Apical periodontitis and the technical quality of root canal treatment in an adult sub-population in London

Filippo, G. Di; Sidhu, Sharanbir K.; Chong, B. S.

doi:10.1038/sj.bdj.2014.404

Cited by 77 publications

(83 citation statements)

References 35 publications

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“…This was in good agreement with previous reports [35, 38], and lower if compared to investigations using conventional radiography [39]. Regarding the categories length and homogeneity of endodontic treatment, coronal restoration, and periapical status the inter-rater reliability as assessed by Cohen’s κ was satisfying, and this was in accordance with previous studies [7, 10, 40].…”

Section: Discussionsupporting

confidence: 92%

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Radiologic assessment of quality of root canal fillings and periapical status in an Austrian subpopulation – An observational study

2017

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Background/ObjectiveProgress in endodontic techniques and methodological advances have altered root canal therapy over the last decades. These techniques and methods need periodical documentation. This observational study determined the current prevalence of endodontic treatments, and investigated the relationship of various factors with the periapical status in a Lower Austrian subpopulation.MethodologyOne thousand orthopantomograms of first-time university adult patients radiographed at an outpatient clinic were evaluated. For each tooth, the presence of periradicular pathosis and/or endodontic treatment was recorded, as was the quality of (post-)endodontic treatment (homogeneity and length of root canal fillings; preparation failures; posts/screws; apicoectomies; coronal restorations). Two evaluators, blinded to each other, scored all teeth. In cases of disagreement, they joined for a consensus score.ResultsIn all, 22,586 teeth were counted. Of these, 2,907 teeth (12.9%) had periapical pathosis, while 2,504 teeth had undergone root canal treatment. Of the endodontically treated teeth, 52% showed no radiographic signs of apical periodontitis, while 44.9% had overt apical lesions, and 3,1% revealed widened periodontal ligament space. The majority of the root canal fillings was inhomogeneous (70.4%); 75.4% were rated too short, and 3.8% too long. The presence of apical pathosis was significantly correlated (odds ratio (OR) 2.556 [confidence interval (CI) 2.076–3.146]; P<0.0001) with poor root canal fillings (length and homogeneity). Posts or screws positively affected periapical status (OR 1.853 [CI 1.219–2.819]; P = 0.004), but endodontically treated posterior teeth were infrequently restored (posts, 7.5%; screws, 2.7%). Best results were found for teeth with both appropriate endodontic treatment and adequate coronal restoration.ConclusionA high prevalence of periradicular radiolucencies was observed with root canal filled teeth, along with high numbers of unmet treatment needs. Periapical health was associated with adequate root canal obturation and high-grade postendodontic restorations, and quality regarding these latter aspects is considered mandatory to promote periapical health.

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Section: Discussionsupporting

confidence: 92%

“…However, contrary to other recent investigations [34], teeth scored as PAI 1 and 2 were not included in the present study [14], and we pooled scores 3 to 5 [35]. Therefore, we focussed on unambiguous radiographic signs, and tried to compensate for the negative predictive value (0.67) of radiographs for apical periodontitis [36].…”

Section: Discussionmentioning

confidence: 99%

Radiologic assessment of quality of root canal fillings and periapical status in an Austrian subpopulation – An observational study

2017

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“…The prevalence of chronic apical periodontitis (34.81%) agreed with studies conducted in other populations in Buenos Aires in Argentina 13 , Bucaramanga and Floridablanca in Colômbia 14 , and Barcelona in Spain 15 , where it ranged 27%to 49%. However, these results were higher than those reported in other surveys conducted in English 16 (4.1%), Scottish 17 (5.8%) and Kosovan 18 (12.3%) populations. The discrepancies observed among these studies may be justified by the different degrees of human development among these populations.…”

Section: Discussioncontrasting

confidence: 56%

Prevalence of endodontic diseases: an epidemiological evaluation in a Brazilian subpopulation

2017

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Aim: To determine the prevalence of pulp and periradicular diseases in a Brazilian subpopulation, correlating the prevalence with sex, age and most affected teeth. Methods: Data collected from medical records of patients treated at the Clinic of Specialization in Endodontics of the Federal University of Pernambuco between 2003 and 2010. The following variables were recorded for each patient: sex, age, affected teeth and diagnosed endodontic disease. Using Pearson's chi-square and Fisher's exact tests, the collected data analysis was set at a 5% significance level. Results: From all the treated teeth, 57% were diagnosed with pulp diseases, with the symptomatic irreversible pulpitis being the most prevalent (46.3%), while among the diagnosed periradicular diseases (43%), chronic apical periodontitis was the most prevalent (81%). Pulp diseases were detected in men and women in an unequal mode (p=0.008). Subjects under 40 years old had higher prevalence of pulp disease (p=0.286), and patients over 50 years were most affected by periradicular diseases (p=0.439). Maxillary incisors and mandibular first molars were the most affected teeth by endodontic diseases. Conclusions: In the evaluated subpopulation, the endodontic diseases were more prevalent in the maxillary incisive, affected indiscriminately individuals of different age groups and chronic apical periodontitis was the most prevalent diagnosed disease.

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“…, Di Filippo et al . ). Clinical and radiographic criteria are used in the diagnosis of AP lesions (Estrela et al .…”

Section: Introductionmentioning

confidence: 97%

Prevalence of apical periodontitis and root filled teeth in a Belgian subpopulation found on CBCT images

et al. 2016

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Apical periodontitis and the technical quality of root canal treatment in an adult sub-population in London

Cited by 77 publications

References 35 publications

Radiologic assessment of quality of root canal fillings and periapical status in an Austrian subpopulation – An observational study

Radiologic assessment of quality of root canal fillings and periapical status in an Austrian subpopulation – An observational study

Prevalence of endodontic diseases: an epidemiological evaluation in a Brazilian subpopulation

Prevalence of apical periodontitis and root filled teeth in a Belgian subpopulation found on CBCT images

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