1. Survival analysis of primary molars following pulpectomy performed under dental general anesthesia: a five-year retrospective study
- Author
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Zhaohong Chen, Meimei Li, Yanan Chen, Yuanwen Xie, Xiyan Chen, Huanhuan Qiu, Huacui Xiong, and Ke Chen
- Subjects
Pulpectomy ,Primary molars ,Dental general anesthesia ,Survival analysis ,Success rate ,Dentistry ,RK1-715 - Abstract
Abstract Background Currently, the indications for pulpectomy of primary molars performed under dental general anesthesia vary across countries. Therefore, we retrospectively investigated the five-year survival rate of primary molars following pulpectomy performed under dental general anesthesia and the impact of this treatment on permanent successors, assessed the risk factors related to overall survival and clarified the indications for pulpectomy. Methods The medical records of children receiving pulpectomy of primary molars under dental general anesthesia from August 1, 2013, to November 30, 2023, were reviewed. Potential risk factors, including gender, age, general health, tooth type, tooth location, endodontic diagnosis and quality of root filling, were assessed via univariate and multivariate Cox proportional hazards regression models, and the survival rate was examined via the Kaplan‒Meier technique. Moreover, the rate of resorption of the root canal filling materials, degree of resorption of the overfilled/over-extended root canal filling materials and development of permanent successors were assessed by clinical and radiographic examination. Results The study included 320 teeth from 161 children (86 boys and 75 girls). The overall five-year survival rate was 38.2%, and the mean overall survival time was 54.2 months. Endodontic diagnosis was considered a significant risk factor (P
- Published
- 2024
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