Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate Level

Autor: Paula Cristina Pelli Paiva, George Moreira Costa, Rudys Rodolfo De Jesus Tavarez, Sangela Maria da Silva Pereira, Suelleng Maria Cunha Santos Soares, Flaviana Dornela Verli, Patrícia Furtado Gonçalves, Janir Alves Soares, Etevaldo Matos Maia Filho
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: International Journal of Dentistry, Vol 2017 (2017)
International Journal of Dentistry
ISSN: 1687-8736
1687-8728
Popis: Objective. The aim was to evaluate the influence of multiple factors on the periapical status of endodontically treated (ET) teeth. Methods. The patients were clinically and radiographically reevaluated after root canal therapy. The quality of the root-filled canals, coronal restorations, intraradicular posts, dental caries, and periodontal parameters were associated with the teeth’s periapical status. Results. The 122 patients provided 154 ET teeth; 97.4% teeth were asymptomatic, and 75.5% had a normal periapical status. The percentage of perfect, satisfactory, and deficient root-filled canals was of the order of 41.6%, 46.1%, and 12.3%, respectively. The percentage of adequate and inadequate coronal restorations was 31.2% and 68.8%, respectively. A total of 14.9% teeth had intraradicular posts, and 29.2% had cavitated carious lesions in the dentin. Gingival bleeding was observed in 31.8% of teeth, and dental biofilm was visible in 58.4%. A total of 11.7% showed pathologic tooth mobility, and 22.1% teeth were diagnosed with periodontal disease. Conclusions. Carious lesions, gingival bleeding, and tooth mobility were significantly associated with the occurrence of periapical lesions in root-filled canals.
Databáze: OpenAIRE
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