Factors associated with the periapical status of endodontically treated teeth: a multidisciplinary approach

Autor: Costa, George Moreira
Přispěvatelé: Soares, Janir Alves, Silveira, Frank Ferreira, Soares, Suelleng Maria Cunha Santos, Gon?alves, Patr?cia Furtado, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
Jazyk: portugalština
Rok vydání: 2012
Předmět:
Zdroj: Repositório Institucional da UFVJM
Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM)
instacron:UFVJM
Popis: Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-23T16:14:44Z No. of bitstreams: 5 george.pdf: 1321962 bytes, checksum: 4431a511a9e919efedb58883c89d3635 (MD5) license_url: 52 bytes, checksum: 3d480ae6c91e310daba2020f8787d6f9 (MD5) license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) license.txt: 2109 bytes, checksum: aa477231e840f304454a16eb85a9235f (MD5) Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-02-10T10:47:26Z (GMT) No. of bitstreams: 5 george.pdf: 1321962 bytes, checksum: 4431a511a9e919efedb58883c89d3635 (MD5) license_url: 52 bytes, checksum: 3d480ae6c91e310daba2020f8787d6f9 (MD5) license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) license.txt: 2109 bytes, checksum: aa477231e840f304454a16eb85a9235f (MD5) Made available in DSpace on 2015-02-10T10:47:26Z (GMT). No. of bitstreams: 5 george.pdf: 1321962 bytes, checksum: 4431a511a9e919efedb58883c89d3635 (MD5) license_url: 52 bytes, checksum: 3d480ae6c91e310daba2020f8787d6f9 (MD5) license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) license.txt: 2109 bytes, checksum: aa477231e840f304454a16eb85a9235f (MD5) Previous issue date: 2013 O objetivo deste estudo foi avaliar a influ?ncia da qualidade do tratamento de canal radicular (TCR), de fatores relacionados ? restaura??o coron?ria (RC), les?es por c?rie e par?metros cl?nicos periodontais no estado periapical de dentes tratados endodonticamente. Os pacientes foram tratados por estudantes de gradua??o na Cl?nica de Endodontia da Universidade Federal dos Vales do Jequitinhonha e Mucuri, entre o per?odo de 2004 a 2009. A reavalia??o cl?nica e radiogr?fica foi realizada entre Setembro de 2010 e Fevereiro de 2011. Foram coletados dados contidos nos prontu?rios odontol?gicos (idade, g?nero, dente tratado, estado periapical pr?-operat?rio, tipo de tratamento, t?cnicas de instrumenta??o e obtura??o empregadas, radiografia final da obtura??o e tipo de restaura??o coron?ria). Clinicamente, foram considerados fatores relacionados a sinais e sintomas endod?nticos, les?es por c?rie, RC e par?metros periodontais. Radiograficamente avaliou-se o estado periapical, les?es por c?rie, RC e pino intrarradicular. Os resultados foram analisados estatisticamente usando os testes qui-quadrado de Pearson, exato de Fisher, McNemar e regress?o log?stica bivariada e multivariada (p0,05). Concluiu-se que, no estudo longitudinal, o pr?vio estado periapical foi o principal fator que influenciou o progn?stico do TCR e, no estudo transversal, a presen?a de les?es por c?rie e aspectos periodontais influenciaram negativamente no estado periapical dos dentes tratados endodonticamente. Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2012. ABSTRACT The aim of this study was to evaluate the influence of root canal treatment (RCT) quality, factors related to the coronal restoration (CR), carious lesions and periodontal clinical parameters in the periapical status of endodontically treated teeth. The patients were treated by undergraduate students at the Clinic of Endodontics, Federal University of Jequitinhonha and Mucuri Valleys (UFVJM) in the period between 2004-2009. The clinical and radiographic recall was performed between September 2010 and February 2011. Data were collected in records dentistry (age, gender, treated tooth, periapical status preoperative, type of treatment, instrumentation and obturation techniques, final radiography of the filling and the type of coronal restoration). Clinically, factors related to carious lesions, CR and periodontal parameters were considered. Radiographic parameters were evaluated the periapical status, carious lesions, CR and cast post. The results were statistically analyzed using Pearson chi-square, Fisher?s exact and McNemar tests, bivariate and multivariate logistic regression (p0.05). In conclusion, the prior periapical status was the main factor affecting the prognosis of the RCT in the longitudinal study and, in the cross-sectional study the presence of carious lesions and periodontal aspects negatively influenced the periapical status of endodontically treated teeth.
Databáze: OpenAIRE
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