Impact of Three Radiographic Methods in the Outcome of Nonsurgical Endodontic Treatment: A Five-Year Follow-up

Fernàndez, R.; Cadavid, Diego; Zapata, Sandra M.; Álvarez, Luis Gonzalo; Restrepo, Felipe

doi:10.1016/j.joen.2013.04.002

Cited by 42 publications

(35 citation statements)

References 34 publications

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“…, Fernández et al . ) but also falls within the expected range for retrospective studies (Straus et al . ), so that the total number of teeth evaluated was sufficient to validate the results statistically.…”

Section: Discussionsupporting

confidence: 84%

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Prognosis of root canal treatment in teeth with preoperative apical periodontitis: a study with cone‐beam computed tomography and digital periapical radiography

et al. 2019

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Aim This observational cohort study aimed: (i) to determine retrospectively after a 1‐ to 12‐year follow‐up period, the strength and independence of the association of various patient‐, tooth‐ and treatment‐related prognostic variables with the outcome of root canal treatment in patients with pre‐therapeutic apical periodontitis; and (ii) to establish the concordance between those predictors evaluated by both cone‐beam computed tomography (CBCT) and digital periapical radiography (DPR). Methodology The study cohort included 125 teeth in 84 individuals. The postoperative clinical signs/symptoms, plus DPR/CBCT‐PAI estimations, were used to determine the healing outcome. For statistical analysis, results were dichotomized into completely healed periapical structures versus persistent disease cases. The association between candidate predictor variables with persistent disease was analysed individually and adjusted for confounders using a multivariate binary logistic regression model. Results The success rate was 53.6%. After logistic regression analysis, mandibular tooth location, periapical lesion size >10 mm, poor quality of the coronal restoration, lack of magnification/illumination, lack of disinfection of gutta‐percha, time elapsed to definitive coronal restoration >1 week and poor density of root canal filling remained as robust predictors of failures. Concordance between DPR and CBCT scores varied from moderate to almost perfect agreement. Conclusions The findings of this study suggest that several tooth‐ and treatment‐related predictor variables, including tooth location, periapical radiolucency size, quality of the coronal restoration, magnification/illumination, disinfection of gutta‐percha, time elapsed to definitive coronal restoration, as well as, the density of root canal filling may act strongly and independently for determining the root canal treatment outcome in teeth with pre‐therapeutic apical periodontitis.

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Section: Discussionsupporting

confidence: 84%

“…, Fernández et al . ). Additionally, taking into account that there are fundamental differences in prognosis between initially infected roots with inflamed periapices and roots without such lesions (Friedman , Ørstavik et al .…”

Section: Discussionmentioning

confidence: 97%

Prognosis of root canal treatment in teeth with preoperative apical periodontitis: a study with cone‐beam computed tomography and digital periapical radiography

et al. 2019

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“…Fernández et al . (), using PR and CBCT, retrospectively assessed the outcome of root canal treatment carried out on teeth with vital pulps 5 years previously. Of 17 prognostic factors assessed, four factors appeared to have a negative impact on the outcome of treatment when assessed with CBCT.…”

Section: Assessment Of Periapical Periodontitismentioning

confidence: 99%

Cone beam computed tomography in Endodontics – a review of the literature

et al. 2019

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The use of cone beam computed tomography (CBCT) in the diagnosis and/or management of endodontic problems is increasing and is reflected in the exponential rise in publications on this topic in the last two decades. The aim of this paper is to: (i) Review current literature on the endodontic applications of CBCT; (ii) Based on current evidence make recommendations for the use of CBCT in Endodontics; (iii) Highlight the areas in which more research is required.

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“…In teeth with existing pre-operative periapical radiolucencies, reconstructed CBCT images also showed more failure (13.9%) when compared with PRs (10.4%). In a retrospective longitudinal cohort study, Fernández et al 81 evaluated the outcome of endodontic treatments as assessed by conventional and digital PRs and CBCT during a 5-year follow-up period. They suggested that CBCT was more sensitive than PRs for the visualization of periapical lesions in a long-term evaluation.…”

Section: Assessment Of the Outcome Of Root Canal Treatmentmentioning

confidence: 99%

Endodontic applications of cone beam computed tomography: case series and literature review

Abella

Morales

Garrido

et al. 2015

Giornale Italiano di Endodonzia

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Cone beam computed tomography (CBCT) is a relatively new method that produces three-dimensional (3D) information of the maxillofacial skeleton, including the teeth and their surrounding tissue, with a lower effective radiation dose than traditional CT scans. Specific endodontic applications for CBCTare being identified as the use of this technology becomes more common. CBCT has great potential to become a valuable tool for diagnosing and managing endodontic problems, as well as for assessing root fractures, apical periodontitis, resorptions, perforations, root canal anatomy and the nature of the alveolar bone topography around teeth. This article aims to review cone beam technology and its advantages over CT scans and conventional radiography, to illustrate current and future clinical applications in endodontic practice, and to highlight areas of further research of CBCT in endodontics. Specific case examples illustrate how treatment planning has changed with the images obtained with CBCT technology compared with only periapical radiography.

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Impact of Three Radiographic Methods in the Outcome of Nonsurgical Endodontic Treatment: A Five-Year Follow-up

Cited by 42 publications

References 34 publications

Prognosis of root canal treatment in teeth with preoperative apical periodontitis: a study with cone‐beam computed tomography and digital periapical radiography

Prognosis of root canal treatment in teeth with preoperative apical periodontitis: a study with cone‐beam computed tomography and digital periapical radiography

Cone beam computed tomography in Endodontics – a review of the literature

Endodontic applications of cone beam computed tomography: case series and literature review

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