Success rate of endodontic treatment and quality of life of patients treated at a higher education institution: a decade-long retrospective study

Narjara Gleydiely Costa de Araújo; Natália D'avila Rodrigues  Pereira; Marcelo Antônio de Souza Silva; Yago Warles Silva Pereira; Maíra Ramalho Martins; Rui Barbosa de Brito Junior; Luiz Renato Paranhos; Felipe de Souza Matos

doi:10.14393/BJ-v41n0a2025-76813

Authors

Narjara Gleydiely Costa de Araújo Universidade Federal de Campina Grande https://orcid.org/0009-0001-7136-0703
Natália D'avila Rodrigues Pereira Universidade Federal de Campina Grande https://orcid.org/0000-0003-3629-8964
Marcelo Antônio de Souza Silva Universidade Federal de Campina Grande https://orcid.org/0009-0008-7053-0759
Yago Warles Silva Pereira Universidade Federal de Uberlândia https://orcid.org/0000-0003-4549-457X
Maíra Ramalho Martins Universidade Federal de Uberlândia https://orcid.org/0009-0001-3788-6998
Rui Barbosa de Brito Junior Faculdade São Leopoldo Mandic https://orcid.org/0000-0002-3484-9438
Luiz Renato Paranhos Universidade Federal de Uberlândia https://orcid.org/0000-0002-7599-0120
Felipe de Souza Matos Universidade Federal de Campina Grande https://orcid.org/0000-0001-5619-3831

DOI:

https://doi.org/10.14393/BJ-v41n0a2025-76813

Keywords:

Endodontics, Quality of Life, Treatment Failure.

Abstract

Endodontic treatment aims to prevent or treat inflammatory and infectious processes involving the pulp and periradicular tissues. The main objective of this research was to clinically and radiographically evaluate the success rate of endodontic treatment and its impact on the quality of life of patients treated at the Dental School Clinic (CEO, in the Portuguese acronym) of the Federal University of Campina Grande (UFCG). Methods: A retrospective observational clinical study was developed, with data collected through a search in the medical records of Endodontics courses of the CEO/UFCG, interviews, and clinical and radiographic examinations. The sample consisted of patients treated between 2014 and 2023 who had completed endodontic treatment. The study included patients aged 18 or older with available medical record information. Results: The success rate of the endodontic treatments performed by dental students was 97%. The only case of endodontic treatment failure presented compromised healing (kidney disease) and a tooth with pulp necrosis and periapical lesion. The average oral health-related quality of life score was 5.0 points. The most frequent problems were mouth pain, discomfort when eating, and psychological discomfort (embarrassment or tension). Conclusions: The endodontic treatments performed at CEO/UFCG were satisfactory, with a success rate of 97%, and there was little negative impact from the oral disorder.

References

ALGHOFAILY, M., FOUAD, A. F. Association of Chronic Systemic Medications with the Incidence, Prevalence, or Healing of Endodontic Disease: A Systematic Review. Journal of Endodontics. 2022, 48(12), 1458-1467. https://doi.org/10.1016/j.joen.2022.10.004

AMINOSHARIAE, A., et al. Association between Systemic Diseases and Endodontic Outcome: A Systematic Review. Journal of Endodontics. 2017, 43(4), 514-519. https://doi.org/10.1016/j.joen.2016.11.008

ANTUNES, L. S., et al. Does Conventional Endodontic Treatment Impact Oral Health-related Quality of Life? A Systematic Review. European Endodontic Journal. 2017, 3(1), 2-8. https://doi.org/10.5152/eej.2017.17008

AZIM, A. A., GRIGGS, J. A., HUANG, G. T. The Tennessee Study: Factors Affecting Treatment Outcome and Healing Time Following Nonsurgical Root Canal Treatment. International Endodontic Journal. 2016, 49(1), 6-16. https://doi.org/10.1111/iej.12429

BEZERRA, V. G. L., et al. Technical Quality of Root Fillings Performed by Undergraduate Dental Students in Single-Canal Teeth: A 10-Year Retrospective Study. European Journal of Dental Education. 2024, 28(4), 1052-1057. https://doi.org/10.1111/eje.13041

CINTRA, L. T. A., et al. Endodontic Medicine: Interrelationships among Apical Periodontitis, Systemic Disorders, and Tissue Responses of Dental Materials. Brazilian Oral Research. 2018, 32(1), e68. https://doi.org/10.1590/1807-3107bor-2018.vol32.0068

da ROCHA, J. G., et al. Outcome of Endodontic Treatments Performed by Brazilian Undergraduate Students: 3- to 8-Year Follow-Up. Restorative Dentistry & Endodontics. 2022, 47(3), e34. https://doi.org/10.5395/rde.2022.47.e34

DE-DEUS, G., CANABARRO, A. Strength of Recommendation for Single-Visit Root Canal Treatment: Grading the Body of the Evidence Using a Patient-Centred Approach. International Endodontic Journal. 2017, 50(3), 251-259. https://doi.org/10.1111/iej.12621

DINIZ-DE-FIGUEIREDO, F. E., et al. The Impact of Two Root Canal Treatment Protocols on the Oral Health-related Quality of Life: A Randomized Controlled Pragmatic Clinical Trial. International Endodontic Journal. 2020, 53(10), 1327-1338. https://doi.org/10.1111/iej.13356

do NASCIMENTO, A. L., et al. Impact of Nonsurgical Treatment of Asymptomatic Apical Periodontitis on the Oral Health-related Quality of Life: A Prospective Study. Iranian Endodontic Journal. 2022, 17(4), 179-184. https://doi.org/10.22037/iej.v17i4.35778

ELOY, A. P.; BARROS, H. S.; SANTOS, T. K. G. L. Evaluation of anxiety level and safety of undergraduate students facing the first endodontic treatment. Research, Society and Development. 2022, 11 (8), e50611830709. https://doi.org/10.33448/rsd-v11i8.30709

FONG, W et al. An Audit on Technical Quality of Root Fillings Performed by Undergraduate Students. International Endodontic Journal. 2018, 51(3), 197-203. https://doi.org/10.1111/iej.12803

FRANSSON, H., DAWSON, V. Tooth Survival after Endodontic Treatment. International Endodontic Journal. 2023, 56(2), 140-153. https://doi.org/10.1111/iej.13835

GOMES, A. C., et al. Influence of Endodontic Treatment and Coronal Restoration on Status of Periapical Tissues: A Cone-Beam Computed Tomographic Study. Journal of Endodontics. 2015, 41(10), 1614-1618. https://doi.org/10.1016/j.joen.2015.07.008

GULABIVALA, K., NG, Y. L. Factors That Affect the Outcomes of Root Canal Treatment and Retreatment: A Reframing of the Principles. International Endodontic Journal. 2023, 56(2), 82-115. https://doi.org/10.1111/iej.13897

GUPTA, A., et al. Diabetes Mellitus and the Healing of Periapical Lesions in Root Filled Teeth: A Systematic Review and Meta-Analysis. International Endodontic Journal. 2020, 53(11), 1472-1484. https://doi.org/10.1111/iej.13366

HE, J., et al. Clinical and Patient-Centered Outcomes of Nonsurgical Root Canal Retreatment in First Molars Using Contemporary Techniques. Journal of Endodontics. 2017, 43(2), 231-237. https://doi.org/10.1016/j.joen.2016.10.029

JURIČ, R., et al. Factors Associated with the Outcome of Root Canal Treatment: A Cohort Study Conducted in a Private Practice. International Endodontic Journal. 2024, 57(4), 377-393. https://doi.org/10.1111/iej.14022

KHALIGHINEJAD, N., et al. Association of End-stage Renal Disease with Radiographically and Clinically Diagnosed Apical Periodontitis: A Hospital-Based Study. Journal of Endodontics. 2017, 43(9), 1438-1441. https://doi.org/10.1016/j.joen.2017.04.014

MATOS, F. S., et al. Impact of Different Restorative Techniques on the Stress Distribution of Endodontically Treated Maxillary First Premolars: A 2-dimensional Finite Element Analysis. Journal of Research and Knowledge Spreading. 2020, 1(1), e11761. https://doi.org/10.20952/jrks1111761

MOREIRA, M. S., et al. Endodontic Treatment in Single and Multiple Visits: An Overview of Systematic Reviews. Journal of Endodontics. 2017, 43(6), 864-870. https://doi.org/10.1016/j.joen.2017.01.021

NAGENDRABABU, V., et al. PROBE 2023 guidelines for reporting observational studies in Endodontics: A consensus-based development study. International Endodontic Journal. 2023, 56(5), p. 650. https://doi.org/10.1111/iej.13908

NEELAKANTAN, P.; LIU, P.; DUMMER, P. M. H.; McGRATH, C. Oral health-related quality of life (OHRQoL) before and after endodontic treatment: a systematic review. Clinical Oral Investigations. 2020, 24(1), 25–36. https://doi.org/10.1007/s00784-019-03076-8

ROSSI-FEDELE, G.; RÖDIG, T. Effectiveness of root canal irrigation and dressing for the treatment of apical periodontitis: A systematic review and meta-analysis of clinical trials. International Endodontic Journal. 2023, 56(3), 422–435. https://doi.org/10.1111/iej.13777

SABETI, M. A.; SAQIB IHSAN, M.; AMINOSHARIAE, A. The Effect of Master Apical Preparation Size on Healing Outcomes in Endodontic Treatment: A Systematic Review and Meta-Analysis. Journal of Endodontics. 2024, 50(3), 292–298. https://doi.org/10.1016/j.joen.2023.11.007

SLADE, G. D.; SPENCER, A. J. Development and evaluation of the Oral Health Impact Profile. Community Dental Health. 1994, 11(1), 3–11.

TAVARES, L. G., et al. Undergraduate dentistry students’ perception of difficulties regarding endodontic treatment. Australian Endodontic Journal. 2019, 45 (1), 98–105. https://doi.org/10.1111/aej.12290.

WIGSTEN, E.; KVIST, T.; JONASSON, P.; EndoReCo; DAVIDSON, T. Comparing Quality of Life of Patients Undergoing Root Canal Treatment or Tooth Extraction. Journal of Endodontics. 2020, 46(1), 19–28. e1. https://doi.org/10.1016/j.joen.2019.10.012

ZAJKOWSKI, L. A., et al. Factores predictivos del éxito endodóntico en tratamientos realizados por un estudiante. Revista CES Odontología. 2020, 33(2), 62–70. https://doi.org/10.21615/CESODON.33.2.6