Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration – a cross‐sectional study

Objectives: This study aimed to determine the self-declarative performance of general dentists in prescription of analgesics and antibiotics for patients requiring root canal treatment (RCT). Materials and Methods: In this cross-sectional study, 400 general dentists participating in the 55th International Annual Scientific Congress of the Iranian Dental Association (2015) were randomly selected, and requested to complete a questionnaire about their performance regarding prescribing analgesics and antibiotics for patients requiring RCT. The frequency and percentage of answers to each question were calculated and reported. Results: The most commonly prescribed analgesics included ibuprofen (100.0%), Gelofen (100.0%), Novafen (68.5%) and acetaminophen (24.8%). After RCT, dentists prescribed ibuprofen (100.0%), Gelofen (98.3%), dexamethasone (35.3%), Novafen (27.3%) and acetaminophen/codeine (15.8%) in decreasing order of frequency. Antibiotic prescription was minimum (48.5%) for cases with painful (moderate or severe) irreversible pulpitis (vital tooth) before the treatment and maximum for cases of pulp necrosis with acute apical periodontitis, edema, and preoperative symptoms (moderate or severe) (97.3%). For non-allergic patients, the most frequently prescribed antibiotics were amoxicillin 500 mg (93.3%), cefixime 400 mg (81.3%), amoxicillin/metronidazole 250 mg (71.8%), co-amoxiclav 265 mg (36.3%) and injectable penicillin (0.5%). For allergic patients, dentists prescribed clindamycin 300 mg (84.0%), cephalexin 500 mg (15.8%), azithromycin 500 mg (13.5%), and erythromycin 500 mg (10.8%). Sex and graduation date had no significant effect on the results (P>0.05). Conclusion: Antibiotic prescription is excessive by general dentists, and their performance regarding the proper and logical prescription of antibiotics in RCT should be improved.

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Prevalence and risk factors of Apical periodontitis in endodontically treated teeth: cross-sectional study in an Adult Moroccan subpopulation

BMC Oral Health ◽

10.1186/s12903-021-01491-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Imane El Ouarti ◽

Sanaa Chala ◽

Majid Sakout ◽

Faiza Abdallaoui

Keyword(s):

Risk Factors ◽

Root Canal ◽

Cross Sectional Study ◽

Apical Periodontitis ◽

Treatment Quality ◽

Gingival Inflammation ◽

Endodontically Treated Teeth ◽

Root Canal Filling ◽

Cross Sectional ◽

Cavity Design

Abstract Background The present study aimed at investigating the prevalence of Apical periodontitis in a Moroccan Adult subpopulation with a non-surgical root canal treatment and to assess associated risk factors including endodontic treatment quality, periodontal health status, coronal restoration cavity design and quality. Methods A total of 358 endodontically treated teeth were evaluated after more than 1-year period in a Moroccan subpopulation according to predetermined criteria. Studied parameters were assessed clinically and radiographically. The association between coronal restoration quality, cavity design, periodontal status, root canal filling quality, coronal restoration related features, presence or absence of the opposing dentition and the periapical status was determined. Data were analyzed using chi-square test, odds ratio and logistic regression. Results The present study revealed that gingival health, coronal restoration with CL II cavity design, and root canal filling quality influenced periapical status of endodontically treated teeth. Multivariate analysis showed that this association was statistically significant for gingival inflammation (95% CI 1.08–3.91, OR 2.05, p = 0.02), inadequate coronal restoration (95% CI 1.16–4.04, OR 2.16, p = 0.01), inadequate root canal filling length and homogeneity (95% CI 1.24–3.01, OR 1.93, P = 0.004), (95% CI 1.41–4.44, OR 2.50, p = 0.002) respectively. Conclusions The present study revealed that inadequate coronal restorations especially with large proximal margins (CL II cavity design) and gingival inflammation increased the risk of apical periodontitis in endodontically treated teeth. Prevalence of Apical periodontitis in the present study was 72.1%.

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Knowledge of Root Canal Treatment and Its Association with Patients’ Demographics – A Cross-Sectional Insight

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2020/v32i630440 ◽

2020 ◽

pp. 1-8

Author(s):

Muhammad Zahid Iqbal ◽

Fahad I. Al-Saikhan ◽

Sawri Rajan ◽

Muhammad Shahid Iqbal

Keyword(s):

Social Science ◽

Root Canal ◽

Smoking Status ◽

Cross Sectional Study ◽

Root Canal Treatment ◽

Sectional Study ◽

Cross Sectional ◽

Dental Tissues ◽

Dental Clinics ◽

Self Administered Questionnaire

Introduction: Endodontics is the division of dentistry that mainly dealt with the physiology, pathophysiology, pathology and morphology of human dental tissues. The study determined the knowledge among patients who underwent root canal treatment (RCT). Methods: A cross-sectional study was carried among RCT patients visiting various dental clinics. A validated self-administered questionnaire including information related to knowledge about RCT was used to collect required data. Statistical Package for Social Science (SPSS) Version 22.0 was used to analyze the data. Results: Regarding the RCT knowledge, it was revealed that patients with previous RCT history were having better knowledge than patients without RCT history or those who were planning to undergo for RCT procedure (p= <0.001). Differences between smoking status and RCT knowledge were also statistically significant (p=0.048). Conclusion: In conclusion, moderate knowledge was observed among patients who underwent RCT or those who were planning to perform RCT.

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A cross-sectional study of the quality of root canal treatment in Al-Madinah Al-Munawwarah

Saudi Endodontic Journal ◽

10.4103/1658-5984.172005 ◽

2016 ◽

Vol 6 (1) ◽

pp. 31 ◽

Cited By ~ 2

Author(s):

Mothanna Alrahabi ◽

HamzahBani Younes

Keyword(s):

Root Canal ◽

Cross Sectional Study ◽

Root Canal Treatment ◽

Sectional Study ◽

Cross Sectional

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Evaluation of Factors Responsible for Failure of Root Canal Treatment in an Adult Indian Population: A Cross Sectional Study

Indian Journal of Public Health Research & Development ◽

10.5958/0976-5506.2019.03692.1 ◽

2019 ◽

Vol 10 (11) ◽

pp. 1250

Author(s):

Anuj Varshney ◽

Aditya Shetty ◽

Mithra N. Hegde ◽

Shishir Shetty ◽

Lakshmi Nidhi Rao

Keyword(s):

Root Canal ◽

Indian Population ◽

Cross Sectional Study ◽

Root Canal Treatment ◽

Sectional Study ◽

Cross Sectional

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Apical Periodontitis in Endodontically Treated Teeth: Cross-sectional Study of New Investigated Risk Factors

10.21203/rs.3.rs-53961/v1 ◽

2020 ◽

Author(s):

IMANE EL OUARTI ◽

CHALA SANAA ◽

MAJID SAKOUT ◽

ABDALLAOUI FAIZA

Keyword(s):

Risk Factors ◽

Root Canal ◽

Cross Sectional Study ◽

Apical Periodontitis ◽

Gingival Inflammation ◽

Endodontically Treated Teeth ◽

Chi Square ◽

Root Canal Filling ◽

Cross Sectional ◽

Cavity Design

Abstract Background: The present study aimed at investigating risk factors associated to apical periodontitis in endodontically treated teeth and highlight the potential risk of some factors not assessed before in previous studies. Methods:A total of 358 endodontically treated teeth were evaluated after more than 1-year period in a Moroccan population according to predetermined criteria. Studied parameters were assessed clinically and radiographically. The association between coronal restoration quality, cavity design, periodontal status, root canal filling quality, coronal restoration related features, presence or absence of the opposing dentition and the periapical status was determined. Data were analyzed using chi-square test, odds ratio and logistic regression.Results:The present study revealed that gingival health, coronal restoration with CL II cavity design, and root canal filling quality influenced periapical status of endodontically treated teeth. Multivariate analysis showed that this association was statistically significant for gingival inflammation (95% IC: 1.08-3.91, OR: 2.05, p=0.02), inadequate coronal restoration (95%IC: 1.16-4.04, OR: 2.16, p: 0.01), inadequate root canal filling length and homogeneity (95%IC: 1.24-3.01, OR: 1.93, P:0.004), (95%IC: 1.41-4.44, OR: 2.50, p:0.002) respectively. Conclusions:The present study revealed that inadequate coronal restorations especially with large proximal margins (CL II cavity design) and gingival inflammation increased the risk of apical periodontitis in endodontically treated teeth.

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Knowledge and Practices Assessment of Decontamination during Root Canal Treatment in Saudi Arabia

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol06-i01/1040 ◽

2021 ◽

Vol 6 (01) ◽

pp. 25-29

Author(s):

Necdet Adanir ◽

Hassan Alkhalaf ◽

Maram H. Alanazi ◽

Asma S. Alghamdi ◽

Abdullah A. Aljami ◽

...

Keyword(s):

Root Canal ◽

Cross Sectional Study ◽

Root Canal Treatment ◽

Canal System ◽

Cross Sectional ◽

Rubber Dam ◽

Infected Root ◽

Treatment Data ◽

Root Canal System ◽

Partial Isolation

Introduction: Bacteria play a crucial role in the pathogenesis of pulpal and periradicular pathoses. For example: Apical periodontitis is an inflammation of dental periapical tissues developed as a response to colonization of microorganisms in root canal system. The elimination of microbial species from the infected root canal system necessitates a strict aseptic condition for Instrumentation, disinfection and inter appointment medication. Enterococcus faecalis and Candida albicans had been commonly associated organisms in treatment-resistant infections. Methods: This was an observational cross-sectional study based on web-survey questionnaires developed by the authors with high confidence. The sample size was 304 estimated using the Qualtrics calculator with a confidence level of 95% and a margin of error of 5%. The questionnaire is divided into sections, regarding endodontic practice include endodontic education , years of experience , used of rubber dam or no and how to used irrigant solution whoever Sodium hypochlorite (NaOCl), Chlorhexidine, chelating agents (EDTA) or (MTAD) and reasons of every irrigant that prevents during root canal treatment. Data were collected using Google forms and prepared for analysis using Microsoft Excel. Statistical analysis was performed using the SPSS software. Results: A total of 304 participants responded, 44.1% dental interns, 39.5% General Dentist, 9.9% Endodontist, 6.3% other dental specialty. the Probable reasons that prevent them using rubber dam during root canal treatment are: 5.9% due to difficulty to apply, 9.2% due to lack of materials, 5.3% because it is a time-consuming, 1.6% said that other isolation methods are enough (partial isolation), 3.9% because of multiple reason combined together. 48.7% they always use rubber dam, so they did not choose any of the previous reasons. Conclusion: In conclusion, we identify and understand, most of the participants “always using rubber dam” during root canal treatment and the most common reasons was time consumption that prevented dentist from using rubber. In this study majority of participants preferred NaOCl 81.9% and 7.1% don’t use it.

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