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Periapikal sağlık üzerine koronal restorasyonun kalitesine karşı kök kanal tedavisinin kalitesinin etkisi: sistematik derleme ve meta-analiz

Year 2022, Volume: 39 Issue: 1, 1 - 9, 01.01.2022
https://doi.org/10.17214/gaziaot.837948

Abstract

Amaç: Bu çalışmanın amacı, periapikal sağlık üzerine kök kanal dolgusunun kalitesine karşı koronal restorasyonun kalitesinin etkilerini karşılaştırmaktır.

Gereç ve Yöntem: Literatür taraması “endodontics”, “periapical index”, “periapical status”, “quality of root canal treatment”, “root treatment”, “root canal treatment”, “coronal restoration”, “quality of root canal treatment”, “cone beam computed tomography” ve “restoration” arama terimleri kullanılarak yapıldı. Kök kanal dolgusunun ve koronal restorasyonun kalitesinin periapikal dokulara etkisini değerlendiren çalışmalar seçildi. Veriler, dâhil edilme ve hariç tutulma kriterlerine göre iki araştırmacı tarafından toplandı. Apikal periodontitisli dişlerin oranı her kategori için kaydedildi: iyi yapılmış kök kanal dolgusu (İE), kötü yapılmış kök kanal dolgusu (KE), iyi yapılmış koronal restorasyon (İR), kötü yapılmış koronal restorasyon (KR). Veriler, olasılık oranları için meta-analiz kullanılarak analiz edildi. Önem seviyesi α=0.05 olarak belirlendi.

Bulgular: İE-KR ile İE-İR arasında [p=0.02 ve odds ratio (OR)=1.88, %95 güven aralığı (GA; 1.13-3.13)], KE-İR ile İE-İR arasında [p=0.006 ve OR=3.23 (1.41-7.39)], KE-KR ile İE-İR arasında [p<0.00001 ve OR=5.18 (2.62-10.23)], KE-İR ile İE- KR arasında [p=0.02 ve OR=1.48 (1.07-2.03)], KE-KR ile İE-KR arasında [p<0.0001 ve OR=2.44 (1.69-3.51)] ve KE-KR ile KE-İR arasında [p<0.00001 ve OR=1.80 (1.38-2.34)] istatistiksel olarak anlamlı bir fark vardı.

Sonuç: Mevcut en iyi kanıtlara dayanarak, apikal periodontitisin iyileşme olasılığı hem yeterli kök kanal tedavisi hem de yeterli restoratif tedavi ile artar. İE-KR’ye karşı KE-İR değerlendirildiğinde kök kanal dolgusunun koronal restorasyona göre daha önemli olduğu ortaya çıkmıştır.

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Project Number

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References

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The effect of the quality of coronal restoration versus the quality of root canal filling on periapical health: systematic review and meta-analysis

Year 2022, Volume: 39 Issue: 1, 1 - 9, 01.01.2022
https://doi.org/10.17214/gaziaot.837948

Abstract

Objective: The aim of this meta-analysis was to compare the impact of the quality of root canal treatment versus the quality of coronal restoration on periapical health.

Materials and Method: A literature review was conducted using the search terms “endodontics”, “periapical index”, “periapical status”, “quality of root canal treatment”, “root treatment”, “root canal treatment”, “coronal restoration”, “quality of root canal treatment”, “cone beam computed tomography”, and “restoration”. The studies evaluating the effect of the quality of root canal filling and the quality of coronal restoration on periapical tissues were selected. Data were collected by two researchers according to the inclusion and exclusion criteria. The ratio of teeth with apical periodontitis was recorded for each category: adequate root canal treatment (AC), inadequate root canal treatment (IC), adequate restoration (AR), and inadequate restoration (IR). The data were analyzed using meta-analysis for odds ratios. The significance level was set at α=0.05.

Results: There were statistically significant differences between AC-IR and AC-AR [p=0.02 and OR=1.88, 95% confidence interval (CI): 1.13-3.13], between IC-AR and AC-AR [p=0.006 and OR=3.23 (1.41-7.39)], between IC-IR and AC-AR [p<0.00001 and OR=5.18 (2.62-10.23)], between IC-AR and AC- IR [p=0.02 and OR=1.48 (1.07-2.03)], between IC-IR and AC-IR [p<0.0001 and OR=2.44 (1.69-3.51)], between IC-IR and IC-AR [p<0.00001 and OR=1.80 (1.38-2.34)]

Conclusion: On the basis of the current best available evidence, the odds for the healing of apical periodontitis increases with both adequate root canal treatment and adequate restorative treatment. When AC-IR versus IC-AR was evaluated, it was revealed that root canal filling was more important than coronal restoration.

Project Number

proje no yok

References

  • Figdor D. Apical periodontitis: a very prevalent problem. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:651-2.
  • Pak JG, Fayazi S, White SN. Prevalence of periapical radiolucency and root canal treatment: a systematic review of cross-sectional studies. J Endod 2012;38:1170-6.
  • Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990;16:498-504.
  • Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature - part 1. Effects of study characteristics on probability of success. Int Endod J 2007;40:921-39.
  • Gomes AC, Nejaim Y, Silva AI, Haiter-Neto F, Cohenca N, Zaia AA, et al. Influence of Endodontic Treatment and Coronal Restoration on Status of Periapical Tissues: A Cone-beam Computed Tomographic Study. J Endod 2015;41:1614-8.
  • Song M, Park M, Lee CY, Kim E. Periapical status related to the quality of coronal restorations and root fillings in a Korean population. J Endod 2014;40:182-6.
  • Gillen BM, Looney SW, Gu LS, Loushine BA, Weller RN, Loushine RJ, et al. 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;37:895-902.
  • Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J 2005;38:238-45.
  • Frisk F, Hugoson A, Hakeberg M. Technical quality of root fillings and periapical status in root filled teeth in Jonkoping, Sweden. Int Endod J 2008;41:958-68.
  • Eckerbom M, Flygare L, Magnusson T. A 20-year follow-up study of endodontic variables and apical status in a Swedish population. Int Endod J 2007;40:940-8.
  • Chen CY, Hasselgren G, Serman N, Elkind MS, Desvarieux M, Engebretson SP. Prevalence and quality of endodontic treatment in the Northern Manhattan elderly. J Endod 2007;33:230-4.
  • 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;28:12-8.
  • Ceyda ÖÇ, Aslı D. Bilimsel Araştırma Nedir, Nasıl Yapılır? Turk J Anaesthesiol Reanim 2016;44:212-8.
  • Moura MS, Guedes OA, De Alencar AH, Azevedo BC, Estrela C. Influence of length of root canal obturation on apical periodontitis detected by periapical radiography and cone beam computed tomography. J Endod 2009;35:805-9.
  • Durack C, Patel S. Cone beam computed tomography in endodontics. Braz Dent J 2012;23:179-91.
  • Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in Endodontics - a review. Int Endod J 2015;48:3-15.
  • Estrela C, Bueno MR, Leles CR, Azevedo B, Azevedo JR. Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis. J Endod 2008;34:273-9.
  • Patel S, Wilson R, Dawood A, Foschi F, Mannocci F. The detection of periapical pathosis using digital periapical radiography and cone beam computed tomography - part 2: a 1-year post-treatment follow-up. Int Endod J 2012;45:711-23.
  • Weissman J, Johnson JD, Anderson M, Hollender L, Huson T, Paranjpe A, et al. Association between the Presence of Apical Periodontitis and Clinical Symptoms in Endodontic Patients Using Cone-beam Computed Tomography and Periapical Radiographs. J Endod 2015;41:1824-9.
  • Karabucak B, Bunes A, Chehoud C, Kohli MR, Setzer F. Prevalence of Apical Periodontitis in Endodontically Treated Premolars and Molars with Untreated Canal: A Cone-beam Computed Tomography Study. J Endod 2016;42:538-41.
  • Ee J, Fayad MI, Johnson BR. Comparison of endodontic diagnosis and treatment planning decisions using cone-beam volumetric tomography versus periapical radiography. J Endod 2014;40:910-6.
  • Moher D, Liberati A, Tetzlaff J, Altman D. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg 2010;8:336–41.
  • Sterne JA, Hernan MA, Reeves BC, Savovic J, Berkman ND, Viswanathan M, et al. ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ 2016;355:i4919.
  • Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ 2003;327:557–60.
  • Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997;315:629-34.
  • de-Figueiredo FED, Lima LF, Lima GS, Oliveira LS, Ribeiro MA, Brito-Junior M, et al. Apical periodontitis healing and postoperative pain following endodontic treatment with a reciprocating single-file, single-cone approach: A randomized controlled pragmatic clinical trial. PLoS One 2020;15:e0227347.
  • Huumonen S, Lenander-Lumikari M, Sigurdsson A, Orstavik D. Healing of apical periodontitis after endodontic treatment: a comparison between a silicone-based and a zinc oxide-eugenol-based sealer. Int Endod J 2003;36:296-301.
  • de Figueiredo FED, Lima LF, Oliveira LS, Ribeiro MA, Correa MB, Brito-Junior M, et al. Effectiveness of a reciprocating single file, single cone endodontic treatment approach: a randomized controlled pragmatic clinical trial. Clin Oral Investig 2020;24:2247-57.
  • Sisli SN. Evaluation of the Relationship between Type II Diabetes Mellitus and the Prevalence of Apical Periodontitis in Root-Filled Teeth Using Cone Beam Computed Tomography: An Observational Cross-Sectional Study. Med Princ Pract 2019;28:533-8.
  • Torabinejad M, Rice DD, Maktabi O, Oyoyo U, Abramovitch K. Prevalence and Size of Periapical Radiolucencies Using Cone-beam Computed Tomography in Teeth without Apparent Intraoral Radiographic Lesions: A New Periapical Index with a Clinical Recommendation. J Endod 2018;44:389-94.
  • Esposito S, Cardaropoli M, Cotti E. A suggested technique for the application of the cone beam computed tomography periapical index. Dentomaxillofac Radiol 2011;40:506-12.
  • Lemagner F, Maret D, Peters OA, Arias A, Coudrais E, Georgelin-Gurgel M. Prevalence of Apical Bone Defects and Evaluation of Associated Factors Detected with Cone-beam Computed Tomographic Images. J Endod 2015;41:1043-7.
  • Burklein S, Schafer E, Johren HP, Donnermeyer D. Quality of root canal fillings and prevalence of apical radiolucencies in a German population: a CBCT analysis. Clin Oral Investig 2020;24:1217-27.
  • Liang YH, Li G, Wesselink PR, Wu MK. Endodontic outcome predictors identified with periapical radiographs and cone-beam computed tomography scans. J Endod 2011;37:326-31.
  • Patel S, Wilson R, Dawood A, Mannocci F. The detection of periapical pathosis using periapical radiography and cone beam computed tomography - part 1: pre-operative status. Int Endod J 2012;45:702-10.
  • Venskutonis T, Plotino G, Tocci L, Gambarini G, Maminskas J, Juodzbalys G. Periapical and endodontic status scale based on periapical bone lesions and endodontic treatment quality evaluation using cone-beam computed tomography. J Endod 2015;41:190-6.
  • Pope O, Sathorn C, Parashos P. A comparative investigation of cone-beam computed tomography and periapical radiography in the diagnosis of a healthy periapex. J Endod 2014;40:360-5.
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There are 70 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Original Research Article
Authors

Elif Bahar Çakıcı

Fatih Çakıcı 0000-0002-8147-2661

Project Number proje no yok
Publication Date January 1, 2022
Published in Issue Year 2022 Volume: 39 Issue: 1

Cite

APA Çakıcı, E. B., & Çakıcı, F. (2022). Periapikal sağlık üzerine koronal restorasyonun kalitesine karşı kök kanal tedavisinin kalitesinin etkisi: sistematik derleme ve meta-analiz. Acta Odontologica Turcica, 39(1), 1-9. https://doi.org/10.17214/gaziaot.837948
AMA Çakıcı EB, Çakıcı F. Periapikal sağlık üzerine koronal restorasyonun kalitesine karşı kök kanal tedavisinin kalitesinin etkisi: sistematik derleme ve meta-analiz. Acta Odontol Turc. January 2022;39(1):1-9. doi:10.17214/gaziaot.837948
Chicago Çakıcı, Elif Bahar, and Fatih Çakıcı. “Periapikal sağlık üzerine Koronal Restorasyonun Kalitesine karşı kök Kanal Tedavisinin Kalitesinin Etkisi: Sistematik Derleme Ve Meta-Analiz”. Acta Odontologica Turcica 39, no. 1 (January 2022): 1-9. https://doi.org/10.17214/gaziaot.837948.
EndNote Çakıcı EB, Çakıcı F (January 1, 2022) Periapikal sağlık üzerine koronal restorasyonun kalitesine karşı kök kanal tedavisinin kalitesinin etkisi: sistematik derleme ve meta-analiz. Acta Odontologica Turcica 39 1 1–9.
IEEE E. B. Çakıcı and F. Çakıcı, “Periapikal sağlık üzerine koronal restorasyonun kalitesine karşı kök kanal tedavisinin kalitesinin etkisi: sistematik derleme ve meta-analiz”, Acta Odontol Turc, vol. 39, no. 1, pp. 1–9, 2022, doi: 10.17214/gaziaot.837948.
ISNAD Çakıcı, Elif Bahar - Çakıcı, Fatih. “Periapikal sağlık üzerine Koronal Restorasyonun Kalitesine karşı kök Kanal Tedavisinin Kalitesinin Etkisi: Sistematik Derleme Ve Meta-Analiz”. Acta Odontologica Turcica 39/1 (January 2022), 1-9. https://doi.org/10.17214/gaziaot.837948.
JAMA Çakıcı EB, Çakıcı F. Periapikal sağlık üzerine koronal restorasyonun kalitesine karşı kök kanal tedavisinin kalitesinin etkisi: sistematik derleme ve meta-analiz. Acta Odontol Turc. 2022;39:1–9.
MLA Çakıcı, Elif Bahar and Fatih Çakıcı. “Periapikal sağlık üzerine Koronal Restorasyonun Kalitesine karşı kök Kanal Tedavisinin Kalitesinin Etkisi: Sistematik Derleme Ve Meta-Analiz”. Acta Odontologica Turcica, vol. 39, no. 1, 2022, pp. 1-9, doi:10.17214/gaziaot.837948.
Vancouver Çakıcı EB, Çakıcı F. Periapikal sağlık üzerine koronal restorasyonun kalitesine karşı kök kanal tedavisinin kalitesinin etkisi: sistematik derleme ve meta-analiz. Acta Odontol Turc. 2022;39(1):1-9.