Advertisement

The Effect of Rubber Dam Usage on the Survival Rate of Teeth Receiving Initial Root Canal Treatment: A Nationwide Population-based Study

Published:August 28, 2014DOI:https://doi.org/10.1016/j.joen.2014.07.007

      Abstract

      Introduction

      It is well-known that the usage of rubber dams during root canal treatment (RCT) improves infection control and treatment efficacy and protects patients. However, the effect of rubber dam usage on endodontic outcomes remain uncertain. The aim of the present study was to investigate whether rubber dam usage affects the survival rate of initial RCT using a nationwide population-based database.

      Methods

      A total of 517,234 teeth that received initial RCT between 2005 and 2011 met the inclusion criteria and were followed until the end of 2011. Univariate and multivariate Cox proportional hazards models were used to estimate the effects of rubber dam usage on the risk of tooth extraction after initial RCT.

      Results

      Of the 517,234 teeth, 29,219 were extracted, yielding a survival rate of 94.4%. The survival probability of initial RCT using rubber dams after 3.43 years (the mean observed time) was 90.3%, which was significantly greater than the 88.8% observed without the use of rubber dams (P < .0001). After adjusting for age, sex, tooth type, hospital level, tooth scaling frequency per year after RCT, and systemic diseases, including diabetes and hypertension, the tooth extraction hazard ratio for the RCT with rubber dams was significantly lower than that observed for RCT without rubber dams (hazard ratio = 0.81; 95% confidence interval, 0.79-0.84).

      Conclusions

      The use of a rubber dam during RCT could provide a significantly higher survival rate after initial RCT. This result supports that rubber dam usage improves the outcomes of endodontic treatments.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Endodontics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • European Society of Endodontology
        Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology.
        Int Endod J. 2006; 39: 921-930
        • American Association of Endodontists
        Guide to Clinical Endodontics.
        4th ed. American Association of Endodontists, Chicago, IL2004
        • Elderton R.J.
        A modern approach to the use of rubber dam–1.
        Dent Pract Dent Rec. 1971; 21: 187-193
        • Ahmad I.A.
        Rubber dam usage for endodontic treatment: a review.
        Int Endod J. 2009; 42: 963-972
        • Lin H.C.
        • Pai S.F.
        • Hsu Y.Y.
        • et al.
        Use of rubber dams during root canal treatment in Taiwan.
        J Formos Med Assoc. 2011; 110: 397-400
        • Gutmann J.L.
        Clinical, radiographic, and histologic perspectives on success and failure in endodontics.
        Dent Clin North Am. 1992; 36: 379-392
        • Lazarski M.P.
        • Walker 3rd, W.A.
        • Flores C.M.
        • et al.
        Epidemiological evaluation of the outcomes of nonsurgical root canal treatment in a large cohort of insured dental patients.
        J Endod. 2001; 27: 791-796
        • Salehrabi R.
        • Rotstein I.
        Endodontic treatment outcomes in a large patient population in the USA: an epidemiological study.
        J Endod. 2004; 30: 846-850
        • Chen S.C.
        • Chueh L.H.
        • Hsiao C.K.
        • et al.
        An epidemiologic study of tooth retention after nonsurgical endodontic treatment in a large population in Taiwan.
        J Endod. 2007; 33: 226-229
        • Chen S.C.
        • Chueh L.H.
        • Hsiao C.K.
        • et al.
        First untoward events and reasons for tooth extraction after nonsurgical endodontic treatment in Taiwan.
        J Endod. 2008; 34: 671-674
        • Lee A.H.
        • Cheung G.S.
        • Wong M.C.
        Long-term outcome of primary non-surgical root canal treatment.
        Clin Oral Investig. 2012; 16: 1607-1617
        • Ng Y.L.
        • Mann V.
        • Gulabivala K.
        Tooth survival following non-surgical root canal treatment: a systematic review of the literature.
        Int Endod J. 2010; 43: 171-189
        • Wang C.H.
        • Chueh L.H.
        • Chen S.C.
        • et al.
        Impact of diabetes mellitus, hypertension, and coronary artery disease on tooth extraction after nonsurgical endodontic treatment.
        J Endod. 2011; 37: 1-5
        • Chueh L.H.
        • Chen S.C.
        • Lee C.M.
        • et al.
        Technical quality of root canal treatment in Taiwan.
        Int Endod J. 2003; 36: 416-422
        • Liu C.Y.
        • Hung Y.T.
        • Chuang Y.L.
        • et al.
        Incorporating development stratification of Taiwan townships into sampling design of large scale health interview survey.
        J Health Manag. 2006; 4: 1-22
        • Chen Z.Y.
        • Chiang C.H.
        • Huang C.C.
        • et al.
        The association of tooth scaling and decreased cardiovascular disease: a nationwide population-based study.
        Am J Med. 2012; 125: 568-575
        • Whitworth J.M.
        • Seccombe G.V.
        • Shoker K.
        • Steele J.G.
        Use of rubber dam and irrigant selection in UK general dental practice.
        Int Endod J. 2000; 33: 435-441
        • Cochran M.A.
        • Miller C.H.
        • Sheldrake M.A.
        The efficacy of the rubber dam as a barrier to the spread of microorganisms during dental treatment.
        J Am Dent Assoc. 1989; 119: 141-144
        • Van Nieuwenhuysen J.P.
        • Aouar M.
        • D'Hoore W.
        Retreatment or radiographic monitoring in endodontics.
        Int Endod J. 1994; 27: 75-81
        • Sjogren U.
        • Hagglund B.
        • Sundqvist G.
        • Wing K.
        Factors affecting the long-term results of endodontic treatment.
        J Endod. 1990; 16: 498-504
        • Vire D.E.
        Failure of endodontically treated teeth: classification and evaluation.
        J Endod. 1991; 17: 338-342
        • Chen S.C.
        • Chueh L.H.
        • Wu H.P.
        • Hsiao C.K.
        Five-year follow-up study of tooth extraction after nonsurgical endodontic treatment in a large population in Taiwan.
        J Formos Med Assoc. 2008; 107: 686-692
        • Goldfein J.
        • Speirs C.
        • Finkelman M.
        • Amato R.
        Rubber dam use during post placement influences the success of root canal-treated teeth.
        J Endod. 2013; 39: 1481-1484