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Table of Contents
ORIGINAL ARTICLE
Year : 2022  |  Volume : 10  |  Issue : 2  |  Page : 27-30

Evaluative and perspective analysis among patients to endodontic treatment


1 Department of Oral Medicine and Radiology, Vananchal Dental College and Hospital, Garhwa, Jharkhand, India
2 Department of Orthodontics and Dentofacial Orthopaedics, Vananchal Dental College and Hospital, Garhwa, Jharkhand, India
3 Department of Dentistry, SMBCH Hazaribagh Medical College, Hazaribagh, Jharkhand, India

Date of Submission02-Feb-2022
Date of Acceptance06-Mar-2022
Date of Web Publication29-Jun-2022

Correspondence Address:
Dr. Dhananjay Rathod
Department of Dentistry, SMBCH Hazaribagh Medical College, Hazaribagh, Jharkhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INJO.INJO_1_22

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  Abstract 

Background: Root canal treatment (RCT) is one of the most apprehensive procedures in dentistry. Various factors are responsible for the treatment choice of a patient. The present study was conducted with the aim to explore knowledge and attitude toward endodontic treatment among patients visiting to a private dental college. Materials and Methods: A cross-sectional, questionnaire, exploratory study with random sampling was used. Informed consent was taken from the patient included in the survey. The interview was conducted in 2 months. 235 patients were included in the survey. Results: The majority of study participants [128 (58%)] thought RCT to be filling of teeth, which includes 92 (68%) of study participants who did not undergo RCT. Among all study participants, 76 (56%) of patients who had not undergone RCT thought that RCT is painful, whereas 71 (71%) of study participants who had undergone RCT thought that RCT is not painful. Conclusion: From above, it is concluded that better knowledge, positive attitude, and good practice regarding endodontic treatment were present among study subjects who had a history of endodontic treatment.

Keywords: Perception, questionnaire, root canal therapy


How to cite this article:
Sinha P, Gupta S, Pritam A, Priyadashini A, Rathod D. Evaluative and perspective analysis among patients to endodontic treatment. Int J Oral Care Res 2022;10:27-30

How to cite this URL:
Sinha P, Gupta S, Pritam A, Priyadashini A, Rathod D. Evaluative and perspective analysis among patients to endodontic treatment. Int J Oral Care Res [serial online] 2022 [cited 2022 Aug 16];10:27-30. Available from: https://www.ijocr.org/text.asp?2022/10/2/27/348768




  Introduction Top


Endodontic treatment or root canal treatment (RCT) is a dental procedure in which the diseased or damaged pulp (core) of a tooth is removed, and the inside areas (the pulp chamber and root canals) are filled and sealed.[1] Dentists assert that the modern RCT procedure is less painful. The major setback of RCT is that most patients lack the knowledge. They do not know what RCT entails and what the benefits of such treatment are. Most patients fear RCT because it is painful.[2] Janczarek et al. in their survey-based research on patients’ knowledge about endodontic treatment concluded that there is an improvement of knowledge and awareness of patients about the endodontic treatment, and the majority of patients surveyed are aware of the opportunities, which they may use during the course of endodontic treatment: different forms of anesthesia, RCT, modern techniques, and treatment outcome prediction.[3] Another survey conducted by Sisodia et al. showed a moderate level of awareness about endodontic treatment among the selected sample of dental patients. It also highlighted the need for providing more information to the patients about the advantages of retaining teeth via endodontic therapy.[4] The fear of dental treatment due to anticipated or previously experienced pain has been known to be an important factor causing patients to delay or avoid dental treatment.[5] Studies have also shown that these patients are more prone to dental decay, have more missing teeth, and less functioning teeth mainly due to poor oral health maintenance.[6] Dental diseases are prevalent worldwide.

The problems have been reported to lead to a tooth loss. The tooth loss due to dental caries can be prevented by RCT. The majority of the patients present with pain and tooth extraction is carried out. Because of poor knowledge, patients prefer tooth extraction to RCT, which could actually lead to poor attitude.[7] Not many studies in India have been conducted to explore the attitude and knowledge of the patients toward endodontic treatment. Therefore, the present study is conducted with the aim to explore knowledge and attitude toward endodontic treatment among patients visiting a private dental college.


  Materials and Methods Top


A cross-sectional, questionnaire, exploratory study was conducted on patients visiting a private dental college for different dental treatments. The random sampling was used. Every third patient was included in the study, and if the patient did not give consent, the next patient was interviewed. Ethical clearance was obtained from independent ethical committee of the college. All procedures performed in the study were conducted in accordance with the ethics standards given in 1964 Declaration of Helsinki, as revised in 2013. The study proposal was submitted for approval and clearance was obtained from the ethical committee of our institution. A written informed consent was obtained from each participant. The study was conducted by two independent investigators at the Department of Oral Medicine and Radiology. Permission was availed from Head of Department and principal. Informed consent was taken from patients. The study included patients above the age of 18 years and 235 patients were included in the survey. Internal consistency of questionnaires was measured by applying Cronbach’s-alpha (α), and the value of α = 0.87 was measured.

The reliability of the questionnaire was measured by using test–retest, and the values measured were kappa (k) = 0.93 and weighted kappa (kw) = 0.8. A close-ended questionnaire was framed to measure the knowledge and attitude and practice of practitioners. The first part of the questionnaire consisted of demographic details of study participants, which include name (optional), age, gender, and socio-economic status of patients. The second part consists of questions that explored the knowledge of patients toward endodontic treatment, and the third part consisted of questions measuring the attitude of patients toward endodontic treatment. The fourth part consisted of practice of study subjects regarding endodontic treatment. The data collected were checked on daily basis for wrong information. Missing data were also checked. Data entry was done in Microsoft Excel 2010. Percentages and frequencies were calculated and presented.


  Results Top


[Table 1] shows the knowledge of study subjects regarding endodontic treatment, which shows that the majority of study participants [128 (58%)] thought RCT to be filling of teeth, which includes 92 (68%) of study participants who do not undergone RCT; 90 (38%) of study participants answered that RCT should be done every time the tooth pains; 108 (46%) answered that antibiotics alone cannot resolve endodontic infections without the need to visit a dentist. Most of the study participants [98 (42%)] know that teeth become weaker after RCT.
Table 1: Knowledge regarding endodontic treatment among the study subjects with RCT and without RCT

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[Table 2] shows attitude regarding RCT among the study subjects. Among all study participants, 76 (56%) of patients who had not undergone RCT thought that RCT is painful, whereas 71 (71%) of study participants of patients who had undergone RCT thought that RCT is not painful; 202 (86%) of study participants thought that more than 1 day is needed to complete RCT. Among all the subjects participating in the study, 162 (69%) prefer saving the teeth that replacement with implant.
Table 2: Attitude regarding RCT among the study subjects with RCT and without RCT

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[Table 3] shows practice regarding RCT among the study subjects: 135 (57%) of study participants had not undergone any endodontic treatment; 100 (43%) of them had availed endodontic treatment. Among the study participants, most of the study participants, 95 (40%) of study participants, only take antibiotics to reduce dental infection. Among the study participants who had undergone RCT, 91 (91%) of patients follow all instruction during RCT given by the dentists.
Table 3: Practice regarding RCT among the study subjects

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  Discussion Top


The present study was conducted to explore knowledge, attitude, and practice toward endodontic treatment among patients visiting a private dental college. Not many till now had been conducted on the same topic in India. There are various factors that may lead the patients to avail endodontic treatment. It is the duty of dentists to increase the knowledge of patients regarding the RCT so that attitude can be positive and improve their practice regarding RCT.

In the present study, knowledge and attitude toward endodontic treatment were compared between the patients who had availed endodontic treatment and those who had not availed it, as knowledge and attitude of patients toward endodontic change on availing treatment.

In the present study, females comprised of 40% of all the participants included as compared to the study by Aldawsari and Alamri in which study samples consisted of 54.9% females.[5] in which study samples consist of 54.9% of study participants. It shows better treatment awareness. The same results were seen in a study by Doumaniet al.[6] In the present study, 43% of study subjects had undergone dental treatment, as compared to a study by Aldawsari et al.[5] in which 67.7% of patients had undergone endodontic treatment. This may be due to a lack of awareness among the study participants in the present study.

In the present study, 45% of study participants reported that RCT is not painful, whereas 45% reported it to be painful. Contrasting results were shown in a study by Aldawsari et al.[5] in which 52.3% of study participants find RCT to be painful. In a study by Habib et al.[7] conducted among dental patients reported that 47.5% of study participants find RCT to be painful, whereas in a study by Doumani et al.,[6] 57% of study participants reported RCT to be painful.

In the present study, 29% of patients who had undergone RCT find it painful as compared to 56% of study participants who had not undergone RCT and reported to be painful. The same results were shown in a study by Aldawsari et al.[5] in which most patients had not undergone RCT. In the present study, 86% of study participants reported that RCT takes more than 1 day to complete, whereas in a study by Aldawsari et al.,[5] 75% of study participants reported that RCT takes more than 1 day to complete. In the present study, 91% of study participants want their tooth to be saved, whereas in a study by Aldawsari et al.,[5] the majority of study participants want their tooth to be saved.

In the present study, 46% of study participants know that antibiotics alone cannot resolve endodontic infections without the need to visit a dentist, whereas in a study by Aldawsari et al.,[5] 89.1% know this.


  Conclusion Top


From above, it is concluded that better knowledge, positive attitude, and good practice regarding endodontic treatment were present among study subjects who had a history of endodontic treatment. More studies in future should be conducted to explore factors affecting the decision of patients to avail endodontic treatment.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Janczarek M, Cieszko-Buk M, Bachanek T, Chałas R Survey-based research on patients’ knowledge about endodontic treatment. Pol J Public Health 2014;124:134-7.  Back to cited text no. 1
    
2.
Sisodia N, Yadav S, Nangia T, Singh P, Yadav M, Singh HP Dental patients’ knowledge and attitude towards endodontics—A survey. J Pharm Biomed Sci 2015;5:80-5.  Back to cited text no. 2
    
3.
Armfeld JM What goes around comes around: Revisiting the hypothesized vicious cycle of dental fear and avoidance. Community Dent Oral Epidemiol 2013;41:279-87.  Back to cited text no. 3
    
4.
Schuller AA, Willumsen T, Holst D Are there differences in oral health and oral health behavior between individuals with high and low dental fear? Community Dent Oral Epidemiol 2003;31:116-21.  Back to cited text no. 4
    
5.
Aldawsari M, Alamri HM Public knowledge and perception regarding endodontic treatment in a Saudi population. J Int Oral Health 2017;9:255-7.  Back to cited text no. 5
    
6.
Doumani M, Habib A, Qaid N, Abdulrab S, Bashnakli AR, Arrojue R Patients’ awareness and knowledge of the root canal treatment in Saudi population: Survey-based research. Int J Dent Res 2017;5:89-92.  Back to cited text no. 6
    
7.
Habib AA, Doumani MD, Al saysd T, Shamsy E, Heskul M, Abdulrab S, et al. Dental patients’ knowledge and awareness about root canal treatment in Syrian population: Survey-based research. Int J Recent Sci Res 2017;8:20583-6.  Back to cited text no. 7
    



 
 
    Tables

  [Table 1], [Table 2], [Table 3]



 

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