Prevalence of Apical Periodontitis in Root Canal–Treated Teeth From an Urban French Population: Influence of the Quality of Root Canal Fillings and Coronal Restorations

Tavares, Paula B.L.; Bonte, Éric; Boukpessi, Tchilalo; Siqueira, José F.; Lasfargues, Jean‐Jacques

doi:10.1016/j.joen.2009.03.048

Cited by 145 publications

(160 citation statements)

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“…On the other hand, the varied parameters of radiographic evaluation of the filling quality make comparisons difficult and may generate bias. For example, the majority of the studies evaluated the apical extension and homogeneity of the filling, considering it as adequate when it was 0-2 mm short of the apex and free of porosities (3)(4)(5)18). However, not all of these studies applies these two criteria simultaneously or with the same level of conformity.…”

Section: Discussionmentioning

confidence: 99%

“…It may be explained by the use of thermoplasticized guttapercha obturation techniques (2,4,18). It is clinically relevant because poor homogeneity of the filling material may lead to microleakage, which is the major cause of apical periodontitis (3,5,6).…”

Section: Discussionmentioning

confidence: 99%

“…It was even more critical when considering the mesiobuccal canals of maxillary molars and mesial canals of mandibular molars. The complexity of the root canal system anatomy reflects the highest degree of complexity of the obturation procedures, resulting in mayor prevalence of periapical radiolucency (4)(5)(6)20).…”

Section: Discussionmentioning

confidence: 99%

“…Epidemiologic studies conducted in many countries have shown high prevalence of poor technical quality filling associated with periapical radiolucency (1)(2)(3)(4)(5)(6), which raises an important public health problem with medical, economical, and ethical repercussions. Among the risk factors involving in the development of periapical radiolucency, the quality of root canal filling was found to have the most critical impact (1,4). Thus, efforts should be made to improve the quality of the obturation seen in radiographs.…”

Section: Introductionmentioning

confidence: 99%

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Radiographic quality of root canal fillings performed in a postgraduate program in endodontics

et al. 2010

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The aim of this study was to evaluate the standard quality of 1,347 root fillings performed by postgraduate students in Endodontics according to 3 radiographic quality parameters. The analyzed quality parameters included apical extension (AE), taper (TA) and homogeneity (HO), which received scores S2 (ideal standard), S1 (slight deviation) or S0 (accentuated deviation). A perfect filling (PF) received S2 for all parameters. In the absence of one or two S2 score, the fillings were deemed as satisfactory (SF) or deficient (DF), respectively. The results showed 51.7%, 41.5% and 6.8% of PF, SF, and DF, respectively. AE, TA, and HO presented equivalent quality parameters in root-filled canals of mandibular incisors and mandibular premolars (p>0.05). Conversely, in maxillary incisors, canines and distal root of mandibular molars, significant differences (p<0.05) were found between 2 parameters. Besides, there were significant differences (p<0.05) among the measured parameters in root-filled canals of maxillary premolars, all root canals of the maxillary molars and mesial root of the mandibular molars. AE showed the lowest frequency of S2 score for all groups. In conclusion the prevalence of perfect, satisfactory and deficient fillings varied significantly according to the root canal group. The quality parameters categorized fillings in 3 complexity degrees. AE was the most critical parameter of quality in root canal fillings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Radiographic quality of root canal fillings performed in a postgraduate program in endodontics

et al. 2010

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“…However, some studies have reported an increased prevalence of apical periodontitis in teeth restored with clamps [9]. In a study carried out by Tavares et al [19], out of 458 teeth with dental post, 315 (65%) teeth were involved with chronic apical periodontitis. The results of De Moor et al [8] showed that dental post is one of the most important factors in periapical position.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of Chronic Apical Periodontitis Among Patients Referred to the Department of Endodontics at the Kermanshah School of Dentistry (2014–2015)

Miri¹,

Miri²,

Akbari³

2016

Dent. Med. Probl.

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Since the discovery of the high prevalence of chronic apical periodontitis in many countries as an important risk factor for public health, numerous epidemiologic studies have been conducted to analyze its prevalence and the factors associated with it [1][2][3][4]. Generally, it has been accepted that the result of endodontic treatment is positively associated with the quality of root canal filling techniques, which consequently leads to sealing and preventing the penetration of bacteria into the root canal system. Epidemiologic studies have associated the prevalence of apical periodon- AbstractBackground. A lot of research has been done on the prevalence of apical periodontitis in different populations, but there is no data on its prevalence in Iranian population, so there is not enough data about this condition and the factors associated with it. Objectives. The current study was aimed to evaluate the prevalence of chronic apical periodontitis among the patients visiting the Department of Endodontics at the Kermanshah School of Dentistry. Material and Methods. This descriptive cross-sectional study was carried out on 595 patients (252 men and 343 women) who were referred to the Kermanshah School of Dentistry in 2014-2015. First, the patients' demographic data was taken using a checklist. Then, an OPG x-ray of each patient was observed carefully and the location of chronic apical periodontitis in the jaws, the history of endodontic treatment, the presence of dental post, adequate and inadequate restorations and periapical index (PAI) were recorded on a checklist. The collected data was analyzed using SPSS-18 software.Results. The prevalence of chronic apical periodontitis was reported to be 4.4%, which increased with age. It was higher in men than in women. The most common site of apical periodontitis was the maxilla and the highest incidence was reported for posterior teeth. Conclusions.The findings of the current study indicate a high prevalence of chronic apical periodontitis due to the presence of post and a history of inadequate root canal treatment (Dent. Med. Probl. 2016, 53, 4, 496-500).

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Endodontic procedures for retreatment of periapical lesions

Fabbro

Corbella

Sequeira‐Byron

et al. 2016

Cochrane Database of Systematic Reviews

109

114

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Analysis 1.1. Comparison 1 Root-end resection versus root canal retreatment, Outcome 1 Healing-1 year.. .. . Analysis 1.2. Comparison 1 Root-end resection versus root canal retreatment, Outcome 2 Healing-4 years.. .. Analysis 1.3. Comparison 1 Root-end resection versus root canal retreatment, Outcome 3 Healing-10 years.. .. Analysis 1.4. Comparison 1 Root-end resection versus root canal retreatment, Outcome 4 Participants reporting pain. Analysis 1.5. Comparison 1 Root-end resection versus root canal retreatment, Outcome 5 Participants reporting swelling. Analysis 2.1. Comparison 2 CBCT versus periapical radiography, Outcome 1 Healing-1 year.. .. .. .. . Analysis 3.1. Comparison 3 Antibiotic prophylaxis versus placebo, Outcome

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Prevalence of Apical Periodontitis in Root Canal–Treated Teeth From an Urban French Population: Influence of the Quality of Root Canal Fillings and Coronal Restorations

Cited by 145 publications

References 40 publications

Radiographic quality of root canal fillings performed in a postgraduate program in endodontics

Radiographic quality of root canal fillings performed in a postgraduate program in endodontics

Prevalence of Chronic Apical Periodontitis Among Patients Referred to the Department of Endodontics at the Kermanshah School of Dentistry (2014–2015)

Endodontic procedures for retreatment of periapical lesions

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