Radiological Assessment of Prevalance and Quality of Periapical Status of Endodontic Treatments

AYSAL ÜNAL Z., Kocasarac H. D., ORHAN K., Helvacioglu-Yigit D.

MEDICAL SCIENCE MONITOR, cilt.28, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 28
  • Basım Tarihi: 2022
  • Doi Numarası: 10.12659/msm.936569
  • Dergi Adı: MEDICAL SCIENCE MONITOR
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Anahtar Kelimeler: Cone-Beam Computed Tomography, Epidemiology, Periapical Periodontitis, Tooth, Nonvital, ROOT-CANAL TREATMENT, CORONAL RESTORATIONS, APICAL PERIODONTITIS, TECHNICAL QUALITY, TREATED TEETH, FILLED TEETH, PART 1, PREVALENCE, FILLINGS, CBCT
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Background: The aim of this study was to determine the current prevalence and quality of endodontic treatments and investi-gate the relationship of various factors with posttreatment endodontic disease (PTED) in a Turkish subpopulation.Material/Methods: The cone beam computed tomography (CBCT) images of 1069 patients (male, 50.9%; female, 49.1%; mean age, 45.32 +/- 13.50 years) were retrospectively analyzed. A total of 20 646 teeth were examined; 1604 had un-dergone root canal. Periapical status was assessed using a modified CBCT periapical index. The relationship be-tween periapical status and quality of root canal fillings (RCFs) was analyzed statistically using the chi-square test. Multivariate logistic regression was performed to evaluate the effect of individual parameters by adjust-ing them for other variables.Results: A total of 7.8% of all teeth had RCF. The prevalence of poor filling (having at least 1 procedural error) was 54.1%; the prevalence of PTED was 56.8%. The prevalence of PTED was 44.3% in teeth with short RCF, 10.8% with overextended RCF, 35.7% with nonhomogeneous RCF, and 15.5% in teeth with untreated root canals. The rate of RCF teeth with procedural errors associated with PTED was 76.2%. There was no significant difference be-tween sexes in apical periodontitis (P>0.05), which developed more frequently in teeth with procedural errors.Conclusions: The overall prevalence of poor fillings (having at least 1 procedural error) among RCF teeth was high (54.1%) in this subpopulation. There is a substantial need to improve the technical quality of endodontic treatment.