Survival of Restored Endodontically Treated Teeth in Relation to Periodontal Status

Skupien, Jovito Adiel; Opdam, N.J.M.; Winnen, Rolf; Bronkhorst, Ewald M.; Kreulen, C.M.; Pereira‐Cenci, Tatiana; Huysmans, M.C.D.N.J.M.

doi:10.1590/0103-6440201600495

Cited by 20 publications

(14 citation statements)

References 14 publications

(14 reference statements)

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“…In sites with greater bone loss, a poorer treatment response has been reported regarding probing pocket depth reduction . Also, periodontal disease (pockets > 5 mm) around endodontically treated teeth appears to be an extra risk factor, which can affect tooth survival . In the present study, patients that did not have a successful treatment response had endodontic treatment, which varied between 8% and 11% dependent on tooth type (Table ).…”

Section: Discussionmentioning

confidence: 62%

Success of non‐surgical periodontal therapy in adult periodontitis patients: A retrospective analysis

Weijden

Dekkers

Slot

2019

Int J Dental Hygiene

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ObjectiveTo evaluate the results of active non‐surgical treatment in patients diagnosed with adult periodontitis treated in a specialized clinic for periodontology.Material & MethodsIn total, 1182 patients with adult periodontitis received active non‐surgical therapy, which involved professional oral hygiene instruction, scaling and root planing, supragingival polishing and elective systemic antimicrobial medication. The results of this therapy were based on a full‐mouth periodontal chart as assessed at the time of evaluation. Successful treatment as periodontal pocket depth (PPD) ≤5 mm was the main outcome parameter with bleeding on pocket probing as secondary outcome. Patient‐related factors such as smoking and severity of periodontitis at baseline and site‐related factors such as tooth type, furcation involvement and endodontic treatment were analysed. Possible relations with assessed parameters and the success of active periodontal therapy were evaluated.ResultsOverall 39% of the patients reached the successful treatment objective and a mean bleeding on pocket probing tendency of 14%. Treatment success appeared to be dependent on tooth type where the results at single‐rooted front teeth (85%) and premolar teeth (78%) were more successful than at molar teeth (47%). Analysis revealed that in 55% of the cases furcation involvement at molars was associated with the absence of success. Endodontic treatment was associated with absence of success in 8%‐11% of the cases. Smoking negatively influences successful treatment outcome (P < 0.001).ConclusionActive non‐surgical periodontal therapy in patients with adult periodontitis resulted in approximately one third of the cases in the success endpoint of PPD ≤ 5mm. Sub‐analysis showed that the outcome appeared to be dependent on tooth type, furcation involvement, severity of periodontal disease at intake and smoking status.

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Section: Discussionmentioning

confidence: 62%

Success of non‐surgical periodontal therapy in adult periodontitis patients: A retrospective analysis

Weijden

Dekkers

Slot

2019

Int J Dental Hygiene

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“…There is little scientific evidence that associates successful endodontic treatment with the maintenance of these teeth in the oral cavity in the long term. [ 11 12 ] Considering that periodontal diseases frequently appear as one of the main factors associated with the loss of endodontically treated teeth,[ 9 10 11 ] the aim of this study was to evaluate the incidence of periodontal compromise in teeth indicated for undergoing endodontic treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Among the main reasons associated with the loss of endodontically treated teeth, periodontal diseases frequently appear as one of the most relevant types. [ 9 10 11 ] However, strangely enough, there is limited scientific evidence about the importance of periodontal status in relation to successful endodontic treatment and maintenance of endodontically treated teeth in the long term. [ 11 12 ]…”

Section: Introductionmentioning

confidence: 99%

Incidence of periodontal compromise in teeth indicated for undergoing endodontic treatment: A clinical study

Machado¹,

Cunha

Comparin³

et al. 2018

Eur J Dent

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Objective:The aim of this study was to evaluate the periodontal status of teeth indicated for undergoing endodontic treatment.Materials and Methods:Two hundred and nine teeth were evaluated using probing depth tests at three vestibular and three palatine/lingual sites before the patients underwent treatment. Teeth that presented up to 3-mm probing depth were considered as healthy. Those that presented at least one site with probing depth >3 mm were considered periodontally compromised. The data were statistically analyzed by means of applying the Chi-square test, with a level of significance of 5%.Results:Of the total of 209 teeth evaluated, 40 (19.10%) presented periodontal compromise. There was statistically significant difference related to the compromised teeth of patients of the female gender (22.80%) compared with teeth of patients of the male gender (12.30%) (P < 0.05).Conclusions:Fewer than 20% of the teeth evaluated presented a periodontal compromise. Patients of the female gender presented a higher number of periodontally compromised teeth than patients of the male gender.

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“…The increased risk of tooth loss was 3,1 for endodontically treated teeth with moderate periodontitis. Skupien et al (37) in their study also confirmed the importance of healthy periodontal status on the survival of endodontically treated teeth. Periodontal pocket depth was found to be a significant factor in the survival of restored endodontically treated teeth.…”

Section: Resultsmentioning

confidence: 59%

Reasons for Extraction of Endodontically Treated Teeth – a Review of Literature

Borisova-Papancheva¹,

Svetlozarova²

2020

MedInform

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Survival of Restored Endodontically Treated Teeth in Relation to Periodontal Status

Cited by 20 publications

References 14 publications

Success of non‐surgical periodontal therapy in adult periodontitis patients: A retrospective analysis

Success of non‐surgical periodontal therapy in adult periodontitis patients: A retrospective analysis

Incidence of periodontal compromise in teeth indicated for undergoing endodontic treatment: A clinical study

Reasons for Extraction of Endodontically Treated Teeth – a Review of Literature

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