Fracture Prevention through Strategic Endodontic Reductions: Implications for Clinical Practice

Karrar N Al-Mujamaii; Sahar N Abdullah; Suhail Labeeb  Hasoon; Rasha Izzat  Suhail; Wisam A.  Shihab; Evan Mohammed  Salah; Ali Qais  Abdulkafi

doi:10.51699/cajmns.v7i1.3034

Karrar N Al-Mujamaii Al-Yarmok University College, Diyala-Baquba, Iraq
Sahar N Abdullah Al-Yarmok University College, Diyala-Baquba, Iraq
Suhail Labeeb Hasoon Al-Yarmok University College, Diyala-Baquba, Iraq
Rasha Izzat Suhail Al-Yarmok University College, Diyala-Baquba, Iraq
Wisam A. Shihab Al-Yarmok University College, Diyala-Baquba, Iraq
Evan Mohammed Salah Al-Yarmok University College, Diyala-Baquba, Iraq
Ali Qais Abdulkafi Iraqi Ministry of Health, Kirkuk Health Directorate, Director of the Tehnical Affairs Department, Kirkuk Teaching Hospital, Kirkuk, Iraq.

DOI: https://doi.org/10.51699/cajmns.v7i1.3034

Keywords: Endodontic Reduction, Pulpectomy Procedure, Post–Operative Pain, Infected Pulp, Fracture Prevention

Abstract

Pulpectomy is a common dental treatment for infected or inflamed primary teeth, aimed at preserving tooth function and preventing fractures. Where cases were 65 of pulpectomy performed under local or general anesthesia were evaluated. Survival outcomes and fracture prevention were assessed using Kaplan-Meier estimators and Cox regression models, analyzing variables such as age, sex, anesthesia type, and root canal materials. Most treated teeth had severe caries (77%) and were molars (68%). Radiographic findings showed no pathology in 46% of cases, while 40% presented periapical radiolucency. Treatment success was high at 94%, with only 5% of teeth developing fractures. Stainless steel crowns were used in nearly 88% of cases as the final restoration, so finally we concloude that Pulpectomy is an effective procedure to maintain primary teeth, minimize fractures, and ensure patient satisfaction. Proper case selection and restoration techniques contribute to improved treatment outcomes in pediatric dental care.

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