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

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%.

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

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.

scholarly journals Apical periodontitis in relation to radiographic quality of endodontic treatment in a selected adult Turkish population: A cross-sectional study

2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Güzide Pelin Sezgin ◽  
Sema Sönmez Kaplan ◽  
Tuna Kaplan
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Turkish Population ◽  
Cross Sectional Study ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Treatment Quality ◽  
Endodontically Treated Teeth ◽  
Cross Sectional

Objective: The aim of this study was to examine the quality of root canal fillings and their relationship with apical periodontitis (AP) in a selected Turkish population. Material and Methods: The cases in this study was formed of patients attending routine dental treatment at the Faculty of Dentistry, University of Birun. 1024 patients were examined with panoramic radiographs and 1780 endodontically treated teeth with present periapical radiographs. Endodontic treatment quality was evaluated by obturation length, density, taper quality and iatrogenic errors. Presence of AP was analysed according to Ørstavik’s periapical index (PAI). The chi-square test was used for statistical analyses. Results: Statistically significant relationship was found between both the tooth type and location with obturation quality (p: 0.000; p < 0.05). Obturation quality of maxillary and mandibular molars are significantly less than the other tooth types in the same location. Apical periodontitis were noticed in 740 teeth (41.6%). Inadequate obturation quality was found to be significantly effective on the periapical status of tooth types both in maxilla and mandible (p < 0.05). Conclusion: The frequency of inadequate root canal obturations of endodontically treated teeth of the selected Turkish population was high, especially in molar teeth and women. Even though radiographic obturation quality is not the only success criteria in endodontic treatment, it is still one of the most important criteria regarding the positive correlation of “inadequate” obturations with AP.KEYWORDSPeriapical periodontitis; Radiography; Root canal obturation; Root canal theraphy.

scholarly journals Prevalence evaluation of apical periodontitis and its relationship with endodontic and restorative treatment in a community in Southern Brazil

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Julia Machado Saporiti ◽  
Andressa Gomes ◽  
Melissa Feres Damian ◽  
Nadia De Souza Ferreira
Keyword(s):  
Root Canal ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Chi Square ◽  
Root Canal Filling ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Chi Square Test

Objective: The aim of this study was evaluate radiographically prevalence of apical periodontitis (AP) in endodontically treated teeth (ETT) and relate with demographic factors, quality of endodontic treatment and coronal restoration. Material and methods: Data were collected from dental records wich contained full-mouth radiographic series. In ETT, arch, dental group and presence of AP were evaluated. Quality of root canal filling, presence and quality of coronal restoration and type of restorative material were also collected. Data were evaluated using descriptive statistics and Chi-square Test. Results: Of 70 patients included in the final sample, the majority were female (54.3%) and age ranged from 13 to 77 years (47.14 ± 13.18). Of 1,333 teeth evaluated, 73 (5.4%) had endodontic treatment, being the majority maxillary (74%) and anterior teeth (52.1%). Of teeth without endodontic treatment, 320 (25.4%) had AP. Failure rate was high (52.8%) and quality of root canal filling and coronal restoration were considered inadequate in majority cases (58.3% and 47.7%, respectively). Dental group had a statistically significant relationship with presence of AP in ETT, being more frequent in anterior teeth (p = 0.019). Conclusion: It was concluded that prevalence of AP in ETT was high and dental group was the factor that most influenced prevalence of AP in ETT.KeywordsApical periodontitis; Radiography; Root canal filling.

scholarly journals Apical periodontitis and related risk factors: Cross-sectional study

2015 ◽  
Vol 56 (4) ◽  
pp. 226-232 ◽  
Author(s):  
Joana Correia-Sousa ◽  
Ana Raquel Madureira ◽  
Manuel Fontes Carvalho ◽  
Ana Moura Teles ◽  
Irene Pina-Vaz
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Apical Periodontitis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Related Risk

scholarly journals Prevalence of apical periodontitis and quality of root canal fillings in population of Zagreb, Croatia: a cross-sectional study

2011 ◽  
Vol 52 (6) ◽  
pp. 679-687 ◽  
Author(s):  
Jurica Matijević ◽  
Tina Čižmeković Dadić ◽  
Goranka Prpić Mehičić ◽  
Ivica Anić ◽  
Mladen Šlaj ◽  
...  
Keyword(s):  
Root Canal ◽  
Cross Sectional Study ◽  
Apical Periodontitis ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Periapical status and prevalence of apical periodontitis in patients with type 2 Diabetes mellitus

2021 ◽  
Vol 10 (12) ◽  
pp. e142101220135
Author(s):  
Juliana Érnica Bernardo ◽  
Caroline Loureiro ◽  
Ana Paula Fernandes Ribeiro ◽  
Júlia Guerra de Andrade ◽  
Gladiston William Lobo Rodrigues ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Root Canal ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Diabetic Group ◽  
Control Group ◽  
Diabetic Patients ◽  
Endodontically Treated Teeth ◽  
Root Canal Filling

Diabetes mellitus (DM) is a chronic systemic disease that affects the immunoinflammatory response, leading the patient more susceptible to the development of oral diseases, such as apical periodontitis (AP). Thus, this study aimed to clinically and radiographically analyze the periapical status and prevalence of AP in diabetic patients compared to healthy patients. A total of 100 patients were selected and divided into two groups (n = 50): diabetic group - patients with type 2 DM, and control group - systemically healthy patients. Periapical status was analyzed by the periapical index. The quality of the root canal filling and restoration was also evaluated. Difference between the prevalence of AP among the groups were performed by using the Chi-square test or Fisher's exact test (p < 0.05). The total number of teeth was lower in diabetic group (p = 0.049). Teeth without previous endodontic treatment with AP were higher in diabetic group (p = 0.006). However, the number of endodontically treated teeth with AP was greater in the control group (p = 0.027). AP in teeth with previous endodontic treatment was associated with unsatisfactory root canal filling and restoration quality (p < 0.01). The presence of pain showed significantly higher values in the diabetic group (p = 0.003). In conclusion, this study showed an association between the presence of AP and DM in cases of teeth without endodontic treatment. Besides, the presence of pain was significantly higher in diabetic patients. However, healthy patients showed more cases of AP in endodontically treated teeth.

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