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. 2022 Aug 15:28:e936569.
doi: 10.12659/MSM.936569.

Radiological Assessment of Prevalance and Quality of Periapical Status of Endodontic Treatments

Zeynep Aysal  1 , Husniye Demirturk Kocasarac  2   3 , Kaan Orhan  4 , Dilek Helvacioglu-Yigit  5
Affiliations

Radiological Assessment of Prevalance and Quality of Periapical Status of Endodontic Treatments

Zeynep Aysal et al. Med Sci Monit. .

Abstract

BACKGROUND The aim of this study was to determine the current prevalence and quality of endodontic treatments and investigate the relationship of various factors with posttreatment endodontic disease (PTED) in a Turkish subpopulation. MATERIAL AND METHODS The cone beam computed tomography (CBCT) images of 1069 patients (male, 50.9%; female, 49.1%; mean age, 45.32±13.50 years) were retrospectively analyzed. A total of 20 646 teeth were examined; 1604 had undergone root canal. Periapical status was assessed using a modified CBCT periapical index. The relationship between periapical status and quality of root canal fillings (RCFs) was analyzed statistically using the chi-square test. Multivariate logistic regression was performed to evaluate the effect of individual parameters by adjusting them for other variables. RESULTS A total of 7.8% of all teeth had RCF. The prevalence of poor filling (having at least 1 procedural error) was 54.1%; the prevalence of PTED was 56.8%. The prevalence of PTED was 44.3% in teeth with short RCF, 10.8% with overextended RCF, 35.7% with nonhomogeneous RCF, and 15.5% in teeth with untreated root canals. The rate of RCF teeth with procedural errors associated with PTED was 76.2%. There was no significant difference between sexes in apical periodontitis (P>0.05), which developed more frequently in teeth with procedural errors. CONCLUSIONS The overall prevalence of poor fillings (having at least 1 procedural error) among RCF teeth was high (54.1%) in this subpopulation. There is a substantial need to improve the technical quality of endodontic treatment.

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Conflict of interest statement

Conflict of interest: None declared

Figures

Figure 1
Figure 1
Procedural errors: (A) presence of broken instrument and ledge formation; (B) short root canal filling (RCF) and overextended RCF; (C) nonhomogeneous RCF; and (D) presence of missed canal in maxillary molar tooth andmandibular anterior tooth. Scans were reconstructed using Planmeca Romexis Viewer Software version 4.3.0.R (Planmeca, Helsinki, Finland).
Figure 2
Figure 2
Distribution of the presence of posttreatment endodontic disease in teeth with root canal treatment according to the location of the teeth.
See this image and copyright information in PMC

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