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 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 Endodontic retreatment due to secondary periapical injury: case report

2020 ◽  
Vol 9 (6) ◽  
pp. 503-506
Author(s):  
Monica Soares de Albuquerque ◽  
Armiliana Soares Nascimento ◽  
Cácio Lopes Mendes ◽  
Leonardo José Rodrigues de Oliveira ◽  
Marília de Lima Soares ◽  
...  
Keyword(s):  
Root Canal ◽  
Clinical Signs ◽  
In Vitro Study ◽  
Signs And Symptoms ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Clinical Signs And Symptoms ◽  
Endodontic Retreatment

Pulp diseases commonly happens because of the actions of bacteriological factors and show their characteristic signs and symptoms over the time. With pulp necrosis, a degenerative process starts and when there is no early treatment, it is possible to occur periapical lesions as a result of aggression to the pulp. In cases of periapical secondary lesions, clinical signs and symptoms persist and are related to secondary infection due to persistent bacterial contamination, also to operative factors, inadequate obturation or poor coronary restoration. This study aimed to report a case of endodontic retreatment and clinical and radiographic follow-up for 8 years, of chronic periapical abscess case, in which after retreatment, clinical signs and symptoms are no longer observed and bone neoformation is noticed. Descriptors: Periapical Diseases; Endodontics; Periapical Abscess. Referências Alani AH. Endodontic treatment of bilaterally occurring four-rooted maxillary second molars: case report. J Can Dent Assoc. 2003;69(11):733–35. Slowey RR. Radiographic aids in the detection of extra root canals. Oral Surg Oral Med Oral Pathol 1974;37(5):762-72 Bergenholtz G, Malmcrona E, Milthon R. Endodontic treatment and periapical status I. Radiographic evaluation of the frequency of endodontically treated teeth. Tandl€akartidningen. 1973; 65:64–73 (In Swedish, English summary). Buckley M, Spangberg LS. The prevalence and technical quality of endodontic treatment in an American subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(1):92–100. Saunders WP, Saunders EM, Sadiq J, Cruickshank E. Technical standard of root canal treatment in an adult Scottish sub-population. Br Dent J. 1997;182(10):382-86. Segura-Egea JJ, Jimenez-Pinzon A, Poyato-Ferrera M, Velasco-Ortega E, Rios-Santos JV. Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. Int Endod J. 2004;37(8):525-30. Kabak Y, Abbott PV. Prevalence of apical  periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J. 2005;38(4):238-45. Glickman GN. AAE consensus conference on diagnostic terminology: background and perspectives. J Endod. 2009;35:1619. Gutmann JL, Harrison JW. Surgical endodontics: an online study guide. Blackwell Scientific Publications; 1991. Molven O, Halse A, Grung B. Incomplete healing (scar tissue) after periapical surgery - radiographic findings 8 to 12 years after treatment. J Endod. 1996;22(5):264-68. Macedo, IL Retratamento endodôntico: opção terapêutica do insucesso endodôntico. BJHR. 2018;1(2):421-31. Souza VC et al. Tratamento do insucesso endodôntico. Rev Odontol Bras Central. 2018; 27:44-48. Bender IB, Seltzer S, Soltanoff W. Endodontic success – a reappraisal of criteria. Oral Surg Oral Med Oral Pathol. 1966; 22(6):790–802. Rubinstein R A, Kim S. Long-term follow-up of cases considered healed one year after apical microsurgery. J Endod. 2002; 28(5):378-83. Estrela C et al. Characterization of successful root canal treatment. Braz Dent J. 2014; 25(1):3-11 http://dx.doi.org/10.1590/0103-6440201302356 Kaled GH et al. Retratamento endodôntico: análise comparativa da efetividade da remoção da obturação dos canais radiculares realizada por três métodos. RGO, Rev. gaúch. odontol. (Online). 2011;59(1):103-8. Rossi-Fedele G, Ahmed HMA. Assessment of rootcanal filling removal effectiveness using micro–computedtomography: a systematic review. J Endod. 2017;43(4):520-26 Barbosa SV, Burkhard DH, Spanberg LSV. Cytotoxic effects of gutta-percha solvents. J Endod. 1994; 20(1):6-8. Zakariasen KL, Brayton SM, Collinson DM. Efficient and effective root canal retreatment without chloroform. J Canad Dent Assoc. 1990; 56(6):509-12. Pecora JD, Spano JC, Barbin EL. In vitro study on the softening of gutta-percha cones in endodontic retreatment. Brazilian. Braz Dent Journal. 1993; 4(1): 43-7. Scelza MF et al. Comparative SEM evaluation of three solvents used in endodontic retreatment: an ex vivo study. Journal of Applied Oral Science. 2008; 16(1):24-9. Marques da Silva B et al. Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material. Int Endod J. 2012; 45(10):927-32 Song M1 et al. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery. J Endod. 2011;37(11):1516-9. Albuquerque MS et al. Sealing Capacity of Bulk-fill Resin in Endodontically Treated Teeth. The Journal of Contemporary Dental Practice. 2019; 20(3): 311-17 Zancan RF, Vivan RR, Lopes MRM et al. Antimicrobial activity and physicochemical properties of calcium hydroxide pastes used as intracanal medication. J Endod. 2016. 42(12):1822-28. Buttler TK, Crawford JJ. The detoxifying effect of varying concentrations of sodium hypochlorite on endotoxins. J Endod. 1982; 8(2):59-66. Foley DB, Weine FS, Hagen JC, deObarrio JJ. Effectiveness of selected irrigants in the elimination of bacteroides meloninogenicus from the root canal system: an in vitro study. J Endod. 1983; 9(6):236-41. Abou-Ran M, Oglesby SW. The effects of temperature, concentration and tissue type on the solvent ability of sodium hypochlorite. J Endod. 1981; 7(8):376-7. Lee JK et al. Physicochemical Properties of Epoxy Resin-Based and Bioceramic-Based Root Canal Sealers. Bioinorg Chem Appl. 2017; 1-8.  Kandemir DG, Caliskan MK. A prospective Ramdomized  Comparative Study of Cold Lateral Condensation Versus Core/Guta Percha in Teeth with Periapical Lesions. J Endod. 2016; 42(2):206-10 Karaman E, Keskin B, Inan U. Three-year clinical evaluation of class II posterior composite restorations placed with different techniques and flowable composite linings in endodontically treated teeth. Clin Oral Investig. 2017; 21(2):709-16.

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 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.

scholarly journals Radiological assessment of the quality of root canal fillings in teeth endodontically treated at students’ practical sessions

2011 ◽  
Vol 58 (3) ◽  
pp. 139-146
Author(s):  
Ljiljana Kulic ◽  
Dajana Nogo-Zivanovic ◽  
Jelena Krunic ◽  
Mirjana Vujaskovic ◽  
Nikola Stojanovic
Keyword(s):  
Root Canal ◽  
Epidemiological Studies ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Root Canal Filling ◽  
Study Program ◽  
Periapical Lesions ◽  
Study Programs ◽  
The Difference

Introduction. The main goal of obturation is prevention of reinfection of the root canal system and consequently appearance of periapical lesion. Epidemiological studies have confirmed high prevalence of periapical lesions in endodontically treated teeth with inadequate root canal fillings. The aim of this study was to assess the quality of root canal fillings in teeth treated at students? practical sessions. Iatrogenic errors during endodontic interventions were also assessed. Methods. Two hundred dental records of the patients treated by students in the study program Dentistry at the School of Medicine in Foca during the academic year 2010/2011 were randomly chosen. The length and homogeneity of the fillings or the presence of iatrogenic errors were recorded. A root canal filling was considered adequate if it had correct length and homogeneity in the absence of iatrogenic errors. Two students? curricula V1 and V2 were evaluated for the treatment outcome. Results. Out of 128 endodontically treated teeth, adequate length of the canal filling to the physiological apex was observed in 57% of teeth, homogeneity in 78.9%, while both of these criteria were satisfied in 66 teeth (51.6%). Better quality of root canal fillings was achieved by students of the study curricula V2 and the difference between these two programs was significant (p<0.05). Better quality of root canal fillings in both study programs was recorded for incisors and canines as compared to premolars. Conclusion. The quality of endodontic treatment performed by students was considered adequate in 51.6% of cases. The type of curriculum for endodontic course had a significant impact on the quality of endodontic treatment performed by students.

scholarly journals Quality of Endodontic Treatment and Prevalence of Apical Radiolucencies in a Bulgarian Subpopulation: a CBCT Analysis

Folia Medica ◽  
2021 ◽  
Vol 63 (1) ◽  
pp. 81-87
Author(s):  
Teodora Karteva ◽  
Neshka A. Manchorova-Veleva ◽  
Ekaterina Karteva ◽  
Donka Keskinova ◽  
Petya Kanazirska ◽  
...  
Keyword(s):  
Root Canal ◽  
Scoring Systems ◽  
Diagnostic Techniques ◽  
Poor Quality ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Root Canal Filling ◽  
Periapical Disease ◽  
Cbct Analysis

Introduction: The advent of Cone Beam Computed Tomography (CBCT) in endodontics has enhanced the diagnosis of periapical radiolucencies and the assessment of endodontically treated teeth.&nbsp; Aim: The purpose of this study was to assess the prevalence of periapical radiolucencies in a Bulgarian subpopulation and the quality of previous endodontic treatment using CBCT scans. Materials and methods: This study included 2795 roots from 160 Large FOV CBCT which were evaluated by two independent examiners using two scoring systems: CBCT-PAI and PESS.&nbsp; Results: The inter-examiner agreement spanned from strong to almost perfect (0.892 and 0.983). The prevalence of periapical lesions according to the two scoring systems was 23.1% and 12.9 %, respectively. The prevalence of endodontically treated teeth was high (34.1%). Sixty-five percent of them presented with signs of periapical radiolucencies, while only 1.4% of all non-treated roots had a periapical lesion. A significant association between periapical disease, poor quality of the root canal filling and inadequate coronal seal was found (p<0.001).&nbsp; Conclusions: The prevalence of periapical disease in endodontically-treated teeth in the Bulgarian subpopulation was high. Poor qual-ity of the root canal filling and inadequate coronal seal were assessed as prognostic determinants of treatment failure. CBCT techniques can augment conventional diagnostic techniques in the field of endodontics.&nbsp;

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.

scholarly journals Periapical Status and Quality of Root Canal Fillings in a Moroccan Subpopulation

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Hafsa El Merini ◽  
Hind Amarir ◽  
Amine Lamzawaq ◽  
Mouna Hamza
Keyword(s):  
Statistical Analysis ◽  
Root Canal ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Third Molars ◽  
Moroccan Population ◽  
High Prevalence ◽  
Conservative Dentistry

Aim. The aim of the study was to assess the prevalence of apical periodontitis (AP) and quality of root canal fillings in an adult Moroccan subpopulation. Methods. In the study 508 patients were included, attending the Conservative Dentistry Clinic at the Faculty of Dentistry of Casablanca. 508 panoramic and 709 periapical radiographs were observed. The periapical status of all teeth (with the exception of third molars) was examined according to Ørstavik’s periapical index. The statistical analysis was performed with the software Epi Info Version 6.04dfr, April 2001. Results. A total of 12719 teeth were examined. 45.3% of patients had apical periodontitis. 4.2% of teeth were treated endodontically and 70.4% of these treatments were inadequate. 91,5% with inadequate endodontic treatment presented apical periodontitis, while only 8,2% with adequate endodontic treatment had apical periodontitis. The lower molars and the upper premolars were the most affected teeth. The presence of apical periodontitis was correlated significantly with insufficient root canal fillings (p<0.05). Conclusions. The present study found a high prevalence of apical periodontitis in this Moroccan population. Inadequate root canal fillings were associated with an increased prevalence of apical periodontitis.

Persistent Apical Periodontitis: Bacterial Taxonomic Analysis and Treatment Through Intentional Replantation

2020 ◽  
Author(s):  
Fernando Eduardo Coria-Valdiosera
Keyword(s):  
Antibiotic Therapy ◽  
Root Canal ◽  
Resistance Mechanisms ◽  
Apical Periodontitis ◽  
Infectious Process ◽  
Identification Of Bacteria ◽  
The Right ◽  
Apical Lesions ◽  
Endodontic Retreatment

Introduction: The microorganisms own different resistance mechanisms that allow them to resist the chemo-mechanical cleanliness of root canal and antibiotic therapies causing the persistence of apical lesions. Methods: This clinical case describes a male patient diagnosed with pulp necrosis in the right lower central incisor due to trauma, which developed apical periodontitis manifesting itself extra orally. Root canal treatment along with antibiotic therapy was performed, but because the infectious process persisted, endodontic retreatment and a new antibiotic therapy were carried out, however, the clinical evolution was not favorable. For this reason, the intentional replantation was chosen as the outright treatment, performing apicectomy and curettage of the periapical lesion, from which the isolation and taxonomic study of microorganisms were carried out, with the respective antibiogram. Results: In the 10-day clinical follow-up, the extraoral infectious process disappeared almost completely and 6 months later, a complete repair of the bone tissue was observed on the tomography. Conclusion: A better understanding of the persistence of apical periodontitis was achieved by taxonomic identification of bacteria and the intentional replantation allowed to remove the apical biofilm gaining an excellent wound healing.

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