Cross-sectional assessment of the periapical status as related to quality of root canal fillings and coronal restorations in a Yemeni population.
Abstract
Aim: The present study aimed to examine the influence of the quality of root canal fillings and coronal restorations on the prevalence of periapical lesions. Materials and Methods: Two hundred digital panoramic radiographs were obtained from the archive of Al‑HamziDental Center in Sana’a, Yemen. The final sample consisted of 120 radiographs, and 675 root filled teeth.The quality of root canal fillings was scored according to criteria of length, homogeneity and taper. Coronal status (type of restoration, signs of marginal leakage or decay) was also evaluated. The periapical status was categorized on the basis of presence or absence of radiographical signs of apical periodontitis. Chi-square test was used to determine statistical significance between different parameters. Results: We found that 93.6% of root filled teeth were associated with apical periodontitis. Only 9.2% of root filled teeth were found to have an acceptable standard of root canal fillings, of which 32.3% was also associated to signs of periapical disease. In roots with an unacceptable root canal filling, 95.4% had periapical disease. Teeth with good (14.4%) and poor (32.9%) intra-coronal restorations had apical periodontitis in 93.8% and 97.7% of cases, respectively. Crown restorations were present in 52.7% of root filled teeth, of which 91.0% were associated with periapical lesions. Conclusion: The poor technical quality of root canal fillings and coronal restorations is consistent with a high revalence of apical periodontitis.References
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29. Barrieshi-Nusair KM, Al-Omari MA, Al-Hiyasat AS. Radiographic technical quality of root canal treatment performed by dental students at the Dental Teaching Center in Jordan. J Dent. 2004;32(4):301–7.
30. Koçak S, Sağlam BC, Koçak MM, Köktürk F. Periapical Health Related to the Quality of Coronal Restorations and Root Fillings in a Turkish Population. Cumhuriyet Dent J. 2013;16(4):261–6.
2. Soares SM, Soares JA, Homem MA, Glória JC, Pereira RD, Brito-Júnior M, Moreira AN, de Magalhães CS. A Cross-sectional study of the factors affecting the periapical status of endodontically treated teeth. Res Rev J Med Health Sci. 2016;5:1–7.
3. Madfa AA, Al-Hamzi M, Al-Sanabani FA, Saeed M, Senan E. Radiographic evaluation of root canal fillings in a selected Yemeni population: A retrospective study. J Oral Res. 2016;5(4):146–52.
4. Madfa AA, Al-Sanabani FA, Al-Hamzi M. Attitude of Yemeni dental practitioners toward some technical aspects of endodontic treatment procedures. IOSR-JDMS. 2016;15(2):96–101.
5. Santos SM, Soares JA, Costa GM, Brito-Júnior M, Moreira AN, de Magalhães CS. Radiographic parameters of quality of root canal fillings and periapical status: a retrospective cohort study. J Endod. 2010;36(12):1932–7.
6. 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(1):40–6.
7. Tarim Ertas E, Ertas H, Sisman Y, Sagsen B, Er O. 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.
8. Gündüz K, Avsever H, Orhan K, Demirkaya K. Cross-sectional evaluation of the periapical status as related to quality of root canal fillings and coronal restorations in a rural adult male population of Turkey. BMC Oral Health. 2011;11:20.
9. Craveiro MA, Fontana CE, de Martin AS, Bueno CE. Influence of coronal restoration and root canal filling quality on periapical status: clinical and radiographic evaluation. J Endod. 2015;41(6):836–40.
10. Gillen BM, Looney SW, Gu LS, Loushine BA, Weller RN, Loushine RJ, Pashley DH, Tay FR. Impact of the quality of coronal restoration versus the quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis. J Endod. 2011;37(7):895–902.
11. Moreno JO, Alves FR, Gonçalves LS, Martinez AM, Rôças IN, Siqueira JF Jr. Periradicular status and quality of root canal fillings and coronal restorations in an urban Colombian population. J Endod. 2013;39(5):600–4.
12. Khullar P, Raisingani D, Gupta S, Khatri RK. A survey report on effect of root canal fillings and coronal restorations on the periapical status of endodontically treated teeth in a selected group of population. Int J Clin Pediatr Dent. 2013;6(2):89–94.
13. Kashan SA, Abu-bakr NH, Ibrahim YE. Pilot study on relation of the periapical status and quality of endodontic treatment in an adult Sudanese population. Arch Orofac Sci. 2011;6:3–8.
14. Özbaş H, Aşcı S, Aydın Y. Examination of the prevalence of periapical lesions and technical quality of endodontic treatment in a Turkish subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(1):136–42.
15. Peters LB, Lindeboom JA, Elst ME, Wesselink PR. Prevalence of apical periodontitis relative to endodontic treatment in an adult Dutch population: a repeated cross-sectional study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111(4):523–8.
16. Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J. 1995;28(1):12–8.
17. Tavares PB, Bonte E, Boukpessi T, Siqueira JF Jr, Lasfargues JJ. Prevalence of apical periodontitis in root canal-treated teeth from an urban French population: influence of the quality of root canal fillings and coronal restorations. J Endod. 2009;35(6):810–3.
18. Eliyas S, Jalili J, Martin N. Restoration of the root canal treated tooth. Br Dent J. 2015;218(2):53–62.
19. Sarıyılmaz E, Keskin C, Özcan Ö. Retrospective analysis of post-treatment apical periodontitis and quality of endodontic treatment and coronal restorations in an elderly Turkish population. J ClinGerontolGeriatr. 2016;7(1):17–20.
20. Lakhanpal M, Chopra A, Gupta N, Rao NC, Vashisth S. Periapical status and quality of root canal fillings and coronal restorations in India. Universal Res J Dent. 2014;4:118–22.
21. Elgazzar HA. Raising Returns : The Distribution of Health Financing and Outcomes in Yemen. Health, Nutrition and Population (HNP) discussion paper. 1st Ed. Washington, DC: World Bank; 2011.
22. Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature -- Part 2. Influence of clinical factors. Int Endod J. 2008;41(1):6–31.
23. Ureyen Kaya B, Kececi AD, Guldas HE, Orhan H. A retrospective radiographic study of coronal-periapical status and root canal filling quality in a selected adult Turkish population. Med Princ Pract. 2013;22(4):334–9.
24. Ahlqwist M, Halling A, Hollender L. Rotational panoramic radiography in epidemiological studies of dental health. Comparison between panoramic radiographs and intraoral full mouth surveys. Swed Dent J. 1986;10(1-2):73–84.
25. Hugoson A, Koch G, Bergendal T, Hallonsten AL, Slotte C, Thorstensson B, Thorstensson H. Oral health of individuals aged 3-80 years in Jönköping, Sweden in 1973, 1983, and 1993. I. Review of findings on dental care habits and knowledge of oral health. Swed Dent J. 1995;19(6):225–41.
26. Kamberi B, Hoxha V, Stavileci M, Dragusha E, Kuçi A, Kqiku L. Prevalence of apical periodontitis and endodontic treatment in a Kosovar adult population. BMC Oral Health. 2011;11:32.
27. Eriksen HM, Berset GP, Hansen BF, Bjertness E. Changes in endodontic status 1973-1993 among 35-year-olds in Oslo, Norway. Int Endod J. 1995;28(3):129–32.
28. Segura-Egea JJ, Jiménez-Pinzón A, Poyato-Ferrera M, Velasco-Ortega E, Ríos-Santos JV. Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. Int Endod J. 2004;37(8):525–30.
29. Barrieshi-Nusair KM, Al-Omari MA, Al-Hiyasat AS. Radiographic technical quality of root canal treatment performed by dental students at the Dental Teaching Center in Jordan. J Dent. 2004;32(4):301–7.
30. Koçak S, Sağlam BC, Koçak MM, Köktürk F. Periapical Health Related to the Quality of Coronal Restorations and Root Fillings in a Turkish Population. Cumhuriyet Dent J. 2013;16(4):261–6.
Published
2017-01-23
How to Cite
MADFA, Ahmed; AL‑HAMZI, Mohsen; SENAN, Elham.
Cross-sectional assessment of the periapical status as related to quality of root canal fillings and coronal restorations in a Yemeni population..
Journal of Oral Research, [S.l.], v. 6, n. 1, p. 19-24, jan. 2017.
ISSN 0719-2479.
Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2017.002>. Date accessed: 28 apr. 2024.
doi: https://doi.org/10.17126/joralres.2017.002.
Issue
Section
Articles
Keywords
radiographic evaluation; technical quality; coronal restoration; root canal filling; apical periodontitis; Yemen.
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