Benita M Fernandes

Abstract

Introduction: This study aimed to investigate the preference of patients for management of teeth with failed endodontic treatment when considering its retention via non-surgical endodontic retreatment or extraction followed by dental implant. Materials and Methods: Self- administered validated questionnaire (pretest and post test) were given to 196 selected participants diagnosed with failed root canal treatment in the out patient department. The questionnaire ascertained their awareness about the treatment modalities (3 questions), preference for retaining their natural tooth (3 questions) and also whether the choice of treatment depends on the duration and cost of the treatment modality (4 questions). Data was collected and statistical analysis was done using Chi square test to determine level of significance. Results: Participants’ preference for endodontic retreatment was significantly higher (92%, p value < .05) when compared to extraction and replacement with implant (8%). The cost effectiveness of endodontic retreatment significantly influenced the preference of the treatment (86%). Short duration of treatment plan with respect to endodontic retreatment was preferred by 14% participants. Also the long term prognosis of the treatment modalities influences the preference of the treatment. Conclusion: Participants preferred endodontic retreatment in order to retain their natural teeth. Explaining about the different treatment options should be done in an impartial manner as it can influence the preference of the treatment plan. Keywords: Endodontic failure, Endodontic Retreatment, Implant, Patients Preference.

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