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ISSN 1561-3194 (Electronic)

2013, Number 6

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Rev Ciencias Médicas 2013; 17 (6)

Causal analysis of the degree of effectiveness of pulpotomies according to current criteria and standards

Guerra PJA, Concepción OT, Coste RJ, González CS, Montielo PML

Language: Spanish
References: 19
Page: 140-152
PDF size: 178.47 Kb.


ABSTRACT

Introduction: the assessment of the effectiveness of pulpotomies contitutes a feedback means to judge and improve their quality, their causes and mistakes in their main stages are analyzed.
Objective: to evaluate the effectiveness and causes associated with fairly failed and risks treatments at Antonio Briones Montoto University Dental Clinic, from September 2011 to September 2012.
Material and method: a retrospective study was carried out, the probability sampling comprised 200 treatments; clinical tests and radiographies were made to compare with the existing in the clinical records. Absolute and relative frequencies were used for summary measures for qualitative variable expressed in percentages. In view of achieveing the possible statistical association between two variables chisquared test was used.
Resultados: cured teeth predominated with 81% of the cases, followed by failed, sick (10.5%). In the failed cases and with functional retention, the main defficiency was apical filtration with 48%, within the latter imcomplete preparation and fillings of the principal radicular passage, 91.6%, particularly in short fillings, 53.9%. Incorrect fillings, 71.4%, predomaninated in the failed cases. 55.9% of sick periapex presented granulomas.
Conclusions: achieved effectiveness rate was very close to the high-quality standards internationally accepted, while poor quality in passage fillings constituted a predominating cause in treatments considered failed.


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