EFFECTS OF ORTHODONTIC TREATMENT ON PERIAPICAL HEALTH IN ENDODONTICALLY TREATED TEETH

This retrospective study evaluated the impact of orthodontic treatment on endodontically treated teeth. 32 teeth from 25 patients were analyzed, focusing on CBCT evaluations. All endodontic treatments utilized EDTA and 5.25% NaOCl in conjunction with Er:YAG laser-activated irrigation. Post-treatment...

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Main Authors: Kantor Ianos, Sorana Maria Bucur, Ioana Todor, Ștefania Dinu, Cristina Nuca, Fulop Botond, Mariana Păcurar
Format: Article
Language:English
Published: Romanian Society of Oral Rehabilitation 2024-12-01
Series:Romanian Journal of Oral Rehabilitation
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Online Access:https://rjor.ro/effects-of-orthodontic-treatment-on-periapical-health-in-endodontically-treated-teeth/
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author Kantor Ianos
Sorana Maria Bucur
Ioana Todor
Ștefania Dinu
Cristina Nuca
Fulop Botond
Mariana Păcurar
author_facet Kantor Ianos
Sorana Maria Bucur
Ioana Todor
Ștefania Dinu
Cristina Nuca
Fulop Botond
Mariana Păcurar
author_sort Kantor Ianos
collection DOAJ
description This retrospective study evaluated the impact of orthodontic treatment on endodontically treated teeth. 32 teeth from 25 patients were analyzed, focusing on CBCT evaluations. All endodontic treatments utilized EDTA and 5.25% NaOCl in conjunction with Er:YAG laser-activated irrigation. Post-treatment assessment revealed that 21 teeth (66%) had root canal fillings of correspondent length, while 10 teeth (31%) were insufficient, and 1 tooth (3%) was uncertain. In terms of density and homogeneity, 25 teeth (78%) were classified as correspondent, 5 teeth (16%) as inadequate, and 2 teeth (6%) as uncertain. The periapical bone destruction probability index (PRI) demonstrated a significant increase in periapical destruction following orthodontic treatment. Specifically, the odds ratios for bone destruction were 1.67 (90% CI: 1.16–2.49, P=0.008) for present versus absent and 1.77 (90% CI: 1.11–2.85, P=0.031) for present versus uncertain. The proportion of teeth without periapical destruction decreased from 15 (14.9%) during treatment to 14 (23.9%) post-treatment. These findings highlight the critical relationship between endodontic quality and treatment outcomes, emphasizing the need for meticulous endodontics during orthodontic therapies.
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institution Kabale University
issn 2066-7000
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language English
publishDate 2024-12-01
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record_format Article
series Romanian Journal of Oral Rehabilitation
spelling doaj-art-c67194bde8ae4d63be0e0cc552446f972025-01-21T11:04:40ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612024-12-01164354010.62610/RJOR.2024.4.16.3EFFECTS OF ORTHODONTIC TREATMENT ON PERIAPICAL HEALTH IN ENDODONTICALLY TREATED TEETHKantor IanosSorana Maria BucurIoana TodorȘtefania DinuCristina NucaFulop BotondMariana PăcurarThis retrospective study evaluated the impact of orthodontic treatment on endodontically treated teeth. 32 teeth from 25 patients were analyzed, focusing on CBCT evaluations. All endodontic treatments utilized EDTA and 5.25% NaOCl in conjunction with Er:YAG laser-activated irrigation. Post-treatment assessment revealed that 21 teeth (66%) had root canal fillings of correspondent length, while 10 teeth (31%) were insufficient, and 1 tooth (3%) was uncertain. In terms of density and homogeneity, 25 teeth (78%) were classified as correspondent, 5 teeth (16%) as inadequate, and 2 teeth (6%) as uncertain. The periapical bone destruction probability index (PRI) demonstrated a significant increase in periapical destruction following orthodontic treatment. Specifically, the odds ratios for bone destruction were 1.67 (90% CI: 1.16–2.49, P=0.008) for present versus absent and 1.77 (90% CI: 1.11–2.85, P=0.031) for present versus uncertain. The proportion of teeth without periapical destruction decreased from 15 (14.9%) during treatment to 14 (23.9%) post-treatment. These findings highlight the critical relationship between endodontic quality and treatment outcomes, emphasizing the need for meticulous endodontics during orthodontic therapies.https://rjor.ro/effects-of-orthodontic-treatment-on-periapical-health-in-endodontically-treated-teeth/endodontic treatmentorthodontic therapyperiapical bone destructionlaser-activated irrigationcbct
spellingShingle Kantor Ianos
Sorana Maria Bucur
Ioana Todor
Ștefania Dinu
Cristina Nuca
Fulop Botond
Mariana Păcurar
EFFECTS OF ORTHODONTIC TREATMENT ON PERIAPICAL HEALTH IN ENDODONTICALLY TREATED TEETH
Romanian Journal of Oral Rehabilitation
endodontic treatment
orthodontic therapy
periapical bone destruction
laser-activated irrigation
cbct
title EFFECTS OF ORTHODONTIC TREATMENT ON PERIAPICAL HEALTH IN ENDODONTICALLY TREATED TEETH
title_full EFFECTS OF ORTHODONTIC TREATMENT ON PERIAPICAL HEALTH IN ENDODONTICALLY TREATED TEETH
title_fullStr EFFECTS OF ORTHODONTIC TREATMENT ON PERIAPICAL HEALTH IN ENDODONTICALLY TREATED TEETH
title_full_unstemmed EFFECTS OF ORTHODONTIC TREATMENT ON PERIAPICAL HEALTH IN ENDODONTICALLY TREATED TEETH
title_short EFFECTS OF ORTHODONTIC TREATMENT ON PERIAPICAL HEALTH IN ENDODONTICALLY TREATED TEETH
title_sort effects of orthodontic treatment on periapical health in endodontically treated teeth
topic endodontic treatment
orthodontic therapy
periapical bone destruction
laser-activated irrigation
cbct
url https://rjor.ro/effects-of-orthodontic-treatment-on-periapical-health-in-endodontically-treated-teeth/
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