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Pietrzycka K, Radwanski M, Matinlinna JP, Lukomska-Szymanska M. The prevalence of root canal treatment, periapical status, and coronal restorations in elderly patients in the Polish population. Heliyon 2024; 10:e35584. [PMID: 39296191 PMCID: PMC11408157 DOI: 10.1016/j.heliyon.2024.e35584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 04/30/2024] [Accepted: 07/31/2024] [Indexed: 09/21/2024] Open
Abstract
Objectives The aim of this retrospective cohort study was to determine the prevalence and correlations between root canal treatment, periapical status, and coronal restoration detected using cone beam computed tomography (CBCT) in the elderly Polish population (60-79 years). Methods A total of 480 CBCT images were assessed. Collected data included: age, gender, the tooth location, direct restoration, decay, single crown, abutment of fixed bridge, the quality of the restoration, root canal treatment, post and core, apical periodontitis (AP), and quality of root filling. Results The number of teeth in the elderly patients decreased, while the number of endodontically treated teeth increased with age. More teeth were preserved in mandible, the most common group of teeth were incisors. AP was more often detected in the maxilla in general, and in mandibular molars. The over-filling was observed more frequently in maxilla, in maxillary molars and in mandibular premolars, while the short-filling in maxillary and mandibular molars. AP was significantly more often observed in short-filled root canals than in other length criteria (overfilled, adequately, lack of filling). Conclusions Inadequate prosthetic restoration, presence of post, pulpotomy, missed canals and root canal treated teeth were associated with increased prevalence of AP. Clinical significance The article indicates the need of treatment of elderly population in Poland. There is the demand to enhance the quality of endodontic and restorative treatment in this population. Additionally, CBCT examination, if indicated, should be implemented in the course of endodontic therapy to provide adequate information to clinicians.
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Affiliation(s)
- Krystyna Pietrzycka
- Department of Endodontics, Medical University of Lodz, 251 Pomorska Str., 92-213, Lodz, Poland
| | - Mateusz Radwanski
- Department of Endodontics, Medical University of Lodz, 251 Pomorska Str., 92-213, Lodz, Poland
| | - Jukka P Matinlinna
- Applied Dental Sciences, Biomaterials Science, Division of Dentistry, The University of Manchester, Manchester, M13 9PL, United Kingdom
| | - Monika Lukomska-Szymanska
- Department of General Dentistry, Medical University of Lodz, 251 Pomorska Str., 92-213, Lodz, Poland
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de la Court AJ, Opdam NJM, Bronkhorst EM, Laske M, Huysmans MCDNJM. Oral health status of Dutch Armed Forces recruits in the years 2000, 2010 and 2020, a retrospective repeated cross-sectional study. BMC Oral Health 2024; 24:912. [PMID: 39118065 PMCID: PMC11312750 DOI: 10.1186/s12903-024-04687-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Accepted: 07/30/2024] [Indexed: 08/10/2024] Open
Abstract
BACKGROUND Studies on oral health status of adults are sparse and rarely include data on endodontic treatment and trauma. In the military, those data are available because recruits are routinely assessed with a clinical and radiological examination at the start of their career. This study aimed to identify differences in oral health status of Dutch Armed Forces recruits between cohorts, departments, sex, age and rank, with DMF-T, endodontic treatment and dental trauma as outcome measures. METHODS Data from Electronic Patient Files from all recruits enlisted in 2000, 2010 and 2020 were used for analysis in a hurdle model resulting in the estimated cohort effect, controlled for the demographic variables. The total number of recruits was 5,764. Due to the retrospective character of the study a proxy was used to compose D-T and dental trauma. RESULTS The mean DMF-T number in recruits decreases from 5.3 in cohort 2000 to 4.13 in cohort 2010 and 3.41 in cohort 2020. The percentage of endodontically treated teeth increases from 6% in cohort 2000 to respectively 9% in 2010 and 8% in 2020. The percentage of recruits showing signs of dental trauma did not change significantly between cohort 2000 (3.1%) and cohort 2010 and 2020 (both 2.7%). CONCLUSIONS Oral health in Armed Forces recruits is improving over the years, following a similar trend as the general population in the Netherlands. Lower SES represented by enlisted rank showed substantial lower oral health status.
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Affiliation(s)
- A J de la Court
- Department of Dentistry, Radboud University Medical Center, Radboud Research Institute for Medical Innovation, Nijmegen, The Netherlands.
| | - N J M Opdam
- Department of Dentistry, Radboud University Medical Center, Radboud Research Institute for Medical Innovation, Nijmegen, The Netherlands
| | - E M Bronkhorst
- Department of Dentistry, Radboud University Medical Center, Radboud Research Institute for Medical Innovation, Nijmegen, The Netherlands
| | - M Laske
- Department of Dentistry, Radboud University Medical Center, Radboud Research Institute for Medical Innovation, Nijmegen, The Netherlands
| | - M C D N J M Huysmans
- Department of Dentistry, Radboud University Medical Center, Radboud Research Institute for Medical Innovation, Nijmegen, The Netherlands
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Keratiotis G, Spineli L, De Bruyne MAA, De Moor RJG, Meire MA. A 22-year follow-up cross-sectional study on periapical health in relation to the quality of root canal treatment in a Belgian population. Int Endod J 2024; 57:533-548. [PMID: 38314902 DOI: 10.1111/iej.14032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 12/12/2023] [Accepted: 01/15/2024] [Indexed: 02/07/2024]
Abstract
AIM To investigate the prevalence of apical periodontitis (AP) and the technical standard of root canal treatment in a Belgian population, assess the association of different variables with periapical status, and compare the results to a similar study conducted 22 years previously. METHODOLOGY In this cross-sectional study, 614 panoramic radiographs of first-time adult attendees at the Dental School of the University Hospital of Ghent were examined. Recorded patient-level parameters included gender, age, number of teeth, number of root filled teeth, presence of any AP lesion, and number of implants. The following tooth-level data were collected: tooth presence, coronal status, quality of coronal restoration, post presence, type of root-filling material, length and density of root filling, root-end filling material, presence of AP, and adjacent implant. Multivariable multilevel binary logistic regression was used to explore the association between patient and tooth characteristics and AP prevalence. Risk differences and confidence intervals were calculated to compare the present with the previous study. RESULTS The prevalence of AP at patient and tooth level was 46.9% and 5.6%, respectively. Fifty-one per cent of the 614 patients had at least one root filled tooth, and 5.9% of the 14 655 teeth studied were root filled. AP was found in 45% of root filled teeth. Fifty-four per cent of the root-filled teeth were rated as inadequate. Multivariable multilevel logistic regression revealed that more teeth, more implants, fewer root-filled teeth, adequate density, adequate coronal restoration, and no caries reduced the likelihood of AP. There were no statistically significant differences between the two studies regarding the prevalence of root-filled teeth or AP and the technical quality of root canal treatment. CONCLUSIONS The prevalence of AP and the technical quality of root canal treatment in Belgium have not substantially changed over the last 22 years, despite the technological advancements and continuing education in the field.
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Affiliation(s)
- Georgios Keratiotis
- Department of Oral Health Sciences, Section of Endodontology, Ghent University, Ghent, Belgium
| | - Loukia Spineli
- Midwifery Research and Education Unit, Hannover Medical School, Hannover, Germany
| | - Mieke A A De Bruyne
- Department of Oral Health Sciences, Section of Endodontology, Ghent University, Ghent, Belgium
| | - Roeland J G De Moor
- Department of Oral Health Sciences, Section of Endodontology, Ghent University, Ghent, Belgium
| | - Maarten A Meire
- Department of Oral Health Sciences, Section of Endodontology, Ghent University, Ghent, Belgium
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Alhailaa AA, Al-Nazhan SA, Aldosimani MA. Prevalence of apical periodontitis and quality of root canal treatment in an adult Kuwaiti sub-population: a cross-sectional study. Restor Dent Endod 2024; 49:e16. [PMID: 38841383 PMCID: PMC11148409 DOI: 10.5395/rde.2024.49.e16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 01/26/2024] [Accepted: 02/13/2024] [Indexed: 06/07/2024] Open
Abstract
Objectives This cross-sectional study evaluated the prevalence of apical periodontitis (AP) and the technical quality of root canal fillings in an adult Kuwaiti subpopulation using cone-beam computed tomography (CBCT) images. Materials and Methods Two experienced examiners analyzed 250 CBCT images obtained from Kuwaiti patients aged 15-65 years who attended government dental specialist clinics between January 2019 and September 2020. The assessment followed the radiographic scoring criteria proposed by De Moor for periapical status and the technical quality of root canal filling. Chi-square and Fisher's exact tests were used for statistical analysis, with significance level set at p < 0.05. Results Among the 2,762 examined teeth, 191 (6.91%) exhibited radiographic signs of AP, and 176 (6.37%) had undergone root canal filling. AP prevalence in root canal-treated teeth was 32.38%, with a significant difference between males and females. Most of the endodontically treated teeth exhibited adequate root canal filling (71.5%). Conclusions The study demonstrated a comparable prevalence of AP and satisfactory execution of root canal treatment compared to similar studies in different countries.
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Affiliation(s)
- Abdulrahman A. Alhailaa
- Department of Restorative Dentistry, College of Medicine and Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
- Farwania Dental Department, Ministry of Health, Kuwait City, Kuwait
| | - Saad A Al-Nazhan
- Department of Restorative Dentistry – Endodontics, College of Medicine and Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
| | - Mazen A Aldosimani
- Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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AbuMelha AS. Prevalence of Root Canal Treatment During Orthodontic Treatment: A Retrospective Five-Year Follow-Up. Cureus 2023; 15:e35392. [PMID: 36987492 PMCID: PMC10039986 DOI: 10.7759/cureus.35392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 02/19/2023] [Indexed: 03/30/2023] Open
Abstract
BACKGROUND Orthodontic and endodontic treatments are commonly studied. It has been advocated that orthodontic treatment can cause an impact on endodontically treated teeth, and root canal therapy (RCT) during orthodontic intervention can cause a halt in treatment, thus prolonging the treatment duration. The objective of the present study was to evaluate the incidence of RCT among patients subjected to orthodontic treatment. MATERIALS AND METHODS The present retrospective study was done on 814 patients undergoing orthodontic treatment. The clinical and radiographic records were assessed for all patients, and evidence of RCT was calculated. The data were obtained about gender, type of teeth involved, and diagnosis of the condition. RESULTS Out of those 658 patients who underwent orthodontic treatment in the past five years, 89 (13.53%) had undergone RCT, with the mean age being 21.38 years. A statistically significant difference (p<0.05) was found between both genders concerning diagnosis. A maximum of 24.7% of cases subjected to RCT were right mandibular first molar, followed by left maxillary first molar, and left mandibular first molar, with a statistically insignificant difference (p>0.05) between both genders concerning the type of tooth involved. CONCLUSION A significant rate of prevalence of RCT was observed among the patients undergoing orthodontic treatment, mainly involving molars. Males showed more incidence of RCT of teeth among patients subjected to orthodontic treatment. Thus, patients need to be evaluated for RCT before initiating orthodontic treatment.
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Affiliation(s)
- Abdulaziz S AbuMelha
- Department of Restorative Dental Sciences, King Khalid University College of Dentistry, Abha, SAU
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Muacevic A, Adler JR, Baeisa DS, Alghamdi FT. Prevalence of Periapical Radiolucency and Conventional Root Canal Treatment in Adults: A Systematic Review of Cross-Sectional Studies. Cureus 2023; 15:e33302. [PMID: 36741594 PMCID: PMC9893866 DOI: 10.7759/cureus.33302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/26/2022] [Indexed: 01/04/2023] Open
Abstract
Cross-sectional studies assess a population's health state and the prevalence of diseases or treatments. Few systematic reviews regarding the prevalence of periapical radiolucency (PARL) and nonsurgical root canal treatment (NSRCT) were conducted in the last decade. The goal of this study was to collect and review all updated and available cross-sectional studies that focus on the prevalence of both PARL and NSRCT in adult populations. It involves a systematic literature review of cross-sectional studies on the prevalence of PARL and NSRCT published from 1987 to 2022 in PubMed, Google Scholar, Web of Science, and Scopus with specific keywords used in the search process. A total of 52 articles were included in this systematic review. The majority of the included articles were from different populations. The overall prevalence of teeth with PARL was 43,522 (6.40%), while the prevalence of NSRCT teeth was 52,149 (7.67%). On the other hand, the overall prevalence of PARL in teeth that have received endodontic treatment and teeth that have not received endodontic treatment were 22,110 (3.25%) and 21,412 (3.15%), respectively. A meta-analysis was not performed due to underreporting of publication bias and the high degree of heterogeneity between studies. The overall risk of bias assessment revealed a low risk of bias in 25 (48%) of the included studies. The prevalence of NSRCT was higher at 7.67%, followed by PARL at approximately 6.40%. However, future studies are recommended to investigate the prevalence of both PARL and NSRCT in different patient populations.
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León‐López M, Cabanillas‐Balsera D, Martín‐González J, Montero‐Miralles P, Saúco‐Márquez JJ, Segura‐Egea JJ. Prevalence of root canal treatment worldwide: A systematic review and meta-analysis. Int Endod J 2022; 55:1105-1127. [PMID: 36016509 PMCID: PMC9826350 DOI: 10.1111/iej.13822] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 08/21/2022] [Accepted: 08/22/2022] [Indexed: 01/11/2023]
Abstract
BACKGROUND The prevalence of root filled teeth (RFT) worldwide will inform about the amount of clinical activity of dentists dedicated to treat endodontic disease. OBJECTIVES To carry out a systematic review with meta-analysis answering the following question: What is the prevalence of RFT around the world? The percentage of people with at least one RFT was also investigated. METHODS A systematic review including population-based studies using the following databases: PubMed, EMBASE and Scielo. Studies related to prevalence of RFT were included. The outcome of interest of the study was the prevalence of RFT. The meta-analyses were calculated with the Open Meta Analyst software to determine the global prevalence of RFT. Subgroups analyses were performed comparing geographical distribution, radiographic method and year of the study (classified in 20th or 21th century). The prevalence of people with at least one RFT was also analysed. RESULTS Seventy-four population-based studies fulfilled the inclusion criteria. Twenty-eight, forty-four and two studies reported high, moderate and low risk of bias, respectively. No obvious publication bias was observed. Prevalence of RFT was estimated with 1 201 255 teeth and 32 162 patients. The calculated worldwide prevalence of RFT was 8.2% (95% CI = 7.3%-9.1%; p < .001). The global prevalence of people with at least one RFT was 55.7% (95% CI = 49.6%-61.8%; p < .001). In 20th century, the prevalence of RFT was 10.2% (95% CI = 7.9%-12.5%; p < .001), whereas in the 21st century the overall calculated prevalence of RFT was 7.5% (95% CI = 6.5%-8.6%; p < .001). Brazilian people (12%) and the European population (9.3%) showed the highest prevalence of RFT. In Europe, 59.6% (95% CI = 52.4%-66.8%) of people has at least one RFT. CONCLUSIONS This review showed that root canal treatment is a very common therapy throughout the world. More than half of the studied population have at least one RFT. A limitation of the present study is that most of the studies did not consider random sampling for population selection. REGISTRATION PROSPERO Systematic review registration number: (CRD42022329053).
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Affiliation(s)
- María León‐López
- Endodontic Section, Department of Stomatology, School of DentistryUniversity of SevillaSevillaSpain
| | | | - Jenifer Martín‐González
- Endodontic Section, Department of Stomatology, School of DentistryUniversity of SevillaSevillaSpain
| | - Paloma Montero‐Miralles
- Endodontic Section, Department of Stomatology, School of DentistryUniversity of SevillaSevillaSpain
| | - Juan J. Saúco‐Márquez
- Endodontic Section, Department of Stomatology, School of DentistryUniversity of SevillaSevillaSpain
| | - Juan J. Segura‐Egea
- Endodontic Section, Department of Stomatology, School of DentistryUniversity of SevillaSevillaSpain
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Chronic Obstructive Pulmonary Disease and Apical Periodontitis and Other Oral Health Variables: A Case-Control Study. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12147141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Background: The relationship between chronic inflammatory diseases and their comorbidities and correlation with periodontal diseases has become an increasing focus of research. Objectives: The aim of this case-control study was to conclude if patients suffering from COPD (Chronic Obstructive Pulmonary Disease) tend to have more AP (Apical Periodontitis) than non-COPD patients. Materials and Methods: The study was conducted on 30 patients assigned as cases, associated with 30 control patients linked by age (+/−5 years) and sex. Results: A total of 60 patients were recorded, and a total of 12 radiographic variables were analyzed. A total of 43 (71.7%) patients were registered with PAI (Periapical Index) ≥ 3, and there was a slightly tendency in the patients from the control group 22 (73.3%) compared to those from the cases 21 (70%), respectively (p > 0.05). Conclusions: It was concluded that there was not a significant association between the levels of PAI (Periapical Index) ≥ 3 per patient in those suffering from COPD. In fact, it could be concluded that patients diagnosed with COPD tend to have more teeth with PAI ≥ 3, more endodontic treatments and their periodontitis tended to accumulate more caries. Clinical Significance: This study establishes, in a case-control study, some specific aspects of oral health in patients with COPD, as well as analyzing the importance of oral health in this disease.
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Jordal K, Skudutyte-Rysstad R, Sen A, Torgersen G, Ørstavik D, Sunde PT. Effects of an individualized training course on technical quality and periapical status of teeth treated endodontically by dentists in the Public Dental Service in Norway: An observational intervention study. Int Endod J 2021; 55:240-251. [PMID: 34817881 DOI: 10.1111/iej.13669] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 11/19/2021] [Accepted: 11/22/2021] [Indexed: 11/26/2022]
Abstract
AIM To investigate the effect of a continuing education course on technical quality and treatment outcome for root filled permanent teeth in Møre and Romsdal County, Norway. METHODOLOGY Fifty-two dentists employed in the Public Dental Service in Møre and Romsdal county, Norway, completed a two-day continuing education course in root canal treatment. Periapical radiographs of root filled teeth treated before and after the course, with at least one-year follow-up were identified and scored for technical quality and periapical status. Technical root filling quality was assessed by density and length and the treatment outcome by PAI scores. Treatment information was achieved from the county's electronic dental record system. Information regarding the dental practitioners' background and treatment procedure routines was collected by a questionnaire. Descriptive statistics analyses and mixed-effect logistic regression analyses were performed to evaluate the effect of the course. RESULTS Radiographs were available for 224 teeth root filled before and for 221 teeth after the course. The proportion of teeth with adequate root filling quality was significantly lower after the course (p = .006), associated mainly with short root fillings (p < .001). No significant differences were observed in treatment outcome. There were, however, large differences in treatment outcome amongst subgroups of dentists. Further, there was evidence of effect modification by the continuing education course on periapical outcome by patient's age (pinteraction = .0023) suggesting that teeth in patients ≤18 years healed relatively better post-course compared to patients >18 years. CONCLUSIONS A two-day continuing education course in root canal treatment attended by Public Dental Service dentists in Norway did not improve the technical quality of root fillings or periapical status associated with root filled teeth.
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Affiliation(s)
- Kristin Jordal
- Department of Endodontics, Faculty of Dentistry, University of Oslo, Oslo, Norway.,Center for Oral Health Services and Research, TkMidt, Trondheim, Norway
| | - Rasa Skudutyte-Rysstad
- Department of Cariology and Gerodontology, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Abhijit Sen
- Center for Oral Health Services and Research, TkMidt, Trondheim, Norway
| | - Gerald Torgersen
- IT Section, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Dag Ørstavik
- Department of Endodontics, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Pia Titterud Sunde
- Department of Endodontics, Faculty of Dentistry, University of Oslo, Oslo, Norway
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Jordal K, Sen A, Skudutyte-Rysstad R, Ørstavik D, Sunde PT. Effects of an individualised training course in endodontics on the knowledge and insights of dentists in Public Dental Service in Norway. Acta Odontol Scand 2021; 79:426-435. [PMID: 33503389 DOI: 10.1080/00016357.2021.1876915] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
OBJECTIVE To evaluate the knowledge and insights of general dental practitioners regarding endodontic diagnosis and treatment principles before and after attending a 2-days continuing education course. MATERIALS AND METHODS Sixty-seven dentists employed in the Public Dental Service in Møre and Romsdal county, Norway, were invited to a continuing education course in endodontics. Before and after the course, they answered a questionnaire weighing the importance of factors influencing the prognosis of endodontic treatment. The same questionnaire was answered by specialists in endodontics (n = 56; Spec Group) and a reference group consisting of general dental practitioners from both private and public practice (n = 21; Ref Group). The Test Group answered both before and after the course, while the Spec and Ref Groups completed the questionnaire once. The responses were compared using the Wilcoxon Sign test and Mann-Whitey U test. RESULTS Of the 67 dentists in the Test Group, 49 (73%) completed the course and answered both questionnaires. Before attending the course, the Test Group differed significantly from the Spec Group in 18 out of 27 prognostic factors (p ≤ .05). After the course, there was only moderate improvement in the Test Group responses. On only three factors, they agreed significantly more with the specialists than before attending the course (p ≤ .05). After the Test Group participants had attended the course, their responses were comparable to the responses of the Ref Group. CONCLUSIONS A two-days continuing education course only marginally improved dentists' level of knowledge and insights regarding the influence of prognostic factors in endodontics.
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Affiliation(s)
- Kristin Jordal
- Department of Endodontics, Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway
- Center for Oral Health Services and Research (TkMidt), Trondheim, Norway
| | - Abhijit Sen
- Center for Oral Health Services and Research (TkMidt), Trondheim, Norway
- Department of Public health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Rasa Skudutyte-Rysstad
- Department of Cariology and Gerodontology, Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Dag Ørstavik
- Department of Endodontics, Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Pia Titterud Sunde
- Department of Endodontics, Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway
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Sezgin GP, Kaplan SS, Kaplan T, Olcay EO. Effect of prosthetic restorations and root canal fillings on periapical health in a selected patient group. Br Dent J 2021; 231:127-132. [PMID: 34302096 DOI: 10.1038/s41415-021-3221-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Accepted: 11/02/2020] [Indexed: 11/10/2022]
Abstract
Aims To examine the effect of the quality of root canal fillings and prosthetic restorations on the frequency of apical periodontitis (AP).Methodology A total of 200 radiographs of 1,098 teeth with indirect restorations were selected. Each case was documented by age, sex, tooth location, tooth type, restoration type and presence of root canal treatment (RCT). Teeth were categorised as healthy or diseased considering periapical health. The quality of RCT and prosthetic restorations was categorised by radiographic and clinical examinations. Data were analysed using chi-squared test and logistic regression.Results Inadequate prosthetic restorations were found to be less healthy than the adequate ones. Statistical significance was found in teeth with RCT, which had a higher rate of AP (15.8%). Root-filled teeth categorised as inadequately treated (24.1%) were significantly unhealthier than the adequately root-filled teeth. Teeth with inadequate prosthetic restorations and RCT had an increase in AP risk of 6.41 and 20.74 times, respectively (p <0.05).Conclusions Results showed that AP risk was increased by both inadequate RCT and prosthetic restorations. Quality of RCT significantly affected periapical health more than the quality of prosthetic restorations. Not only radiographic but also clinical examination of restorations is required for successful evaluation.
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Affiliation(s)
- Güzide Pelin Sezgin
- Department of Endodontics, Faculty of Dentistry, Biruni University, 10 Yıl Caddesi Protokol Yolu No: 45 34010 Topkapı, Istanbul, Turkey
| | - Sema Sönmez Kaplan
- Department of Endodontics, Faculty of Dentistry, Biruni University, 10 Yıl Caddesi Protokol Yolu No: 45 34010 Topkapı, Istanbul, Turkey.
| | - Tuna Kaplan
- Department of Endodontics, Faculty of Dentistry, Biruni University, 10 Yıl Caddesi Protokol Yolu No: 45 34010 Topkapı, Istanbul, Turkey
| | - Emin Orkun Olcay
- Department of Prosthodontics, Faculty of Dentistry, Biruni University, 10. Yıl Caddesi Protokol Yolu No: 45 34010 Topkapı, Istanbul, Turkey
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Prevalence of Lateral Radiolucency, Apical Root Resorption and Periapical Lesions in Portuguese Patients: A CBCT Cross-Sectional Study with a Worldwide Overview. Eur Endod J 2021; 6:56-71. [PMID: 33762535 PMCID: PMC8056814 DOI: 10.14744/eej.2021.29981] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Objective: Apical periodontitis develops when bacteria, or their by products, migrate from the infected root canal system space to the surrounding apical tissues. The objective of the present multi-center cross-sectional study was to analyze the prevalence of lateral radiolucency, apical root resorption and periapical lesions in 7 districts of Portugal using cone-beam computed tomographic (CBCT) assessment. Methods: A total of 1,249 CBCT scans, from 11 dental clinics, were screened. Data regarding 22,899 teeth was included. For each tooth the recorded data was the presence of lateral radiolucency, apical root resorption, periapical lesions, previous root canal treatment, missed root canals, length of root canal filling (short, good or overfilling) and type of coronal restoration (intact tooth, non-restored, filling or crown). Differences between districts were tested using chi-squared. A P<0.05 was considered significant. Results: The proportion of lateral radiolucency ranged between 0.0% (Aveiro, Braga and Coimbra) and 0.9% (Lisbon), while the prevalence of apical root resorption ranged from 0.0% (Braga and Coimbra) to 3.0% in Setubal. The nationwide proportion of lateral radiolucency was 0.4%, while for apical root resorption was 1.1%. The prevalence of periapical lesions varied from 4.1% (Braga) and 13.0% (Lisbon) with a nationwide proportion of 10.0%. Significant differences were noted between districts (P<0.05). Conclusion: The prevalence of lateral radiolucency and apical root resorption were low in all districts. Root canal filled teeth were associated with higher periapical lesions proportions than non-treated teeth. Independently of the assessed district, the periapical status may be influenced by both quality of the endodontic treatment and coronal restoration.
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Tibúrcio-Machado CS, Michelon C, Zanatta FB, Gomes MS, Marin JA, Bier CA. The global prevalence of apical periodontitis: a systematic review and meta-analysis. Int Endod J 2021; 54:712-735. [PMID: 33378579 DOI: 10.1111/iej.13467] [Citation(s) in RCA: 198] [Impact Index Per Article: 66.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Accepted: 12/24/2020] [Indexed: 12/16/2022]
Abstract
BACKGROUND Apical periodontitis (AP) frequently presents as a chronic asymptomatic disease. To arrive at a true diagnosis, in addition to the clinical examination, it is mandatory to undertake radiographic examinations such as periapical or panoramic radiographs, or cone-beam computed tomography (CBCT). Thus, the worldwide burden of AP is probably underestimated or unknown. Previous systematic reviews attempted to estimate the prevalence of AP, but none have investigated which factors may influence its prevalence worldwide. OBJECTIVES To assess: (i) the prevalence of AP in the population worldwide, as well as the frequency of AP in all teeth, nontreated teeth and root filled teeth; (ii) which factors can modify the prevalence of AP. METHODS A search was conducted in the PubMed-MEDLINE, EMBASE, Cochrane-CENTRAL, LILACS, Google scholar and OpenGrey databases, followed by hand searches, until September 2019. Cross-sectional, case-control and cohort studies reporting the prevalence of AP in humans, using panoramic or periapical radiograph or CBCT as image methods were included. No language restriction was applied. An adaptation of the Newcastle-Ottawa Scale was used to evaluate the quality of the studies. A meta-analysis was performed to determine the pooled prevalence of AP at the individual level. Secondary outcomes were the frequency of AP in all teeth, nontreated teeth and rootfilled teeth. Subgroup analyses using random-effect models were carried out to analyse the influence of explanatory covariables on the outcome. RESULTS The search strategy identified 6670 articles, and 114 studies were included in the meta-analysis, providing data from 34 668 individuals and 639 357 teeth. The prevalence of AP was 52% at the individual level (95% CI 42%-56%, I2 = 97.8%) and 5% at the tooth level (95% CI 4%-6%; I2 = 99.5%). The frequency of AP in root-filled teeth and nontreated teeth was 39% (95% CI 36%-43%; I2 = 98.5%) and 3% (95% CI 2%-3%; I2 = 99.3%), respectively. The prevalence of AP was greater in samples from dental care services (DCS; 57%; 95% CI 52%-62%; I2 = 97.8%) and hospitals (51%; 95% CI 40%-63%; I2 = 95.9%) than in those from the general population (GP; 40%; 95% CI 33%-46%; I2 = 96.5%); it was also greater in people with a systemic condition (63%; 95% CI 56%-69%, I2 = 89.7%) compared to healthy individuals (48%; 95% CI 43%-53%; I2 = 98.3%). DISCUSSION The subgroup analyses identified explanatory factors related to the variability in the prevalence of AP. However, the high clinical heterogeneity and high risk of bias across the primary studies indicate that the findings must be interpreted with caution. CONCLUSIONS Half of the adult population worldwide have at least one tooth with apical periodontitis. The prevalence of AP is greater in samples from the dental care services, but it is also high amongst community representative samples from the general population. The present findings should bring the attention of health policymakers, medical and dental communities to the hidden burden of endodontic disease in the population worldwide.
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Affiliation(s)
- C S Tibúrcio-Machado
- Graduate Program in Dental Science, Federal University of Santa Maria (UFSM), Santa Maria, Brazil
| | - C Michelon
- Medical and Dental Center of the Brazilian Army, Santa Maria, Brazil
| | - F B Zanatta
- Graduate Program in Dental Science, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.,Department of Stomatology, Federal University of Santa Maria (UFSM), Santa Maria, Brazil
| | - M S Gomes
- Graduate Program in Dentistry, School of Health and Life Sciences, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Brazil.,Medical and Dental Center of the Military Police, Porto Alegre, Brazil
| | - J A Marin
- Universidade Franciscana (UFN), Santa Maria, Brazil
| | - C A Bier
- Graduate Program in Dental Science, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.,Department of Stomatology, Federal University of Santa Maria (UFSM), Santa Maria, Brazil
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14
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Jakovljevic A, Nikolic N, Jacimovic J, Pavlovic O, Milicic B, Beljic-Ivanovic K, Miletic M, Andric M, Milasin J. Prevalence of Apical Periodontitis and Conventional Nonsurgical Root Canal Treatment in General Adult Population: An Updated Systematic Review and Meta-analysis of Cross-sectional Studies Published between 2012 and 2020. J Endod 2020; 46:1371-1386.e8. [PMID: 32673634 DOI: 10.1016/j.joen.2020.07.007] [Citation(s) in RCA: 77] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Revised: 07/01/2020] [Accepted: 07/04/2020] [Indexed: 12/24/2022]
Abstract
INTRODUCTION This study aimed to summarize data on apical periodontitis (AP) and nonsurgical root canal treatment (NSRCT) prevalence and risk factors related to age, gender, and quality of restorative and endodontic treatment in the general population from cross-sectional studies published between 2012 and 2020. METHODS An electronic search was performed in the following databases: Web of Science, Scopus, and PubMed. The conducted literature search covered studies published between 2012 and 2020, without restrictions on language. The STROBE and NOS tools were used for quality assessment of the included studies. RESULTS Sixteen articles were included in the review. In total, 200,041 teeth were examined. On average, 6.3% of teeth had AP, and 7.4% had NSRCT. Forty-one percent of RCT teeth had AP, and 3.5% of untreated teeth had AP. Female patients were less prone to AP in endodontically treated teeth only, compared with male patients (P < .001). Variable stratification of age subgroups among included studies prevented us from conducting a meta-analysis. An increase in AP frequency was found in teeth with inadequate restorative and endodontic treatment (P < .001 and P < .001, respectively). Because of high heterogeneity, these results should be taken with caution. CONCLUSIONS There is an increased AP prevalence in the adult general population compared with data from 2012 (6.3% versus 5.4%) in both endodontically treated (41.3% versus 35.9%) and untreated teeth (3.5% versus 2.1%). In addition, AP developed less frequently in female patients with endodontically treated teeth and in teeth with inadequate compared with adequate restorative and endodontic treatment.
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Affiliation(s)
- Aleksandar Jakovljevic
- University of Belgrade, School of Dental Medicine, Department of Pathophysiology, Belgrade, Serbia.
| | - Nadja Nikolic
- University of Belgrade, School of Dental Medicine, Department of Biology and Human Genetics, Belgrade, Serbia
| | - Jelena Jacimovic
- University of Belgrade, School of Dental Medicine, Central Library, Belgrade, Serbia
| | - Ognjan Pavlovic
- University of Belgrade, School of Dental Medicine, Laboratory for Basic Research, Belgrade, Serbia
| | - Biljana Milicic
- University of Belgrade, School of Dental Medicine, Department for Medical Statistics and Informatics, Belgrade, Serbia
| | - Katarina Beljic-Ivanovic
- University of Belgrade, School of Dental Medicine, Department of Restorative Odontology and Endodontics, Belgrade, Serbia
| | - Maja Miletic
- University of Belgrade, School of Dental Medicine, Department of Pathophysiology, Belgrade, Serbia
| | - Miroslav Andric
- University of Belgrade, School of Dental Medicine, Clinic of Oral Surgery, Belgrade, Serbia
| | - Jelena Milasin
- University of Belgrade, School of Dental Medicine, Department of Biology and Human Genetics, Belgrade, Serbia
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15
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Endres MG, Hillen F, Salloumis M, Sedaghat AR, Niehues SM, Quatela O, Hanken H, Smeets R, Beck-Broichsitter B, Rendenbach C, Lakhani K, Heiland M, Gaudin RA. Development of a Deep Learning Algorithm for Periapical Disease Detection in Dental Radiographs. Diagnostics (Basel) 2020; 10:E430. [PMID: 32599942 PMCID: PMC7344682 DOI: 10.3390/diagnostics10060430] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 06/18/2020] [Accepted: 06/19/2020] [Indexed: 12/15/2022] Open
Abstract
Periapical radiolucencies, which can be detected on panoramic radiographs, are one of the most common radiographic findings in dentistry and have a differential diagnosis including infections, granuloma, cysts and tumors. In this study, we seek to investigate the ability with which 24 oral and maxillofacial (OMF) surgeons assess the presence of periapical lucencies on panoramic radiographs, and we compare these findings to the performance of a predictive deep learning algorithm that we have developed using a curated data set of 2902 de-identified panoramic radiographs. The mean diagnostic positive predictive value (PPV) of OMF surgeons based on their assessment of panoramic radiographic images was 0.69(± 0.13), indicating that dentists on average falsely diagnose 31% of cases as radiolucencies. However, the mean diagnostic true positive rate (TPR) was 0.51(± 0.14), indicating that on average 49% of all radiolucencies were missed. We demonstrate that the deep learning algorithm achieves a better performance than 14 of 24 OMF surgeons within the cohort, exhibiting an average precision of 0.60(± 0.04), and an F1 score of 0.58(± 0.04) corresponding to a PPV of 0.67(± 0.05) and TPR of 0.51(± 0.05). The algorithm, trained on limited data and evaluated on clinically validated ground truth, has potential to assist OMF surgeons in detecting periapical lucencies on panoramic radiographs.
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Affiliation(s)
- Michael G. Endres
- Laboratory for Innovation Science, Harvard University, 175 N. Harvard Street, Suite 1350, Boston, MA 02134, USA;
| | - Florian Hillen
- Laboratory for Innovation Science, Harvard University, 175 N. Harvard Street, Suite 1350, Boston, MA 02134, USA;
- Institute for Data, Systems and Society, Massachusetts Institute of Technology, 50 Ames St, Cambridge, MA 02142, USA;
| | - Marios Salloumis
- Department of Oral- and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Hindenburgdamm 30, 12203 Berlin, Germany; (M.S.); (C.R.); (B.B.-B.); (M.H.)
| | - Ahmad R. Sedaghat
- Department of Otolaryngology—Head and Neck Surgery, University of Cincinnati College of Medicine, Medical Sciences Building Room 6410, 231 Albert Sabin Way, Cincinnati, OH 45267, USA;
| | - Stefan M. Niehues
- Department of Radiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Hindenburgdamm 30, 12203 Berlin, Germany;
| | - Olivia Quatela
- Department of Oral- and Maxillofacial Surgery, Universitätsklinikum Hamburg, Eppendorf, Maritnistraße 52, 20246 Hamburg, Germany; (O.Q.); (R.S.); (H.H.)
| | - Henning Hanken
- Department of Oral- and Maxillofacial Surgery, Universitätsklinikum Hamburg, Eppendorf, Maritnistraße 52, 20246 Hamburg, Germany; (O.Q.); (R.S.); (H.H.)
| | - Ralf Smeets
- Department of Oral- and Maxillofacial Surgery, Universitätsklinikum Hamburg, Eppendorf, Maritnistraße 52, 20246 Hamburg, Germany; (O.Q.); (R.S.); (H.H.)
| | - Benedicta Beck-Broichsitter
- Department of Oral- and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Hindenburgdamm 30, 12203 Berlin, Germany; (M.S.); (C.R.); (B.B.-B.); (M.H.)
| | - Carsten Rendenbach
- Department of Oral- and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Hindenburgdamm 30, 12203 Berlin, Germany; (M.S.); (C.R.); (B.B.-B.); (M.H.)
| | - Karim Lakhani
- Laboratory for Innovation Science, Harvard University, 175 N. Harvard Street, Suite 1350, Boston, MA 02134, USA;
- Technology and Operations Management Unit, Harvard Business School, Wyss House, Boston, MA 02163, USA;
| | - Max Heiland
- Department of Oral- and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Hindenburgdamm 30, 12203 Berlin, Germany; (M.S.); (C.R.); (B.B.-B.); (M.H.)
| | - Robert A. Gaudin
- Laboratory for Innovation Science, Harvard University, 175 N. Harvard Street, Suite 1350, Boston, MA 02134, USA;
- Department of Oral- and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Hindenburgdamm 30, 12203 Berlin, Germany; (M.S.); (C.R.); (B.B.-B.); (M.H.)
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16
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Sakkas A, Winter K, Rath M, Mascha F, Pietzka S, Schramm A, Wilde F. Factors influencing the long-term prognosis of root tip resected teeth. GMS INTERDISCIPLINARY PLASTIC AND RECONSTRUCTIVE SURGERY DGPW 2019; 8:Doc13. [PMID: 31523611 PMCID: PMC6734193 DOI: 10.3205/iprs000139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Introduction: The aim of the study was to investigate possible predictive factors influencing the long-term success of root tip resection. Methods: The retrospective study included 216 patients (♂ 111, ♀ 106, median age 43.3 years). A total of 261 root tip resections were performed on these patients between 1989 and 2012. In addition to determining the success rates 5 and 10 years postoperatively, the factors gender, age, tooth type, use of bone replacement material and preoperative periodontal tooth status were examined with regard to their significance for the long-term prognosis of root tip resected teeth. Results: The evaluation showed an average success rate of 63.6% for all included teeth over the entire observation period (tooth at least one year postoperatively still in situ). The 5-year success rate was 78.2%, the 10-year success rate 63.1%. A dependence of the success rates on the tooth type could not be evaluated. However, the examination showed a clear dependence of the success on the age of the patients. Root tip resections in patients in the age group 60 years and older had significantly worse success rates compared to the age groups 20 to 39 years and 40 to 59 years. The prognosis was also significantly better for patients in the age group 20 to 39 years than for patients in the age group 40 to 59 years. Periodontally compromised teeth showed only a tendency for a poorer prognosis than periodontally healthy teeth. With regard to sex and intraoperative filling of the resection defect with bone replacement material, no differences in the success rates were found. Conclusions: A root tip resection is a good option, largely independent of the type of tooth, to preserve a tooth in the medium to long term after unsuccessful endodontic treatment. However, a revision of the endodontic treatment or even an extraction with subsequent implantation should always be considered as an alternative, especially with increasing age.
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Affiliation(s)
- Andreas Sakkas
- Department of Oral and Plastic Maxillofacial Surgery, Armed Forces Hospital Ulm, Germany
| | - Karsten Winter
- Institute of Anatomy, Medical Faculty, University of Leipzig, Germany
| | - Maximilian Rath
- Department of Oral and Maxillofacial Surgery, University Hospital Ulm, Germany
| | - Frank Mascha
- Department of Oral and Plastic Maxillofacial Surgery, Armed Forces Hospital Ulm, Germany.,Department of Oral and Maxillofacial Surgery, University Hospital Ulm, Germany
| | - Sebastian Pietzka
- Department of Oral and Plastic Maxillofacial Surgery, Armed Forces Hospital Ulm, Germany.,Department of Oral and Maxillofacial Surgery, University Hospital Ulm, Germany
| | - Alexander Schramm
- Department of Oral and Plastic Maxillofacial Surgery, Armed Forces Hospital Ulm, Germany.,Department of Oral and Maxillofacial Surgery, University Hospital Ulm, Germany
| | - Frank Wilde
- Department of Oral and Plastic Maxillofacial Surgery, Armed Forces Hospital Ulm, Germany.,Department of Oral and Maxillofacial Surgery, University Hospital Ulm, Germany
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17
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Al-Anesi MS, AlKhawlani MM, Alkheraif AA, Al-Basmi AA, Alhajj MN. An audit of root canal filling quality performed by undergraduate pre-clinical dental students, Yemen. BMC MEDICAL EDUCATION 2019; 19:350. [PMID: 31519180 PMCID: PMC6743157 DOI: 10.1186/s12909-019-1798-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Accepted: 09/09/2019] [Indexed: 05/24/2023]
Abstract
BACKGROUND Dental students are future dentists. Continuous assessment and improving of the educational curricula will ensure excellent academic performance of dental students and thus providing the community with the best treatment modalities. The aim of this study was to evaluate the root canal filling quality performed in extracted teeth by preclinical undergraduate Yemeni dental students. METHODS Root canal treatment was performed by undergraduate preclinical dental students on 331 extracted human teeth including 741 roots. The teeth were then collected and evaluated radiographically based on three criteria of quality (length, density, and taper). Cohen's Kappa test was used to assess the agreement between the examiners and Chi-squared test was used for the association between the study variables. The level of significant was set at α < 0.05. RESULTS The results of the study revealed that the overall quality of roots canals fillings was poor. However, more than half of the study sample (53.4%) had adequate length, 13.1% had adequate density, and 14.2% had adequate taper. Anterior as well as single-rooted teeth had significantly better quality than posterior and multi-rooted teeth, respectively. The root canal fillings quality mandibular teeth was better than of maxillary teeth with no significant difference (P > 0.05). CONCLUSION The findings of the study emphasize the need of improving the endodontic course in the preclinical level and more advanced techniques and instruments should be incorporated.
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Affiliation(s)
| | | | - Abdulaziz A. Alkheraif
- Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia
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18
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Linas N, Faulks D, Hennequin M, Cousson PY. Conservative and endodontic treatment performed under general anesthesia: A discussion of protocols and outcomes. SPECIAL CARE IN DENTISTRY 2019; 39:453-463. [PMID: 31433510 DOI: 10.1111/scd.12410] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Revised: 07/11/2019] [Accepted: 07/12/2019] [Indexed: 11/27/2022]
Abstract
AIMS This work discusses the procedures and outcomes of restorative and endodontic treatments performed under general anesthesia, with examples from the Unit of Special Care Dentistry at the University Hospital of Clermont-Ferrand. METHODS AND RESULTS The restorative and endodontic treatment techniques used in the Special Care Unit are described. These techniques are compared to existing reports in the literature of treatment procedures under general anesthesia. Little evidence was found in the literature regarding sealants or restorative protocols. A few studies described root canal treatment and pulpotomy protocols carried out under general anesthesia, and the results of these met academic outcome standards. CONCLUSION Patients with equal needs should have equal access, equal quality of treatment and equal treatment outcomes, regardless of whether a facilitatory procedure is used to achieve treatment. The provision of restorative treatment under general anesthesia is essential to avoid an excessive number of extractions in patients unable to receive treatment in the chair. Restorative care provided under general anesthesia should be standardized and evaluated in the same way as treatment performed under local anesthesia. In this way, the provision of conservative dental care under general anesthesia could be promoted and the maintenance of a functional dentition encouraged.
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Affiliation(s)
- Natacha Linas
- Université Clermont Auvergne, CROC, F-63000, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | - Denise Faulks
- Université Clermont Auvergne, CROC, F-63000, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | - Martine Hennequin
- Université Clermont Auvergne, CROC, F-63000, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
| | - Pierre-Yves Cousson
- Université Clermont Auvergne, CROC, F-63000, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France
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19
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Alqerban A, Almanea A, Alkanhal A, Aljarbou F, Almassen M, Fieuws S, Willems G. Impact of orthodontic treatment on the integrity of endodontically treated teeth. Eur J Orthod 2019; 41:238-243. [PMID: 29982467 DOI: 10.1093/ejo/cjy049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
AIM The purpose of this study was to evaluate the periapical status of endodontically treated teeth and the integrity of endodontic treatment before and after orthodontic treatment. MATERIALS AND METHODS This retrospective study was conducted by evaluating 128 teeth with root canal treatment (RCT). The teeth were obtained from 72 patients (23 males, 49 females) who had undergone fixed orthodontic treatment. Panoramic radiographs were taken and were evaluated before the start and after the completion of orthodontic treatment. Apical periodontitis (AP) was evaluated by the periapical index (PAI) and the probability index (PRI) of periapical bone destruction. Other variables related to the quality of root canal fillings were included, such as RCT quality index, length, and homogeneity, and coronal restoration. RESULTS According to the PRI, the proportion of teeth with periapical bone destruction was significantly higher after orthodontic treatment. Overall, there was no significant change in the PAI scores after orthodontic treatment. However, the quality of the endodontic treatment moderated the change in the PAI score, as well as the change in the PRI. There was no significant increase in PAI and PRI scores after orthodontic treatment for adequately treated teeth. However, the risk for periapical lesions and bone destruction after orthodontic treatment was significantly increased for teeth receiving inadequate endodontic treatment compared with those receiving adequate endodontic treatment. CONCLUSION Increased PAI and PRI after orthodontic treatment correlated with the quality of endodontic treatment.
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Affiliation(s)
- Ali Alqerban
- Department of Preventive Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
| | | | | | - Fahd Aljarbou
- Division of Endodontics, Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | | | - Steffen Fieuws
- Department of Public Health, Interuniversity Institute for Biostatistics and Statistical Bioinformatics, KU Leuven and Universiteit Hasselt, Belgium
| | - Guy Willems
- Department of Oral Health Sciences, KU Leuven Dentistry, University Hospitals Leuven, Belgium
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20
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Jonsson Sjögren J, Kvist T, Eliasson A, Pigg M. The frequency and characteristics of pain and discomfort associated with root filled teeth: a practice‐based study. Int Endod J 2019; 52:1264-1273. [DOI: 10.1111/iej.13124] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Accepted: 04/09/2019] [Indexed: 11/27/2022]
Affiliation(s)
- J. Jonsson Sjögren
- Dental Research Department Public Dental Health Service Örebro County Örebro Sweden
- Department of Endodontics Faculty of Odontology Malmö University Malmö Sweden
| | - T. Kvist
- Department of Endodontology Institute of Odontology at the Sahlgrenska Academy University of Gothenburg Gothenburg Sweden
| | - A. Eliasson
- Dental Research Department Public Dental Health Service Örebro County Örebro Sweden
- Faculty of Medicine and Health Örebro University Örebro Sweden
| | - M. Pigg
- Department of Endodontics Faculty of Odontology Malmö University Malmö Sweden
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21
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Cousson PY, Decerle N, Munoz-Sanchez ML, Roux D, Doméjean S, Nicolas E, Hennequin M. The "Plan" phase of a Deming cycle: Measurement of quality and outcome of root canal treatments in a university hospital. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2019; 23:e1-e11. [PMID: 30295003 DOI: 10.1111/eje.12393] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/30/2018] [Indexed: 06/08/2023]
Abstract
INTRODUCTION In many countries, dental students are taught in private or university hospitals where they treat patients under the supervision of teachers. Assessing the quality of root canal treatments (RCT) would provide information about the quality of care patients receive when treated by students. METHODS This study describes the six-step "Plan" phase of a Plan-Do-Check-Act (PDCA) cycle that identifies and analyses clinical practices in endodontics in a university dental hospital service. RESULTS Step 3 reported that the proportion of RCTs of adequate quality reached 57.1% and this proportion was significantly decreased when specific indicators for treatment difficulties were present. The proportion of successful RCTs after 1 year was 65.6%, and its variation was influenced by the preoperative periapical status rather than the quality of RCTs. The consensual meeting in Step 6 proposed to introduce three new procedures for the further Do, Check and Act phases of the PDCA cycle. CONCLUSION This study encourages systematic evaluation of RCTs and provides the first step of the methodology that can be reproduced in private and hospital practices where students are asked to treat patients.
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Affiliation(s)
- Pierre-Yves Cousson
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Nicolas Decerle
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Marie-Laure Munoz-Sanchez
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Dominique Roux
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Sophie Doméjean
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Emmanuel Nicolas
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Martine Hennequin
- University of Clermont Auvergne, Clermont-Ferrand, France
- Dental Department, CHU Clermont-Ferrand, Clermont-Ferrand, France
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22
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Pirani C, Zamparini F, Peters OA, Iacono F, Gatto MR, Generali L, Gandolfi MG, Prati C. The fate of root canals obturated with Thermafil: 10-year data for patients treated in a master's program. Clin Oral Investig 2018; 23:3367-3377. [PMID: 30519823 DOI: 10.1007/s00784-018-2756-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Accepted: 11/22/2018] [Indexed: 02/08/2023]
Abstract
OBJECTIVES Retrospective description of the 10-year success rate of endodontic treatments with Thermafil (TF). MATERIALS AND METHODS Patients treated by postgraduate students in an Endodontics Master's Program (2006-2008) were enrolled. All treated root canals were filled with TF and AH Plus. Teeth satisfying the inclusion criteria (206 teeth in 89 patients) were reexamined clinically and radiographically to estimate a 10-year survival and periapical health. Demographic and medical data were registered; collected information included pre-, intra-, and postoperative variables. Teeth were classified as "healthy" (PAI ≤ 2 in absence of signs/symptoms), "endodontically diseased" (presenting at least one of the following: PAI ≥ 3, signs/symptoms, retreated in the course of the follow-up, or extracted for endodontic reasons), or "non-endodontically diseased" (extracted for non-restorable fractures or periodontal disease). For teeth lost during the 10-year follow-up, details and reason of extraction were analyzed. Two PAI-calibrated examiners assessed outcomes blinded to preoperative status. Bivariate and multilevel analyses were performed (α level set at 0.05). RESULTS At 10 years, 179 (87%) teeth survived and 27 were extracted: 20 for non-endodontic reasons (excluded from success analysis) and 7 for endodontic reasons (considered "endodontically diseased"). Multilevel analysis revealed that the probability of extraction was increased by the presence of preoperative pain (odds ratio = 6.720; 95% confidence interval, 1.483-30.448) and by maxillary location (odds ratio = 2.950; 95% confidence interval, 1.043-8.347). Concerning periapical status, 159/186 teeth (85%) were assessed as "healthy." Multilevel analysis confirmed that maxillary location (odds ratio = 3.908; 95% confidence interval, 1.370-11.146), presence of flare up (odds ratio = 9.914; 95% confidence interval, 2.388-41.163), and fracture occurrence (odds ratio = 35.412; 95% confidence interval, 3.366-372.555) decreased the odds of healing, respectively. CONCLUSIONS After 10 years, teeth filled with Thermafil in a specialist master's program presented a survival and a periapical health comparable to cohorts where root canals were filled with other obturation techniques. CLINICAL RELEVANCE Carrier-based techniques provide time savings for clinicians while satisfying clinical quality criteria for the root filling and consequently the clinical outcome.
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Affiliation(s)
- Chiara Pirani
- Endodontic Clinical Section, School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.
| | - Fausto Zamparini
- Endodontic Clinical Section, School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Via San Vitale 59, 40125, Bologna, Italy
| | - Ove A Peters
- Arthur A. Dugoni School of Dentistry, University of the Pacific, San Francisco, CA, USA
| | - Francesco Iacono
- Endodontic Clinical Section, School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Via San Vitale 59, 40125, Bologna, Italy
| | - Maria Rosaria Gatto
- Endodontic Clinical Section, School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Via San Vitale 59, 40125, Bologna, Italy
| | - Luigi Generali
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, School of Dentistry, Endodontic Section, University of Modena and Reggio Emilia, Modena, Italy
| | - Maria Giovanna Gandolfi
- Endodontic Clinical Section, School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Via San Vitale 59, 40125, Bologna, Italy
| | - Carlo Prati
- Endodontic Clinical Section, School of Dentistry, Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Via San Vitale 59, 40125, Bologna, Italy
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Apical periodontitis in southern Estonian population: prevalence and associations with quality of root canal fillings and coronal restorations. BMC Oral Health 2017; 17:147. [PMID: 29233146 PMCID: PMC5727925 DOI: 10.1186/s12903-017-0429-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Accepted: 11/19/2017] [Indexed: 12/18/2022] Open
Abstract
Background Apical periodontitis (AP) is an inflammatory disease around the apex of a tooth root. Reported prevalence of AP ranges from 27% to 83% while the data about most post-Soviet countries are still missing. Knowing the prevalence of AP within a certain population helps to plan the treatment need and evaluate the success of endodontic interventions. We aimed to collect data about prevalence and determining factors of AP for the first time in Estonia. Methods The cross-sectional study included 6552 patients (age 35.5±19.2 years). Radiographic examination was applied to investigate the prevalence of AP and quality of endodontic treatment. Results AP was diagnosed in 54.7% of subjects. Endodontically treated teeth were present in 58.2% of subjects. Periapical finding was present in 44.6% of endodontically treated and in 30.8% of untreated teeth. Out of 181,495 teeth, 52.7% were intact. AP was diagnosed in 6.3% of teeth, 6.9% of teeth were endodontically treated. Risk factors for AP included caries (OR = 2.30), male gender (OR = 1.44), too short (OR = 1.76) or too long root canal filling (OR = 2.51), root canal filling of low density (OR = 1.61) while not orthodontic appliance. Lower AP risk was associated with restoration of the tooth – filling (OR = 0.45), crown (OR = 0.34) and bridge (OR = 0.33). Conclusions AP is highly prevalent in Southern Estonian population. Most cases are associated with root canal-treated teeth. The overall quality of root canal fillings tends to be low, consistent with the mediocre outcome of treatment. Considerable efforts are required to improve the standards of endodontic treatment. Electronic supplementary material The online version of this article (10.1186/s12903-017-0429-7) contains supplementary material, which is available to authorized users.
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Ahmed I, Ali R, Mudawi A. Prevalence of apical periodontitis and frequency of root-filled teeth in an adult Sudanese population. Clin Exp Dent Res 2017; 3:142-147. [PMID: 29744192 PMCID: PMC5839248 DOI: 10.1002/cre2.73] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2016] [Revised: 06/10/2017] [Accepted: 06/12/2017] [Indexed: 12/20/2022] Open
Abstract
The aim of this study was to estimate the prevalence of teeth with apical periodontitis (AP) and root-filled (RF) teeth in an adult Sudanese population. Panoramic and periapical radiographs were obtained for 200 patients over 18 years of age seeking routine dental care and attending the dental clinics (University of Khartoum) and the dental hospital (University of Science and Technology) for the first time. The periapical status of all teeth (except third molars) was categorized on the basis of the presence or absence of radiographic signs of AP. In addition, the frequency of RF teeth was recorded. Data were analyzed using the chi-square test and odds ratio (OR). The periapical status of 4,967 teeth was assessed. AP in one or several teeth was identified in 95 (47%) patients and in 3.3% of the teeth. The prevalence of AP was higher in molar teeth (7.3%) than in premolar (3.5%) and anterior teeth (0.9%, p ≤ .001). There were 80 (1.6%) RF teeth in 42 (21%) patients. The probability of root-filling in molar and premolar teeth was almost twice that of anterior teeth (OR with 95% confidence intervals: 1.06 < 1.91 < 3.44, p ≤ .05). The prevalence of RF teeth increased with age (OR of 48 ± year = 3.06, p ≤ .001). Statistical analysis showed that the probability of radiological detection of AP in RF teeth was 17-fold higher than in nonfilled ones (OR with 95% confidence intervals: 9.87 < 16.83 < 28.25, p ≤ .001). Therefore, the probability of AP, RF teeth with or without AP, and missing teeth was high in molar teeth than in anterior or premolar teeth. The frequency of RF teeth was low compared to that demonstrated in most other epidemiological studies. This highlights the need to focus on improving the quality of restorations and the procedure by which root canal is shaped and disinfected.
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Affiliation(s)
- I. Ahmed
- Department of Restorative Dentistry, Faculty of DentistryUniversity of KhartoumSudan
- Department of Operative Dentistry, Faculty of DentistryUniversity of Science and TechnologySudan
| | - R.W. Ali
- Department of Operative Dentistry, Faculty of DentistryUniversity of Science and TechnologySudan
| | - A.M. Mudawi
- Department of Restorative Dentistry, Faculty of DentistryUniversity of KhartoumSudan
- Department of Community and Preventive Dentistry, Faculty of DentistryUniversity of KhartoumSudan
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25
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Timmerman A, Calache H, Parashos P. A cross sectional and longitudinal study of endodontic and periapical status in an Australian population. Aust Dent J 2017; 62:345-354. [DOI: 10.1111/adj.12512] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2017] [Indexed: 12/20/2022]
Affiliation(s)
- A Timmerman
- The Melbourne Dental School; Faculty of Medicine; Dentistry and Health Sciences; The University of Melbourne; Melbourne Victoria Australia
| | - H Calache
- The Melbourne Dental School; Faculty of Medicine; Dentistry and Health Sciences; The University of Melbourne; Melbourne Victoria Australia
- Deakin Health Economics; Faculty of Health; Deakin University; Geelong Victoria Australia
- School of Dentistry and Oral Health; La Trobe University; Bendigo Victoria Australia
| | - P Parashos
- The Melbourne Dental School; Faculty of Medicine; Dentistry and Health Sciences; The University of Melbourne; Melbourne Victoria Australia
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Radiologic assessment of quality of root canal fillings and periapical status in an Austrian subpopulation - An observational study. PLoS One 2017; 12:e0176724. [PMID: 28464019 PMCID: PMC5413016 DOI: 10.1371/journal.pone.0176724] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2016] [Accepted: 04/14/2017] [Indexed: 12/19/2022] Open
Abstract
Background/Objective Progress in endodontic techniques and methodological advances have altered root canal therapy over the last decades. These techniques and methods need periodical documentation. This observational study determined the current prevalence of endodontic treatments, and investigated the relationship of various factors with the periapical status in a Lower Austrian subpopulation. Methodology One thousand orthopantomograms of first-time university adult patients radiographed at an outpatient clinic were evaluated. For each tooth, the presence of periradicular pathosis and/or endodontic treatment was recorded, as was the quality of (post-)endodontic treatment (homogeneity and length of root canal fillings; preparation failures; posts/screws; apicoectomies; coronal restorations). Two evaluators, blinded to each other, scored all teeth. In cases of disagreement, they joined for a consensus score. Results In all, 22,586 teeth were counted. Of these, 2,907 teeth (12.9%) had periapical pathosis, while 2,504 teeth had undergone root canal treatment. Of the endodontically treated teeth, 52% showed no radiographic signs of apical periodontitis, while 44.9% had overt apical lesions, and 3,1% revealed widened periodontal ligament space. The majority of the root canal fillings was inhomogeneous (70.4%); 75.4% were rated too short, and 3.8% too long. The presence of apical pathosis was significantly correlated (odds ratio (OR) 2.556 [confidence interval (CI) 2.076–3.146]; P<0.0001) with poor root canal fillings (length and homogeneity). Posts or screws positively affected periapical status (OR 1.853 [CI 1.219–2.819]; P = 0.004), but endodontically treated posterior teeth were infrequently restored (posts, 7.5%; screws, 2.7%). Best results were found for teeth with both appropriate endodontic treatment and adequate coronal restoration. Conclusion A high prevalence of periradicular radiolucencies was observed with root canal filled teeth, along with high numbers of unmet treatment needs. Periapical health was associated with adequate root canal obturation and high-grade postendodontic restorations, and quality regarding these latter aspects is considered mandatory to promote periapical health.
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Smadi L. Apical Periodontitis and Endodontic Treatment in Patients with Type II Diabetes Mellitus: Comparative Cross-sectional Survey. J Contemp Dent Pract 2017; 18:358-362. [PMID: 28512272 DOI: 10.5005/jp-journals-10024-2046] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
AIMS The aims of this study were to investigate the prevalence of apical periodontitis (AP) in diabetes mellitus (DM) patients compared with nondiabetic patients and to examine the effect of glycemic control on the prevalence of AP. MATERIALS AND METHODS Radiographs of a group of DM patients were compared with those of a matched nondiabetic group to identify AP. The diabetic group was subdivided according to the level of glycemic control into two subgroups: A well-controlled DM and a poorly controlled DM. The periapical index score was used to assess the periapical status. All groups were compared in regard to the presence of AP lesions, the number of end-odontically treated teeth (ET), and the percentage of failure of endodontically treated teeth (AP/ET ratio). Statistical Package for the Social Sciences (SPSS version 20.0, Chicago, Illinois, USA) was used for all the analyses; p ≤ 0.05 was considered as statistically significant. RESULTS The prevalence of AP was higher in diabetic group than in the nondiabetic group (13.5 vs 11.9% respectively). Diabetic group had more teeth with endodontic treatment ET compared with nondiabetic group (4.18 vs 1.82% respectively); this difference was statistically significant (p = 0.001) along with higher AP/ET ratio (27.7 vs 19.3 respectively). The poorly controlled DM group had a higher prevalence of AP lesions compared with the well-controlled DM group (18.29 vs 9.21 respectively). This difference was statistically significant (p = 0.001); they also had a higher percentage of ET (5.55 vs 3.13% respectively) and AP/ ET ratio (32.0 vs 21.8% respectively). CONCLUSION This survey demonstrates a higher prevalence of AP in DM patients compared with nondiabetic group, with an increased prevalence of persistent chronic AP. Compared with a well-controlled diabetic group, a poor glycemic control may be associated with a higher prevalence of AP and increased rate of endodontic failures. CLINICAL SIGNIFICANCE Counseling diabetic patients, particularly those with poor glycemic control, about the risk of failure of endodontic treatment can be part of planning management, which could include refereeing diabetic patients who need endodontic treatment for consultant care.
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Affiliation(s)
- Leena Smadi
- Department of Conservative Dentistry, University of Jordan Amman, Jordan e-mail:
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Hussein FE, Liew AKC, Ramlee RA, Abdullah D, Chong BS. Factors Associated with Apical Periodontitis: A Multilevel Analysis. J Endod 2016; 42:1441-5. [DOI: 10.1016/j.joen.2016.07.009] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2016] [Revised: 06/28/2016] [Accepted: 07/06/2016] [Indexed: 12/19/2022]
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30
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Pedro FM, Marques A, Pereira TM, Bandeca MC, Lima S, 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; 17:830-836. [PMID: 27794154 DOI: 10.5005/jp-journals-10024-1939] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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.
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Affiliation(s)
- Fabio M Pedro
- Department of Post-Graduate Program in Integrated Dental Science, Dental School, University of Cuiabá, Cuiabá, Brazil
| | - Atc Marques
- Department of Post-Graduate Program in Integrated Dental Science, Dental School, University of Cuiabá, Cuiabá, Brazil
| | - Thiago M Pereira
- Department of Post-Graduate Program in Integrated Dental Science, Dental School, University of Cuiabá, Cuiabá, Brazil
| | - Matheus C Bandeca
- Department of Post-Graduate Program in Dentistry, CEUMA University, São Luis, Brazil
| | - Snl Lima
- Department of Post-Graduate Program in Dentistry, CEUMA University, São Luis, Brazil
| | - Milton C Kuga
- Department of Restorative Dentistry, School of Dentistry Universidade Estadual Paulista, Araçatuba, Brazil
| | - Mateus R Tonetto
- Department of Post-Graduate Program in Integrated Dental Science, Dental School, University of Cuiabá, Cuiabá, Brazil
| | - Alex Semenoff-Segundo
- Department of Post-Graduate Program in Integrated Dental Science, Dental School, University of Cuiabá, Cuiabá, Brazil
| | - Alvaro H Borges
- Department of Post-Graduate Program in Integrated Dental Science, Dental School, University of Cuiabá, Cuiabá, Brazil, Phone: +556533631271, e-mail:
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Van der Veken D, Curvers F, Fieuws S, Lambrechts P. Prevalence of apical periodontitis and root filled teeth in a Belgian subpopulation found on CBCT images. Int Endod J 2016; 50:317-329. [DOI: 10.1111/iej.12631] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Accepted: 03/15/2016] [Indexed: 12/19/2022]
Affiliation(s)
- D. Van der Veken
- Department of Oral Health Sciences; KU Leuven - University of Leuven; University Hospitals; Leuven Belgium
| | - F. Curvers
- Department of Oral Health Sciences; KU Leuven - University of Leuven; University Hospitals; Leuven Belgium
| | - S. Fieuws
- Leuven Biostatistics and Statistical Bioinformatics centre; KU Leuven - University of Leuven; Leuven Belgium
| | - P. Lambrechts
- Department of Oral Health Sciences; KU Leuven - University of Leuven; University Hospitals; Leuven Belgium
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Apical periodontitis and the technical quality of root canal treatment in an adult sub-population in London. Br Dent J 2016; 216:E22. [PMID: 24853011 DOI: 10.1038/sj.bdj.2014.404] [Citation(s) in RCA: 52] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2014] [Indexed: 02/08/2023]
Abstract
AIM To assess the prevalence of apical periodontitis (AP) and the technical quality of root canal treatment in an adult sub-population in London. METHODOLOGY Panoramic radiographs of 136 patients who attended a dental hospital were collected. The periapical health of teeth present was assessed radiographically and the presence or absence of AP noted. The technical quality of the root canal treatment was scored as adequate or inadequate, based on the European Society of Endodontology (2006) guidelines. RESULTS A total of 3,396 teeth were assessed; AP was detected in 4.1% of the teeth. Forty-nine percent of patients had at least one tooth with radiographic evidence of AP. The percentage of root filled teeth with AP was 38.3%. AP was significantly more frequently found in root treated, compared with non-root treated, teeth (p <0.001). In 44.3% of the cases, the technical quality of the root canal filling was inadequate. AP was detected in 14% of adequately, compared with 68.6% of inadequately, root filled teeth. There is a significant negative correlation between the technical quality of root canal treatment and the presence of AP (p <0.001). CONCLUSIONS There was a high prevalence of AP and poor technical quality root canal treatment; a strong association between AP and root filled teeth, and between the periapical health and the technical quality of the root canal treatment. The results are consistent with previous studies using similar methodology and re-confirmed that high technical quality root canal treatment is crucial to ensure a favourable treatment outcome.
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Tassoker M, Akgunlu F. Radiographic evaluation of periapical status and frequency of endodontic treatment in a turkish population: a retrospective study. J Istanb Univ Fac Dent 2016; 50:10-16. [PMID: 28955560 PMCID: PMC5573526 DOI: 10.17096/jiufd.89048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Accepted: 01/15/2016] [Indexed: 12/27/2022] Open
Abstract
PURPOSE The aim of this study was to determine the frequencies of apical periodontitis and endodontic treatment in a Turkish population using a retrospective analysis of orthopantomograms. MATERIALS AND METHODS The sample consisted of orthopantomographs of 250 subjects who had been referred to our clinic for an initial visit between the years of 2013 and 2014. The periapical status of all teeth (with the exception of third molars) was examined using periapical index scoring system (PAI). Data were analyzed statistically using the Chi-squared test at the significance level of p<0.05. RESULTS The study sample comprised 6196 teeth belonging to 250 patients. Out of 6196 examined teeth, the frequencies of apical periodontitis and endodontic treatment was 1.8% and 3.7%, respectively. Gender had no effect on the presence of apical periodontitis or the frequency of endodontic treatment. The frequency of apical periodontitis and endodontic treatment increased with age, but it did not show statistical significance among different age groups. CONCLUSION This study provides epidemiological data about apical periodontitis and endodontic treatment in a Turkish population.
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Affiliation(s)
- Melek Tassoker
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Necmettin Erbakan University,
Turkey
| | - Faruk Akgunlu
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Selcuk University,
Turkey
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Huumonen S, Suominen AL, Vehkalahti MM. Prevalence of apical periodontitis in root filled teeth: findings from a nationwide survey in Finland. Int Endod J 2016; 50:229-236. [DOI: 10.1111/iej.12625] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2015] [Accepted: 02/18/2016] [Indexed: 11/29/2022]
Affiliation(s)
- S. Huumonen
- Institute of Dentistry; University of Turku; Turku Finland
- Department of Diagnostic Imaging Turku University Hospital; Turku Finland
| | - A. L. Suominen
- Institute of Dentistry; University of Eastern Finland; Kuopio Finland
- Departments of Health Functional Capacity and Welfare and Environmental Health; National Institute for Welfare and Health; Helsinki and Kuopio Finland
- Department of Oral and Maxillofacial Surgery; Kuopio University Hospital; Kuopio Finland
| | - M. M. Vehkalahti
- Department of Oral and Maxillofacial Diseases; University of Helsinki; Helsinki Finland
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Kalantar Motamedi MR, Davoodi SHR, Saeidi A, Barekatain B, Noormohammadi H, Razavian H. Technical quality of root canal therapies performed by novice dental students in preclinical practice. Dent Res J (Isfahan) 2015; 12:365-71. [PMID: 26288628 PMCID: PMC4533196 DOI: 10.4103/1735-3327.161460] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Background: For improving the quality of endodontic performance of practitioners in clinical practice, their basic, preclinical performance and knowledge must be taken into consideration. This study aimed to radiographically evaluate the technical quality of preclinical molar root canal treatments (RCTs) performed by undergraduate dental students at a dental school in Iran. Further, the effect of using Gates-Glidden (GG) drills on the final quality of RCTs was evaluated. Materials and Methods: In this retrospective cross-sectional study, 315 roots of 105 endodontically treated teeth in preclinical practice were evaluated radiographically. The analyzed quality parameters included length, taper and density of fillings, which were scored as S2 (adequate standard), the S1 (slight deviation), or S0 (considerable deviation). For all the parameters, acceptable, moderate and poor fillings received total scores of 6, 3-5 and 0-2, respectively. There were two groups of students: One group had used only K-files, and the other had used K-files along with GG drills. The quality of RCTs between these groups was evaluated using the aforementioned scoring protocol. The results were analyzed using Chi-square, Mann–Whitney and Fisher's exact tests (α = 0.05). Results: Under-fillings (P = 0.001) and under-shapings (P = 0.007) occurred mostly in mandibular root fillings. A lower density was found in maxillary fillings (P < 0.001). No relationship was observed between the technique used (irrespective of GG drills usage) and length (P = 0.499) and taper of fillings (P = 0.238). The roots instrumented with GG drills had a higher filling density (P = 0.004). The quality mean score of RCTs was improved when GG drills were used (P = 0.008). Conclusion: The technical quality of preclinical molar RCTs performed by undergraduate dental students was considered acceptable in 35.6% of the cases. When GG drills were used along with K-files, the technical quality of RCTs was enhanced.
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Affiliation(s)
| | - Seyed Hamid Reza Davoodi
- Dental Students Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Alireza Saeidi
- Dental Students Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Behnaz Barekatain
- Torabinejad Dental Research Center and Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hamid Noormohammadi
- Dental Materials Research Center and Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hamid Razavian
- Dental Materials Research Center and Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
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Frisk F, Hugosson A, Kvist T. Is apical periodontitis in root filled teeth associated with the type of restoration? Acta Odontol Scand 2015; 73:169-75. [PMID: 25598235 DOI: 10.3109/00016357.2014.950182] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
OBJECTIVE To study the association between type of restoration and apical periodontitis (AP) in root filled teeth. MATERIALS AND METHODS The present study used data from surveys conducted in 1983, 1993 and 2003. In 1983, 130 randomly selected subjects aged 3-80 years in the city of Jönköping, Sweden, were invited for a clinical and radiological examination. The study was repeated in 1993 and 2003. New participants were, thus, recruited with the same sampling criteria and sample size in the same geographical area in 1993 and 2003, respectively. In the present study, only dentate individuals aged 20-70 years with ≥1 root filled tooth were included, yielding a sample of 788 subjects with 2634 root filled teeth. Apical periodontitis on the tooth level was the dependent variable. Periapical status was assessed according to Periapical Index (PAI). Independent variables were root filling quality, recurrent caries, type of restoration, number of teeth with apical periodontitis, age and gender. Root fillings appearing homogenous and ending within 2 mm from radiographic apex were regarded as adequate, otherwise inadequate. All radiographs were re-studied by one observer regarding periapical status and root filling quality. Risk was analyzed by means of a GEE model. RESULTS Type of restoration, root filling quality, number of teeth with apical periodontitis within the individual and age were found to be predictors of AP in root filled teeth. Presence of recurrent caries and gender were not found to be associated with AP. CONCLUSIONS According to the present study, root filling quality and type of restoration may be predictive of AP in root filled teeth.
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Affiliation(s)
- Fredrik Frisk
- Institute for Postgraduate Dental Education , Jönköping , Sweden
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BERLINCK T, TINOCO JMM, CARVALHO FLF, SASSONE LM, TINOCO EMB. Epidemiological evaluation of apical periodontitis prevalence in an urban Brazilian population. Braz Oral Res 2015; 29:51. [DOI: 10.1590/1807-3107bor-2015.vol29.0051] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2014] [Accepted: 01/08/2015] [Indexed: 11/21/2022] Open
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Hamedy R, Shakiba B, Pak JG, Barbizam JV, Ogawa RS, White SN. Prevalence of root canal treatment and periapical radiolucency in elders: a systematic review. Gerodontology 2014; 33:116-27. [DOI: 10.1111/ger.12137] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2014] [Indexed: 12/17/2022]
Affiliation(s)
- Reza Hamedy
- School of Dentistry; UCLA; Los Angeles CA USA
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Cousson PY, Nicolas E, Hennequin M. A follow-up study of pulpotomies and root canal treatments performed under general anaesthesia. Clin Oral Investig 2013; 18:1155-1163. [DOI: 10.1007/s00784-013-1090-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2013] [Accepted: 08/11/2013] [Indexed: 11/29/2022]
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Radiographic assessment of the technical quality and periapical health of root-filled teeth performed by general practitioners in a Turkish subpopulation. ScientificWorldJournal 2013; 2013:514841. [PMID: 23431255 PMCID: PMC3574741 DOI: 10.1155/2013/514841] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2012] [Accepted: 01/09/2013] [Indexed: 11/20/2022] Open
Abstract
Aim. The aim of this study was to evaluate by means of radiographs the technical quality of root fillings performed by dental practitioners. Methods and Material. Standardized periapical radiographs were made on 484 patients who received endodontic treatment in private practice. A total of 831 endodontically treated teeth with 1448 roots were evaluated for technical quality of the root canal filling and the periapical status of the teeth. Also, the apical status of each root-filled tooth was assessed according to the length, density, and taper of root fillings, and the presence of apical transportation, broken root instruments, and overfilled sealer or gutta-percha material was recorded for each root canal. Results. Of the endodontically treated teeth 26.6% had healthy periapical tissues, while technically good endodontic treatment constituted 12.8%. Based on the treatment success, there was no significant difference between the tooth groups. Statistical analysis of the data did not demonstrate statistically significant differences between the various parameters that were evaluated (P < 0.05). Conclusions. Technical quality of root fillings in a population who received treatment in private practice was poor and was consistent with a low prevalence of apical health. The probable reasons for this failure are multifactorial and may be improved if the operators improve their skills with continuing postgraduate education programs.
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Castellanos-Cosano L, Machuca-Portillo G, Sánchez-Domínguez B, Torrés-Lagares D, López-López J, Segura-Egea JJ. High prevalence of radiolucent periapical lesions amongst patients with inherited coagulation disorders. Haemophilia 2013; 19:e110-5. [DOI: 10.1111/hae.12089] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/12/2012] [Indexed: 02/07/2023]
Affiliation(s)
- L. Castellanos-Cosano
- Department of Stomatology, School of Dentistry; University of Sevilla; Sevilla; Spain
| | - G. Machuca-Portillo
- Department of Stomatology, School of Dentistry; University of Sevilla; Sevilla; Spain
| | | | - D. Torrés-Lagares
- Department of Stomatology, School of Dentistry; University of Sevilla; Sevilla; Spain
| | - J. López-López
- Department of Odontostomatology, School of Dentistry; University of Barcelona; Barcelona; Spain
| | - J. J. Segura-Egea
- Department of Stomatology, School of Dentistry; University of Sevilla; Sevilla; Spain
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Kalender A, Orhan K, Aksoy U, Basmaci F, Er F, Alankus A. Influence of the quality of endodontic treatment and coronal restorations on the prevalence of apical periodontitis in a Turkish Cypriot population. Med Princ Pract 2013; 22:173-7. [PMID: 22948511 PMCID: PMC5586716 DOI: 10.1159/000341753] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2012] [Accepted: 07/04/2012] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES The aim of this study was to assess the prevalence of periapical lesions in root canal-treated teeth in a Turkish Cypriote population and to investigate the influence of the quality of root canal fillings and coronal restorations on the prevalence of periapical lesions. SUBJECTS AND METHODS The sample for this cross-sectional study consisted of 1,006 adult patients seeking routine dental care. Patients who had received dental care in the last 2 years were excluded. Radiographs of 2,200 root canal-treated teeth were evaluated. The teeth were grouped according to the radiographic quality of the root canal filling and the coronal restoration. Periapical status was assessed using periapical index (PAI) scores. RESULTS Of the 2,200 root canal-treated teeth, 1,364 (62%) had apical periodontitis as compared with 1,364 (5.5%) of the total sample. Root-filled teeth classified as adequately treated had apical periodontitis in 223 (26.6%) cases compared with 1,192 (87.7%) in teeth classified as inadequately root filled. PAI 1 scores of adequate root canal treatment were significantly higher than in inadequate root canal treatment, regardless of the quality or presence of coronal restorations (p < 0.01). CONCLUSION Our findings showed a high prevalence of periapical pathology with or without endodontic treatment and poor technical standard of both root fillings and coronal restorations of root-treated teeth. Hence, we suggest the need for better education for dental health providers so that they can perform better root canal treatments and coronal restorations.
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Affiliation(s)
- Atakan Kalender
- Department of Endodontics, Faculty of Dentistry, Near East University, Nicosia, Cyprus.
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Association among Oral Health, Apical Periodontitis, CD14 Polymorphisms, and Coronary Heart Disease in Middle-aged Adults. J Endod 2012; 38:1570-7. [DOI: 10.1016/j.joen.2012.08.013] [Citation(s) in RCA: 62] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2011] [Revised: 08/15/2012] [Accepted: 08/21/2012] [Indexed: 11/22/2022]
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Prevalence of Periapical Radiolucency and Root Canal Treatment: A Systematic Review of Cross-sectional Studies. J Endod 2012; 38:1170-6. [DOI: 10.1016/j.joen.2012.05.023] [Citation(s) in RCA: 122] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2012] [Accepted: 05/16/2012] [Indexed: 11/22/2022]
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İlgüy D, İlgüy M, Fişekçioğlu E, Ersan N, Tanalp J, Dölekoğlu S. Assessment of Root Canal Treatment Outcomes Performed by Turkish Dental Students: Results After Two Years. J Dent Educ 2012. [DOI: 10.1002/j.0022-0337.2013.77.4.tb05496.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Mukhaimer R, Hussein E, Orafi I. Prevalence of apical periodontitis and quality of root canal treatment in an adult Palestinian sub-population. Saudi Dent J 2012; 24:149-55. [PMID: 23960544 DOI: 10.1016/j.sdentj.2012.02.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2011] [Revised: 12/27/2011] [Accepted: 02/25/2012] [Indexed: 11/19/2022] Open
Abstract
PURPOSE The aim of this study was to determine the prevalence of apical periodontitis and the technical quality of root canal fillings in a Palestinian sub-population. METHODS The panoramic radiographs of 258 patients (142 females, 116 males) attending dental clinics in 2010 were examined to identify the presence of apical lesions associated with any remaining teeth, excluding third molars. The technical quality of root canal fillings was also evaluated by assessing apical extension from the radiographic apex. The panoramic radiographs were taken by a well-trained radiology assistant and evaluated by a radiologist and an endodontist. Statistical analysis was performed with the chi-square test with a significant level set at P < 0.05%. RESULTS Of 6482 teeth examined radiographically, 978 (15.1%) had radiographic signs of apical periodontitis (AP). The prevalence of AP was 8.3% in teeth without filled roots and 59.5% (509/855) in root canal-treated teeth. The prevalence of AP and endodontic treatment increased with age and differed significantly (p < 0.05) between males and females. The majority (74.5%) of root canal fillings was performed inadequately, and most (77.2%) inadequate fillings were >2 mm short of the radiographic apex. The presence of AP was correlated significantly with poorly executed root canal fillings (p < 0.05). CONCLUSIONS The present study found a high prevalence and incidence of AP in association with root-filled teeth. The technical quality of many root canal treatments was unacceptable.
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Affiliation(s)
- Raed Mukhaimer
- Dental School, Arab American University, Jenin, Palestine
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López-López J, Jané-Salas E, Martín-González J, Castellanos-Cosano L, Llamas-Carreras JM, Velasco-Ortega E, Segura-Egea JJ. Tobacco Smoking and Radiographic Periapical Status: A Retrospective Case-Control Study. J Endod 2012; 38:584-8. [PMID: 22515883 DOI: 10.1016/j.joen.2012.02.011] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2011] [Revised: 01/31/2012] [Accepted: 02/09/2012] [Indexed: 11/28/2022]
Affiliation(s)
- José López-López
- Department of Odontostomatology, School of Dentistry, University of Barcelona, Barcelona, Spain
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Persić R, Kqiku L, Brumini G, Husetić M, Pezelj-Ribarić S, Brekalo Prso I, Städtler P. Difference in the periapical status of endodontically treated teeth between the samples of Croatian and Austrian adult patients. Croat Med J 2012; 52:672-8. [PMID: 22180265 PMCID: PMC3243316 DOI: 10.3325/cmj.2011.52.672] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Aim To compare the periapical status of endodontically treated teeth between Austrian and Croatian adult patients and determine its relation to age, sex, position of teeth, and length of root canal filling. Methods The study was conducted from 2007 to 2009 at two university dental clinics and included 163 Croatian (412 teeth) and 101 Austrian (430 teeth) patients. We assessed the periapical status of endodontically treated teeth by using the periapical index system and determined its relation to age, sex, position of teeth, and length of root canal filling. Results Austrian patients had a greater number of diseased endodontically treated teeth than Croatian patients (P = 0.001). In the age group 31-40 years, Austrian patients had apical periodontitis significantly more often (22.1% vs 12.2%, P < 0.001) than Croatian patients. In relation to sex and position of teeth, no significant difference was found between the two groups. In Croatian patients, apical periodontitis was significantly more often present in molar than premolar (46.2% vs 29.7%, P = 0.022) and front teeth (46.2% vs 24.1%, P < 0.001). In Austrian patients, apical periodontitis was significantly more often present in molar and premolar than front teeth (molar-front teeth: 38.2% vs 25.5%, P = 0.011; premolar-front teeth: 36.3% vs 25.5%, P = 0.029). Croatian and Austrian patients significantly differed in the number of adequately filled and underfilled teeth with AP (both P<0.001). Conclusion Apical periodontitis was significantly more present in endodontically treated teeth in Austrian patients. The difference in the periapical status between Croatian and Austrian patients was most related to age and length of root canal filling.
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Affiliation(s)
- Romana Persić
- Department of Endodontics and Restorative Dentistry, Medical Faculty, University of Rijeka, Kresimirova 40, Rijeka, Croatia.
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López-López J, Jané-Salas E, Estrugo-Devesa A, Castellanos-Cosano L, Martín-González J, Velasco-Ortega E, Segura-Egea JJ. Frequency and distribution of root-filled teeth and apical periodontitis in an adult population of Barcelona, Spain. Int Dent J 2012; 62:40-6. [DOI: 10.1111/j.1875-595x.2011.00087.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
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Is endodontic treatment performed under general anaesthesia technically acceptable? Clin Oral Investig 2011; 16:1599-606. [DOI: 10.1007/s00784-011-0663-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2011] [Accepted: 12/12/2011] [Indexed: 10/14/2022]
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