CC BY 4.0 · Journal of Health and Allied Sciences NU
DOI: 10.1055/s-0044-1791833
Original Article

Preference of Tooth Extraction Over Root Canal Treatment among Patients Visiting Rural Health Centers—a Cross-Sectional Study

1   Department of Public Health Dentistry, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed to be University), Mangalore, Karnataka, India
,
Deesha Kumari
1   Department of Public Health Dentistry, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed to be University), Mangalore, Karnataka, India
,
Supriya Bhat
2   Department of Oral Medicine and Radiology, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed to be University), Mangalore, Karnataka, India
,
Sergio Atanazio Aurobindo Garcia Abranches
1   Department of Public Health Dentistry, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed to be University), Mangalore, Karnataka, India
› Author Affiliations

Abstract

Background Dental care decision-making is a multifaceted process influenced by various factors such as socioeconomic status, cultural beliefs, and access to healthcare resources. The research aims to elucidate the prevalence and determinants of the preference for tooth extraction over root canal treatment (RCT) in rural communities.

Methodology A structured self-administered questionnaire comprising 15 close-ended questions was formulated for the purpose of data collection for this cross-sectional survey and a sample size of 384 was estimated. Following a total enumeration sampling technique, the study was performed on individuals visiting the rural center aged over 18 years and persons who are willing to participate in the study. The data were analyzed using descriptive statistics and subjected to multinomial logistic regression.

Results Among the participants, 33.1% had undergone RCT in the past and 63.5% had undergone extraction in the past with decay being the most common reason for seeking treatment. About 60.2% individuals preferred extraction and only 39.8% individuals preferred RCT wherein age, gender, and area of residence had a significant influence on the decision-making.

Conclusion Majority of the participants in the study preferred extraction over RCT. Understanding the dynamics driving patient preferences in rural health settings is crucial for tailoring effective oral health interventions. The findings of this study have implications for healthcare practitioners, policymakers, and public health initiatives, providing valuable insights to enhance dental care delivery and promote informed decision-making in rural communities.

Authors' Contributions

S.S., D.K., S.B., and S.A.A.G.A. all played significant roles in the conceptualization of the topic, conducting literature searches, collecting data, and writing and finalizing the manuscript. D.K. specifically contributed to the data analysis in addition to these tasks.




Publication History

Article published online:
21 October 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Kakoei S, Parirokh M, Nakhaee N, Jamshidshirazi F, Rad M, Kakooei S. Prevalence of toothache and associated factors: a population-based study in southeast iran. Iran Endod J 2013; 8 (03) 123-128
  • 2 Northridge ME, Kumar A, Kaur R. Disparities in access to oral health care. Annu Rev Public Health 2020; 41: 513-535
  • 3 Janczarek M, Cieszko-Buka M, Bachanek T, Chałas R. Survey-based research on patients' knowledge about endodontic treatment. Zdrow Publiczne 2014; 124: 134-137
  • 4 Sadasiva K, Rayar S, Senthilkumar K, Unnikrishnan M, Jayasimharaj U. Analyzing the reasons for patients opting-out from root canal treatment and preferring extraction in south Indian population—prospective study. Int J Prosthodont Restor Dent 2018; 8 (04) 108-113
  • 5 Bansal R, Jain A. An insight into patient's perceptions regarding root canal treatment: A questionnaire-based survey. J Family Med Prim Care 2020; 9 (02) 1020-1027
  • 6 Pratheebha C, Gayathri R, Veeraraghavan VP, Kavitha S. Knowledge, awareness, and perception on root canal treatment among South Indian population—A survey. J Adv Pharm Technol Res 2022; 13 (Suppl. 01) S302-S307
  • 7 Oluwatayo JA. Validity and reliability issues in educational research. J Educ Soc Res 2012; 2 (02) 391
  • 8 Hajjaj FM, Salek MS, Basra MK, Finlay AY. Non-clinical influences on clinical decision-making: a major challenge to evidence-based practice. J R Soc Med 2010; 103 (05) 178-187
  • 9 Alkahtany M, Almadi K, Alotaibi A. et al. Awareness of the causes and management of endodontic mishaps among dental students at King Saud University and Riyadh Al-Elm: a cross-sectional study. J Nat Sci Med 2023; 6: 38-45
  • 10 Iyer A, Nair R, Gupta P, Tavane P, Pawar P. Dental patient's knowledge, awareness and attitude towards root canal treatment: a survey based research. Int J Recent Sci Res 2018; 9 (01) 23214-23218
  • 11 Pak JG, White SN. Pain prevalence and severity before, during, and after root canal treatment: a systematic review. J Endod 2011; 37 (04) 429-438
  • 12 Gaikwad A, Jain D, Rane P, Bhondwe S, Taur S, Doshi S. Attitude of general dental practitioners toward root canal treatment procedures in India. J Contemp Dent Pract 2013; 14 (03) 528-531
  • 13 Gbadebo SO, Adebayo GE. Factors associated with patients' rejection of root canal treatment in a tertiary hospital, southwest Nigeria: a pilot survey. J West Afr Coll Surg 2023; 13 (03) 22-27
  • 14 AlRahabi MK. Root canal treatment in elderly patients: a review and clinical considerations. Saudi Med J 2019; 40 (03) 217-223
  • 15 Doyle SL, Hodges JS, Pesun IJ, Law AS, Bowles WR. Retrospective cross sectional comparison of initial nonsurgical endodontic treatment and single-tooth implants. Compend Contin Educ Dent 2007; 28 (06) 296-301