ANALYSIS OF THE QUALITY OF ROOT CANAL OBTURATION AND PREVALENCE OF APICAL PERIODONTITIS IN ENDODONTICALLY TREATED TEETH

Aim: Our study aimed to identify the procedural errors of endodontic treatment and to establish the prevalence of apical periodontitis (AP) in root canal treated teeth by means of cone-beam computed tomography (CBCT). Material and method: There were a total of 604 treated permanent teeth. We looked...

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Main Authors: Cristina Coralia Nistor, Ioana Suciu, Elena Zabrac, Ruxandra Ioana Bartok, Bogdan Dimitriu, Andreea Băluță
Format: Article
Language:English
Published: Romanian Society of Oral Rehabilitation 2024-12-01
Series:Romanian Journal of Oral Rehabilitation
Subjects:
Online Access:https://rjor.ro/analysis-of-the-quality-of-root-canal-obturation-and-prevalence-of-apical-periodontitis-in-endodontically-treated-teeth/
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author Cristina Coralia Nistor
Ioana Suciu
Elena Zabrac
Ruxandra Ioana Bartok
Bogdan Dimitriu
Andreea Băluță
author_facet Cristina Coralia Nistor
Ioana Suciu
Elena Zabrac
Ruxandra Ioana Bartok
Bogdan Dimitriu
Andreea Băluță
author_sort Cristina Coralia Nistor
collection DOAJ
description Aim: Our study aimed to identify the procedural errors of endodontic treatment and to establish the prevalence of apical periodontitis (AP) in root canal treated teeth by means of cone-beam computed tomography (CBCT). Material and method: There were a total of 604 treated permanent teeth. We looked for apical radiolucency and errors, such as: incomplete filling, missed canals, instrument fracture, perforation, overfilling, non-homogeneous fillings. Results. The overall prevalence of AP was 58.6%. The most frequent error was incomplete filling (42.88%), followed by low-density fillings (34.1%), missed canals (26.32%), overfilling (15.72), perforations (3.8%), fractured instruments (2.64%). Risk factors identified that were significantly associated with AP were: incomplete filling more than 2 mm, missed canals, perforations, non-homogeneous fillings, fractured instruments, tooth type (posterior) and cast posts. Conclusions. Prevalence of AP in endodontically treated teeth in this study was high. Poor quality root canal obturations were associated with post-treatment apical disease. CBCT is a precise imaging diagnostic tool and accurately highlights the technical parameters of the canal obturation, but also the presence of AP even in the early stages.
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spelling doaj-art-521b404f5f2c447c95715b8ac66c3f3b2025-01-21T14:01:03ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612024-12-0116431131910.62610/RJOR.2024.4.16.31ANALYSIS OF THE QUALITY OF ROOT CANAL OBTURATION AND PREVALENCE OF APICAL PERIODONTITIS IN ENDODONTICALLY TREATED TEETHCristina Coralia NistorIoana SuciuElena ZabracRuxandra Ioana BartokBogdan DimitriuAndreea BăluțăAim: Our study aimed to identify the procedural errors of endodontic treatment and to establish the prevalence of apical periodontitis (AP) in root canal treated teeth by means of cone-beam computed tomography (CBCT). Material and method: There were a total of 604 treated permanent teeth. We looked for apical radiolucency and errors, such as: incomplete filling, missed canals, instrument fracture, perforation, overfilling, non-homogeneous fillings. Results. The overall prevalence of AP was 58.6%. The most frequent error was incomplete filling (42.88%), followed by low-density fillings (34.1%), missed canals (26.32%), overfilling (15.72), perforations (3.8%), fractured instruments (2.64%). Risk factors identified that were significantly associated with AP were: incomplete filling more than 2 mm, missed canals, perforations, non-homogeneous fillings, fractured instruments, tooth type (posterior) and cast posts. Conclusions. Prevalence of AP in endodontically treated teeth in this study was high. Poor quality root canal obturations were associated with post-treatment apical disease. CBCT is a precise imaging diagnostic tool and accurately highlights the technical parameters of the canal obturation, but also the presence of AP even in the early stages.https://rjor.ro/analysis-of-the-quality-of-root-canal-obturation-and-prevalence-of-apical-periodontitis-in-endodontically-treated-teeth/endodontic treatmentcbctapical periodontitisoutcomeerrors
spellingShingle Cristina Coralia Nistor
Ioana Suciu
Elena Zabrac
Ruxandra Ioana Bartok
Bogdan Dimitriu
Andreea Băluță
ANALYSIS OF THE QUALITY OF ROOT CANAL OBTURATION AND PREVALENCE OF APICAL PERIODONTITIS IN ENDODONTICALLY TREATED TEETH
Romanian Journal of Oral Rehabilitation
endodontic treatment
cbct
apical periodontitis
outcome
errors
title ANALYSIS OF THE QUALITY OF ROOT CANAL OBTURATION AND PREVALENCE OF APICAL PERIODONTITIS IN ENDODONTICALLY TREATED TEETH
title_full ANALYSIS OF THE QUALITY OF ROOT CANAL OBTURATION AND PREVALENCE OF APICAL PERIODONTITIS IN ENDODONTICALLY TREATED TEETH
title_fullStr ANALYSIS OF THE QUALITY OF ROOT CANAL OBTURATION AND PREVALENCE OF APICAL PERIODONTITIS IN ENDODONTICALLY TREATED TEETH
title_full_unstemmed ANALYSIS OF THE QUALITY OF ROOT CANAL OBTURATION AND PREVALENCE OF APICAL PERIODONTITIS IN ENDODONTICALLY TREATED TEETH
title_short ANALYSIS OF THE QUALITY OF ROOT CANAL OBTURATION AND PREVALENCE OF APICAL PERIODONTITIS IN ENDODONTICALLY TREATED TEETH
title_sort analysis of the quality of root canal obturation and prevalence of apical periodontitis in endodontically treated teeth
topic endodontic treatment
cbct
apical periodontitis
outcome
errors
url https://rjor.ro/analysis-of-the-quality-of-root-canal-obturation-and-prevalence-of-apical-periodontitis-in-endodontically-treated-teeth/
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