Yuh, D.-Y., Cheng, G.-L., Chien, W.-C., Chung, C.-H., Lin, F.-G., Shieh, Y.-S., et al.
Background: Treatment of furcation-involved molars presents a clinical challenge. This study retrospectively investigates the demographic parameters affecting treatment decisions and outcomes of root-resected molars using a nationwide population-based dataset.
Methods:De-identified data from 471 eligible patients were obtained from a representative cohort composed of one million of Taiwan’s population. Demographic factors that influence treatment decisions and outcomes of root-resected teeth were examined. Cox regression was performed to statistically analyse the factors.
Results: The overall survival rate for root-resected molars was 91.1%. The survival times of the extracted and surviving teeth were 303.0 ± 274.6 and 551.8 ± 327.2 days, respectively (P<0.001). The analysed patient-related factors, such as living district, urbanisation level, medical institution and monthly income, have remarkable influence on treatment decisions; however, there is no statistically significant difference in survival rate between root-resected molars receiving flap surgery and those that do not (P=0.504). After adjusting for other factors, patients aged >74 years have 3.33 times (hazard ratio = 3.33; 95% CI=1.04 to 10.66; P=0.043) higher rates of molar extraction than younger counterparts.
Conclusions: The overall survival rate of root-resected molars was satisfactory. Patients with advanced age (>74 years) had a higher risk of extraction occurrence on resected molars. Patient-related factors may influence the treatment decision of whether molars receive flap surgery. These findings suggest that demographic factors should be carefully evaluated before and after performing root-resection procedures because these factors may eventually impact the outcome of root-resected molars.
Journal of Periodontology 2013; 84 (11): 1528-1535.