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

Authors

  • José Antonio Guerra Pando Filial Provincial de Estomatología. Pinar del Río
  • Tebelio Concepción Obregón Filial Provincial de Estomatología. Pinar del Río
  • Jesús Coste Reyes Filial Provincial de Estomatología. Pinar del Río
  • Santa González Corrales Universidad de Ciencias Médicas. Pinar del Río
  • María Luisa Montielo Pérez PPU “Epifanio Rojas”, Municipio San Luis. Pinar del Río.

Keywords:

Root canal therapy, Endodontics.

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 chi-squared test was used. Results: 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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Author Biographies

José Antonio Guerra Pando, Filial Provincial de Estomatología. Pinar del Río

Profesor Titular. Especialista en II Grado EGI. Máster en Urgencias Estomatológicas

Tebelio Concepción Obregón, Filial Provincial de Estomatología. Pinar del Río

Profesor Auxiliar. Especialista de Segundo Grado en EGI.

Jesús Coste Reyes, Filial Provincial de Estomatología. Pinar del Río

Profesor Asistente. Especialista de Primer Grado en EGI. Máster en Salud Bucal Comunitaria.

Santa González Corrales, Universidad de Ciencias Médicas. Pinar del Río

Profesor Auxiliar. Licenciada en Matemática.

María Luisa Montielo Pérez, PPU “Epifanio Rojas”, Municipio San Luis. Pinar del Río.

Instructor. Especialista de Primer Grado en EGI. Máster en Salud Bucal Comunitaria.

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Published

2013-12-25

How to Cite

1.
Guerra Pando JA, Concepción Obregón T, Coste Reyes J, González Corrales S, Montielo Pérez ML. Causal analysis of the degree of effectiveness of pulpotomies according to current criteria and standards. Rev Ciencias Médicas [Internet]. 2013 Dec. 25 [cited 2025 Aug. 29];17(6):140-52. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/1173

Issue

Vol. 17 No. 6 (2013)

Section

ORIGINAL ARTICLES

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