Clinical and radiographic assessment of post-treatment endodontic disease by primary healthcare professionals: A hospital-based 1-year follow-up

Abstract

Background: The comprehensive healthcare approach including prophylactic guidance and motivation by the primary healthcare professionals towards oral and maxillofacial diseases such as post-treatment endodontic disease (PTED) plays a significant role in diagnosing and managing the condition. Especially in the developing countries like India where the hygiene practices are severely compromised, the primary healthcare professional plays an upfront role. Objectives: The present study was conducted to assess the clinical and radiographic characteristics of PTED by primary healthcare professional. Materials and Methods: The cross-sectional study was conducted in a dental hospital in Kutch, Gujarat, India. In the present study, out of a total of 755, 96 patients were diagnosed with PTED, met the inclusion criteria, and were enrolled for the study. After performing intraoral and extraoral examination, intraoral periapical radiographs were taken of the concerned teeth. Under dark room conditions, radiographs were examined using dentsply light box and magnifying glass by healthcare professionals. Results: Out of 755 patients, 96 (12.71%) patients were enrolled in the study with 98 concerned teeth. The most common teeth diagnosed with PTED were maxillary molars with 25.51% (21) individuals. Well-defined radiolucent lesions were seen in 62.24% (61) individuals. Voids in both coronal and apical region were seen in majority (38.77%) of patients. The length of root-end fillings with respect to the radiographic apex was satisfactory in 44.89% (44) individuals. The present study showed strong correlation between sinus formation and presence of periapical lesion with P value of 0.0219*. Conclusion: The proper guidance and preventive care by primary healthcare professionals leads to the relatively less prevalence of post-treatment endodontic disease in Indian population. The present study further suggests the higher substandard quality of root-end fillings of endodontically treated teeth.

Comparison of Endodontic Failures between Nonsurgical Retreatment and Endodontic Surgery: Systematic Review and Meta-Analysis with Trial Sequential Analysis

“…In accordance with Karabucak and Setzer [ 7 ], the criteria which should guide the clinician in choosing between performing a non-surgical endodontic retreatment and a surgical endodontic retreatment concern the following points: Evaluation of the coronal seal: the presence of an adequate coronal restoration or a still functional prosthetic crown that seals the endodontium coronally or whose removal involves the non-restorability can lead to the choice towards surgical endodontic retreatment. On the contrary, a restoration no longer adequate, with good access to the endodontium, may lead to the choice of non-surgical endodontic retreatment [ 8 ]. Radiographic evaluation of root canal obturation: the presence of untreated canals and a coarse filling of the canals may lead to the choice of non-surgical endodontic retreatment.…”

“…Evaluation of the coronal seal: the presence of an adequate coronal restoration or a still functional prosthetic crown that seals the endodontium coronally or whose removal involves the non-restorability can lead to the choice towards surgical endodontic retreatment. On the contrary, a restoration no longer adequate, with good access to the endodontium, may lead to the choice of non-surgical endodontic retreatment [ 8 ].…”

Asociación entre calidad del tratamiento endodóntico y periodontitis apical, evaluada mediante Tomografía computarizada de haz cónico en una población colombiana

“…Estas estadísticas contrastan con los resultados de los tratamientos endodónticos obtenido en los estudios clínicos controlados de seguimiento, que muestran éxito entre 90% y 95% (5)(6)(7) . En estudios prospectivos controlados o de seguimiento se ha encontrado que los tratamientos endodónticos que se realizan con altos estándares de calidad evidencian mejores resultados (8) ; Poornima et al (9) , sugieren que el tratamiento endodóntico adecuado puede reducir los niveles de proteína C reactiva en individuos sistémicamente sanos con periodontitis apical.…”