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 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 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 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 Determination of indications for the choice of the preparation method of the root canal system with rotation and reciprocation instruments

2020 ◽  
Vol 18 (1) ◽  
pp. 21-26
Author(s):  
I. V. Pyatkova ◽  
L. Yu. Orekhova ◽  
T. V. Porkhun ◽  
A. V. Silin
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Canal System ◽  
Cross Sectional ◽  
Root Canal System ◽  
Sectional Shape

Compliance with the algorithms of endodontic treatment in most cases ensures the quality of treatment. However, real, long-term and sometimes immediate results that occur in clinical practice are not always successful. In general, the main reason for the unfavorable outcome of dental treatment is an incomplete sanitation of the root canal system. Modern publications by J. F. Siqueira, I. N. Rocas, and D. Ricucci (2019) note that many issues of endodontic treatment are unresolved. It follows that improving the quality of endodontic treatment is still relevant.Aim. To compare two systems of instruments for root canal preparation with different types of rotation.Materials and methods. To identify a tool that will increase the efficiency of root canal preparation, taking into account their anatomy using CBCT, 24 teeth were removed, taken according to orthodontic or pristidintic indications, without previous endodontic treatment. Among them there were 2 incisors, 1 canine, 6 premolars, 15 molars. In total, 60 canals were examined.Results. The shape changes throughout the canal, turning into a round, oval, slit-like, complementing the configuration by the isthmuses between the canals in 13.3% of cases. WaveOne Gold showed a change in cross-sectional shape after preparation, while ProTaper Universal retained a rounded section of 6.67% after preparation of the slit-like channels.Conclusion. Identified priority technique of root canal preparation, allowing to reduce the number of instruments and, as a consequence, the possibility of technological failures in the root canal to reduce machining of the mouth of the channel, retaining dentine playing a major role in the further prosthesis and positive prediction of remote results.

scholarly journals Status of Endodontic Treatment and the Correlations to the Quality of Root Canal Filling and Coronal Restoration

2016 ◽  
Vol 17 (10) ◽  
pp. 830-836 ◽  
Author(s):  
Alex Semenoff-Segundo ◽  
Milton C Kuga ◽  
Mateus R Tonetto ◽  
Fabio M Pedro ◽  
ATC Marques ◽  
...  
Keyword(s):  
Root Canal ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Endodontic Treatment ◽  
Root Canal Filling ◽  
Cross Sectional ◽  
Treatment Frequency ◽  
Significance Level ◽  
Significant Difference

ABSTRACT Introduction This cross-sectional study evaluated the prevalence and quality of root canal treatment in 1,977 digital radiological files. Materials and methods Data were statistically analyzed using descriptive analysis, and the chi-square test was performed with a 5% significance level. Results The mean age of the study population was 34.9 years. The endodontic treatment frequency was 6.14%, significantly higher in premolars. Adequate endodontic treatment was observed in 39.7% of analyzed cases. Molars were significantly more frequent with regard to inadequate filling quality. In 47.6% of cases, the filling's apical limit was classified as adequate, and there was a higher incidence of molars that were inadequate. Restorations were classified as adequate in 79.0% of cases, and molars were responsible for the highest frequency of inadequate restorations. The frequency of teeth with endodontic treatment that showed no periapical changes was 47.7%. There was no significant difference in the presence of periapical change according to gender. An increased presence of periapical change was observed with increasing age. The periapical lesions were observed in 45% of cases and related to inadequate filling quality. The apical limit was considered inadequate and related to periapical changes in 42% of cases. Periapical changes were present in 52% of cases, regardless of the quality of the filling and apical limit. Such changes were present in 42% of cases with adequate coronal restoration. Conclusion It can be concluded that apical periodontitis (AP) is associated with the quality of endodontic treatment. The coronal restoration affects significantly the success rate of endodontic treatment. Clinical significance The quality of the root filling and coronal restoration is closely related to periapical health. How to cite this article Pedro FM, Marques ATC, Pereira TM, Bandeca MC, Lima SNL, Kuga MC, Tonetto MR, Semenoff- Segundo A, Borges AH. Status of Endodontic Treatment and the Correlations to the Quality of Root Canal Filling and Coronal Restoration. J Contemp Dent Pract 2016;17(10):830-836.

scholarly journals Frequency and quality of root canal fillings in an adult Serbian population

2014 ◽  
Vol 142 (11-12) ◽  
pp. 663-668 ◽  
Author(s):  
Jugoslav Ilic ◽  
Mirjana Vujaskovic ◽  
Ljiljana Tihacek-Sojic ◽  
Aleksandra Milic-Lemic
Keyword(s):  
Success Rate ◽  
Root Canal ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Adult Patients ◽  
Failure Rates ◽  
Treatment Needs ◽  
Endodontically Treated Teeth ◽  
Endodontic Retreatment

Introduction. Estimation of frequency and quality of root canal fillings is the way to evaluate endodontic treatment needs and success/failure rates of performed endodontic procedures. Objective. The aim of this study was to determine the frequency and quality of root canal fillings and the frequency of apical periodontitis on endodontically treated teeth in a group of adult patients from Serbia. Methods. In order to analyze the presence and quality of root canal fillings and the frequency of periapical radiolucencies on endodontically treated teeth, 3526 teeth were examined on orthopantomograms of 153 adult patients. Results. Overall, 12.5% of examined teeth were root filled, and 51.8% of them had radiographic signs of apical periodontitis. The analysis of root fillings quality revealed the presence of more inadequate ones (55.9%). The frequency of apical periodontitis was significantly higher in teeth with inadequate than in those having adequate root canal obturation (72.2% and 25.9%, respectively). Conclusion. The frequency of apical periodontitis on root-filled teeth in this group of patients was high, indicating a low success rate of performed endodotic procedures and high endodontic retreatment needs.

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 Prevalence and risk factors of apical periodontitis in endodontically treated teeth in a selected population of Brazilian adults

2008 ◽  
Vol 19 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Carlos Estrela ◽  
Cláudio Rodrigues Leles ◽  
Augusto César Braz Hollanda ◽  
Marcelo Sampaio Moura ◽  
Jesus Djalma Pécora
Keyword(s):  
Risk Factors ◽  
Confidence Intervals ◽  
Odds Ratio ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Technical Quality ◽  
Endodontically Treated Teeth ◽  
Chi Square ◽  
Chi Square Test

The aim of this study was to assess the prevalence and risk factors of apical periodontitis in endodontically treated teeth in a selected population of Brazilian adults. A total of 1,372 periapical radiographs of endodontically treated teeth were analyzed based on the quality of root filling, status of coronal restoration and presence of posts associated with apical periodontitis (AP). Data were analyzed statistically using odds ratio, confidence intervals and chi-square test. The prevalence of AP with adequate endodontic treatment was low (16.5%). This percentage dropped to 12.1% in cases with adequate root filling and adequate coronal restoration. Teeth with adequate endodontic treatment and poor coronal restoration had an AP prevalence of 27.9%. AP increased to 71.7% in teeth with poor endodontic treatment associated with poor coronal restoration. When poor endodontic treatment was combined with adequate coronal restoration, AP prevalence was 61.8%. The prevalence of AP was low when associated with high technical quality of root canal treatment. Poor coronal restoration increased the risk of AP even when endodontic treatment was adequate (OR=2.80; 95%CI=1.87-4.22). The presence of intracanal posts had no influence on AP prevalence.

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