Effects of Coronal Restorations and Root Canal Filling Quality on Periapical Status in a Turkish Population

Abstract

Objective: The aim of this study was to evaluate the effects of coronal restoration and root canal filling quality on periapical status in a Turkish population. Material-Method: A total of 901 adult patients and 1709 endodontically treated teeth were assessed. The digital panoramic radiographs were examined by two independent observers. The quality of coronal restoration and root canal filling classified by radiographic examination. Teeth were also classified as healthy or diseased according to periapical status. Results were analysed using a Chi-squared test and Fisher’s exact test. Results: According to the PAI scoring system, 750 (43.9%) teeth were classified as healthy and 959 (56.1%) teeth were classified as diseased. The adequate coronal restoration and ade-quate root canal filling group showed the highest success rate. The adequate root canal filling and inadequate coronal restoration group had a significantly higher success rate than the inad-equate root canal filling and adequate coronal restoration group (p<0.001). The inadequate coronal restoration and inadequate root canal filling group had the lowest success rate. The most frequently treated teeth were maxillary premolars, mandibular molars and maxillary mo-lars, respectively Conclusions: Although the quality of coronal restoration influenced the success rate of the treatment, the quality of root canal filling was the most effective factor in periapical health.

Keywords

• Apical Periodontitis,Coronal Restoration,Endodontic Treatment,Periapical Status,Radiographic Evaluation

Koronal Restorasyonların ve Kök Kanal Dolgularının Kalitesinin Periapikal Sağlığa Türk Popülasyonundaki Etkileri

Abstract

Amaç: Bu çalışmanın amacı koronal restorasyon ve kök kanal dolgu kalitesinin periapikal sağlık üzerindeki etkilerini değerlendirmektir. Materyal-Metot: Toplam 901 hastaya ait 1709 endodontik tedavi görmüş diş değerlendirildi. Dijital panoramik radyograflar iki bağımsız araştırmacı tarafından incelendi. Değerlendirilen dişler koronal restorasyonlarının ve kök kanal dolgularının kalitelerine göre sınıflandırıldı. Dişler ayrıca periapikal duruma göre sağlıklı veya hastalıklı olarak ayrıca değerlendirildi. Elde edilen sonuçlar ki-kare ve Fisher’s exact testi kullanılarak analiz edildi. Bulgular: Toplamda 750 (%43,9) diş sağlıklı, 959 (%56,1) diş hastalıklı olarak PAI skorla-masına göre sınıflandırıldı. Yeterli koronal restorasyon ve yeterli kök kanal dolgusuna sahip dişler en yüksek başarı oranını gösterdi. Yeterli kök kanal dolgusu ve yetersiz koronal restora-syona sahip dişler, yetersiz kök kanal dolgusu ve yeterli koronal restorasyona sahip dişlerden istatistiksel olarak anlamlı derecede daha yüksek başarı oranına sahipti (p<0,001). Yetersiz koronal restorasyon ve yetersiz kök kanal dolgusuna sahip dişler en düşük başarı oranı gösterdi. En sık tedavi edilen dişler sırasıyla maksiller premolar, mandibular molarve maksiller molar dişlerdi. Sonuç: Çalışmanın sonuçlarıra göre koronal restorasyonun kalitesi endodontik tedavinin başarı üzerinde etkili bir faktör olsa da, kök kanal dolgusunun kalitesi periapikal sağlık üzerindeki en etkili faktördür.

Keywords

• Apikal Periodontitis,Koronal Restorasyon,Endodontik Tedavi,Periapikal Durum,Radyografik Değerlendirme

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