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.
Keyword :
Endodontic failure, Endodontic Retreatment, Implant, Patients Preference.