Outcome of endodontic therapy in young permanent teeth
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The prevalence of pulpal involvement in young permanent teeth ranges between 0.3-36%. The outcome of Endodontic Therapy (ET) has not been widely studied in children and adolescents. Published studies that evaluated Endodontically Treated Teeth (ETT) in children and adolescents had results that varied tremendously. This variation could be due to the wide age range spanning from 6-18 years. Evaluating the predictors of survival, failure, and tooth retention between smaller subgroups within this age range may be relevant. AIM: To identify and assess variables associated with the outcome of ETT in 6-18 year old subjects stratified by age and to compare the results to the general population. METHODS: Retrospective chart review along with clinical follow up of subjects that received ET at BUGSDM between 2007-2015 at age 6-18 years. RESULTS: ET of the young permanent tooth resulted in 85% tooth survival and 91% retention. Patient age and tooth type were significantly related to survival and retention of ETT. CONCLUSIONS: Survival and retention of ETT observed among children and adolescents were similar to observations in adults. ET is more likely to survive when it is performed at an older age (15-18 years), or on an anterior tooth. This suggests that the longer ET is prevented through proper oral hygiene measures and preventive dental care, the better the likelihood of survival and retention of ETT in young patients.