obturation with underobturation, poor obturation and missed canals making the highest contribution to failures.

Key Words: Endodontic Failures, Missed Canals, Poor Obturation

Citation of articles: Jahanzeb K, Shah SI, Qureshi A, Pasha F. Reasons for Failure of Primary Endodontic Treatment. Med Forum 2018;29(10):68-71.