Coronal Restoration as a Predictor of Periapical Disease in Non-Endodontically Treated Teeth

Autor: Peršić Bukmir, Romana, Paljević, Ema, Pezelj-Ribarić, Sonja, Brekalo Pršo, Ivana
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Acta stomatologica Croatica : International journal of oral sciences and dental medicine
Volume 55
Issue 1
ISSN: 1846-0410
0001-7019
Popis: Objectives: To compare the frequency of apical periodontitis (AP) in non-endodontically treated teeth restored with full coverage crowns, amalgam and resin composite fillings, and to disclose the association of type and quality of coronal restoration with periapical disease. Material and methods: The cross-sectional study involved 597 subjects who attended the Dental Clinic of the Clinical Hospital Centre, Rijeka, Croatia for the first time. Data were collected by means of a clinical and radiological survey. The following data were recorded for all permanently restored non-endodontically treated teeth: the type, the quality of coronal restoration according to clinical and radiographic criteria for marginal integrity as well as the recurrent caries presence, periapical status and marginal bone loss. Chi-square tests were used to analyze the difference in periapical status regarding the type and the quality of restoration. The multivariate logistic regression analysis was used to assess the effect of explanatory tooth-specific variables on periapical status. Results: There was no significant difference in the proportion of AP with regards to the type and material of adequate quality coronal restorations (χ 2 =5.000, P=0.082). The regression analysis revealed significant positive associations with outcome variable (AP) for crowns (OR=3.39; P
Cilj: Svrha studije bila je usporediti učestalost apikalnog parodontitisa (AP) u endodontski neliječenim zubima koji su restaurirani potpunim krunicama te amalgamskim i smolastim kompozitnim ispunima. Također je istraživana povezanost vrste i kvalitete koronarne restauracije s prisutnošću periapikalne bolesti. Materijali i postupci: Presječno istraživanje obuhvatilo je 597 ispitanika koji su prvi put posjetili Kliniku za dentalnu medicinu Kliničkoga bolničkog centra Rijeka. Podatci su prikupljeni kliničkim i radiološkim pregledom. Za sve trajno restaurirane endodontski neliječene zube analizirani su vrsta, kvaliteta koronarne restauracije prema kliničkim i radiološkim kriterijima za rubnu cjelovitost restauracije i prisutnost rekurentnog karijesa, periapikalni status te gubitak marginalne kosti. Hi-kvadrat testovi primijenjeni su u analizi razlike periapikalnog statusa s obzirom na vrstu i kvalitetu restauracije. Multivarijantna logistička regresijska analiza obavljena je u procjeni utjecaja prediktorskih dentalnih varijabli na periapikalni status. Rezultati: Nije dokazana značajna razlika u proporciji AP-a s obzirom na vrstu i materijal koronarne restauracije odgovarajuće kvalitete (χ 2 = 5,000, P = 0,082 ). Regresijskom analizom otkrivena je značajna pozitivna povezanost s ishodišnom varijablom (AP) za krunice (OR = 3,39; P < 0,001), rekurentni karijes (OR = 4,67; P < 0,001) i pretkutnjake (OR = 1,73; P = 0,002). Zaključak: Ako su restauracije primjerene kvalitete, nema razlike u periapikalnom statusu endodontski neliječenih zuba s obzirom na vrstu i materijal korišten za koronarne restauracije.
Databáze: OpenAIRE
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