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

Yıl 2020, Cilt: 11 Sayı: 3, 298 - 304, 21.09.2020

Safa Kurnaz , Ertan Taşkınsel , Gülsen Kiraz

Öz

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.

Anahtar Kelimeler

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

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

Öz

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.

Anahtar Kelimeler

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

Kaynakça

• Nair P. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004;15(6):348-81.
• Huumonen S, Ørstavik D. Radiological aspects of apical periodontitis. Endod Topics. 2002;1(1):3-25.
• Siqueira Jr JF, Rôças IN. Bacterial pathogenesis and mediators in apical periodontitis. Braz Dent J. 2007;18(4):267-80.
• Möller ÅJ, Fabricius L, Dahlén G, Sundqvist G, Happonen RP. Apical periodontitis development and bacterial response to endodontic treatment. Experimental root canal infec-tions in monkeys with selected bacterial strains. Eur J Oral Sci. 2004;112(3):207-15.
• Kirkevang LL, Væth M, Hörsted‐Bindslev P, Bahrami G, Wenzel A. Risk factors for developing apical periodontitis in a general population. Int Endod J. 2007;40(4):290-9.
• Soikkonen K. Endodontically treated teeth and periapical findings in the elderly. Int Endod J. 1995;28(4):200-3.
• Strindberg LZ. The dependence of the results of pulp therapy on certain factors-an analytical study based on radiographic and clinical follow-up examination. Acta Odontol Scand. 1956;14:1-175.
• Kerekes K, Tronstad L. Long-term results of endodontic treatment performed with a standardized technique. J Endod. 1979;5(3):83-90.
• Sjögren U, Hägglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990;16(10):498-504.
• Sjögren U, Figdor D, Persson S, Sundqvist G. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int En-dod J. 1997;30(5):297-306.
• Segura‐Egea J, Jiménez‐Pinzón A, Poyato‐Ferrera M, Velasco‐Ortega E, Ríos‐Santos J. Periapical status and quality of root fillings and coronal restorations in an adult Spanish popu-lation. Int Endod J. 2004;37(8):525-30.
• Weiger R, Hitzler S, Hermle G, Löst C. Periapical status, quality of root canal fillings and estimated endodontic treatment needs in an urban German population. Dent Traumatol. 1997;13(2):69-74.
• Kirkevang LL, Væth M, Hörsted‐Bindslev P, Wenzel A. Longitudinal study of periap-ical and endodontic status in a Danish population. Int Endod J. 2006;39(2):100-7.
• Siqueira JF, Rôças IN, Alves FR, Campos LC. Periradicular status related to the quali-ty of coronal restorations and root canal fillings in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(3):369-74.
• De Moor R, Hommez G, De Boever J, Delmé K, Martens G. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J. 2000;33(2):113-20.
• Sunay H, Tanalp J, Dikbas I, Bayirli G. Cross‐sectional evaluation of the periapical status and quality of root canal treatment in a selected population of urban Turkish adults. Int Endod J. 2007;40(2):139-45.
• Tronstad L, Asbjørnsen K, Døving L, Pedersen I, Eriksen H. Influence of coronal res-torations on the periapical health of endodontically treated teeth. Dent Traumatol. 2000;16(5):218-21.
• Tavares PB, Bonte E, Boukpessi T, Siqueira JF, Lasfargues J-J. 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.
• Ray H, 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.
• Song M, Park M, Lee C-Y, Kim E. Periapical status related to the quality of coronal restorations and root fillings in a Korean population. J Endod. 2014;40(2):182-6.
• Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radio-graphic assessment of apical periodontitis. Dent Traumatol. 1986;2(1):20-34.
• Ørstavik D. Reliability of the periapical index scoring system. Eur J Oral Sci. 1988;96(2):108-11.
• 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.
• Kirkevang LL, Ørstavik D, Hörsted‐Bindslev P, Wenzel A. Periapical status and quali-ty of root fillings and coronal restorations in a Danish population. Int Endod J. 2000;33(6):509-15.
• Kirkevang LL, Hörsted‐Bindslev P, Ørstavik D, Wenzel A. A comparison of the quali-ty of root canal treatment in two Danish subpopulations examined 1974–75 and 1997–98. Int Endod J. 2001;34(8):607-12.
• 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.
• Friedman S. Treatment outcome and prognosis of endodontic therapy. In: Orstavik D, Pitt-Ford TR, editors. Essential Endodontology. Prevention and Treatment of Apical Perio-dontitis. London: Blackwell Science; 1998. p. 367-401
• Altman DG. Practical statistics for medical research. London: CRC press; 1990.
• Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TS. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod. 1988;14(5):261-6.
• Bender I. Factors influencing the radiographic appearance of bony lesions. J Endod. 1997;23(1):5-14.
• Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic appli-cations of cone-beam volumetric tomography. J Endod. 2007;33(9):1121-32.
• Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J. 2007;40(10):818-30.
• Siqueira J. Aetiology of root canal treatment failure: why well‐treated teeth can fail. Int Endod J. 2001;34(1):1-10.
• Dugas N, Lawrence H, Teplitsky P, Pharoah M, Friedman S. Periapical health and treatment quality assessment of root‐filled teeth in two Canadian populations. Int Endod J. 2003;36(3):181-92.
• Georgopoulou M, Spanaki‐Voreadi A, Pantazis N, Kontakiotis E. Frequency and dis-tribution of root filled teeth and apical periodontitis in a Greek population. Int Endod J. 2005;38(2):105-11.