Relationship between quality of root canal obturation and periapical lesion in elderly patients: a systematic review

Silva, Fabrício Rutz da; Padilha, Edna Zakrzevski; Cândido, Valéria Silva; Cavassim, Rodrigo; Pereira, Antônio Carlos; Hebling, Eduardo

doi:10.1111/ger.12146

Cited by 6 publications

(4 citation statements)

References 92 publications

(469 reference statements)

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“…However, the higher effective dose of ionizing radiation compared to conventional 2-dimensional radiographs is rarely justified. Some scientists have suggested the use of CBCT when conducting future research, in order to minimize the technical limitations of conventional radiographs, especially when new scanners with lower radiation doses are available [25, 26]. …”

Section: Discussionmentioning

confidence: 99%

Periapical Status and Quality of Root Canal Fillings in a Moroccan Subpopulation

Merini

Amarir

Lamzawaq³

et al. 2017

International Journal of Dentistry

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Aim The aim of the study was to assess the prevalence of apical periodontitis (AP) and quality of root canal fillings in an adult Moroccan subpopulation. Methods In the study 508 patients were included, attending the Conservative Dentistry Clinic at the Faculty of Dentistry of Casablanca. 508 panoramic and 709 periapical radiographs were observed. The periapical status of all teeth (with the exception of third molars) was examined according to Ørstavik's periapical index. The statistical analysis was performed with the software Epi Info Version 6.04dfr, April 2001. Results A total of 12719 teeth were examined. 45.3% of patients had apical periodontitis. 4.2% of teeth were treated endodontically and 70.4% of these treatments were inadequate. 91,5% with inadequate endodontic treatment presented apical periodontitis, while only 8,2% with adequate endodontic treatment had apical periodontitis. The lower molars and the upper premolars were the most affected teeth. The presence of apical periodontitis was correlated significantly with insufficient root canal fillings (p < 0.05). Conclusions The present study found a high prevalence of apical periodontitis in this Moroccan population. Inadequate root canal fillings were associated with an increased prevalence of apical periodontitis.

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Section: Discussionmentioning

confidence: 99%

Periapical Status and Quality of Root Canal Fillings in a Moroccan Subpopulation

Merini

Amarir

Lamzawaq³

et al. 2017

International Journal of Dentistry

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“…The use of CBCT in conjunction with software in the hands of a well‐trained clinician can establish a predictable, safe and quick path for guiding a bur into the calcified pulp chamber/canal 72,73 . The relationship between quality of root canal obturation and periapical health in older patients remains controversial 74 …”

Section: Discussionmentioning

confidence: 99%

“…72,73 The relationship between quality of root canal obturation and periapical health in older patients remains controversial. 74 Physical/cognitive limitations often present in older adults, and the belief that these patients are not interested in preserving their natural teeth leads to the misconception that the prognosis of Ets in the older people is poor. 75,76 Our literature review could not identify any study demonstrating the association of these factors with a poor prognosis of Ets in older patients.…”

Section: Summary Of Evidencementioning

confidence: 99%

A literature review of local and systemic considerations for endodontic treatments in older adults

Kytridou¹,

Gkikas

Garcia³

et al. 2023

Gerodontology

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ObjectivesThe aim of this literature review was to summarise the clinical important findings on the endodontic treatment outcome in older patients (≥60 years old) with pulpal/periapical disease considering local and systemic factors from a body of knowledge that is heterogeneous in methods or disciplines.BackgroundDue to the increasing number of older patients in the endodontic practice, and the current trend for tooth preservation, the need for clinicians to have a better understanding of age‐related implications that may influence the required endodontic treatment in older adults to retain their natural dentition is indispensable.MethodsPubMed/Medline and Embase was searched by a medical librarian using specific terms based on inclusion/exclusion criteria. The reference list was hand‐seached for additional relevant publications between 2005‐2020. A combination of these terms was performed uing Boolean operators and MeSH terms.ResultsOf the 1577 publications identified manually and electronically, 25 were included to be fully reviewed by the examiners. The data was derived from three systematic reviews, one systematic and meta‐analysis, three case series, four prospective and 14 retrospective cohorts. Overall, there was heterogeneity in reporting as well as limitations in most studies.ConclusionsThe outcome of endodontic treatment (ET) either nonsurgical or surgical or combination of these is not affected by older age. ET can be the treatment of choice in older patients wiht pulpal/periapical disease. There is no evidence that older age per se affects the outcome of any type of endodontic treatment.

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“…Rutz da Silva ve arkadaşlarının 2016'da yaptığı çalışmanın amacı, yaşlı hastalarda kök kanal obturasyonlarının kalitesi ile periapikal lezyonun varlığı / yokluğu arasındaki ilişkiyi araştırmaktır. Çalışmaya göre kök kanal obturasyonlarının kalitesi ile yaşlı hastalarda periapikal sağlık arasındaki ilişki konusunda bir fikir biriliği sağlanamamıştır (30).…”

Section: Discussionunclassified

Üniversite Hastanesine Geriatrik Hasta Başvuruları ve Endodontik Tedavi İnsidanslarının İncelenmesi

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et al. 2019

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ÖzAmaç: Çalışmamızın amacı, bir üniversite hastanesine başvuran geriatrik hastaların popülasyonunu ve kök kanal tedavilerinin insidansını değerlendirmektir.Gereç ve yöntem: Ocak, Şubat ve Mart 2019'da Marmara Üniversitesi Diş Hekimliği Fakültesi'ne başvuran hasta sayısı elde edilmiştir. Bu hastalar arasından 65 yaş ve üzeri olan hastalar belirlenmiştir. Hastalar cinsiyete ve yaşa göre temelde iki gruba ayrılmıştır. Daha sonra bu hastalar içerisinden 65 yaş üstü 50 hasta rastgele seçilmiştir. Yaş kategorisinde genç yaşlılar (65-74), yaşlılar (75-84), çok yaşlılar (85 ve üstü) bulunmaktadır. Her hastanın panoramik röntgenleri tek bir araştırmacı tarafından incelenmiş ve kök kanal tedavileri tespit edilmiştir.Bulgular: Toplam 2762 hasta yeni giriş yapmıştır. Bu hastalar içerisinde 185 birey geriatrik hastadır. Gruplar; 65-69, 70-74, 75-79 yaş arası hastalardan oluşmaktadır. 65-69 yaş arası 100 bireyin 36'sını kadın, 64'ünü erkek hastalar oluşturmaktadır. 70-74 yaş arası 61 bireyin 26'sı kadın 35'i erkektir. 75-79 yaş arası 19 hastanın ise 9'u kadın 10'u erkektir. Fakülteye son 3 ayda 80 yaş ve üzeri sadece 5 hasta girişi olduğu görülmüştür. Rastgele seçilen 50 geriatrik hasta içerisinde ise 65 yaşından büyük 50 hastadan 22'si erkek, 28'i kadındı. 65-74 yaş grubuna ait birey sayısı 39, 75-84 yaş grubuna ait birey sayısı 9, 85 yaş ve üzeri birey sayısı ise 2'dir. Gruplarda kanal tedavisi görmüş hastaların sayısı sırasıyla 18, 5 ve 1'dir. Sonuç:Hastaların yaşı arttıkça kök kanal tedavilerinin sayısı azalmaktadır. Bu durumun sebebinin, toplumumuzda artan yaşla birlikte ağızdaki diş sayısının azalması olabileceğini düşünmekteyiz. AbstractAim: The aim of our study was to assess the number of root canal treatments amongst geriatric patients admitted to a university hospital.Materials and methods: The number of patients admitted to Marmara University Faculty of Dentistry in January, February and March 2019 was obtained. Among these patients, patients aged 65 years and over were identified. Patients were basically divided into two groups according to gender and age. Age categories were 65-69, 70-74 and 75-79.Then fifty patients over the age of 65 were selected randomized. The patients were subdivided into two categories; according to gender and age. The age category included young olds (65-74), old olds (75-84), oldest olds (85 and over). The panoramic x-rays of each patient were examined by a single operator and root canal treatments were detected.Results: A total of 2762 patients have just admitted. Among these patients, 185 were geriatric. Groups; It consists of patients between the ages of 65-69, 70-74, 75-79. Of the 100 patients aged 65-69 years, 36 were female and 64 were male. Of the 61 patients aged 70-74, 26 were female and 35 were male. Of the 19 patients aged 75-79, 9 were female and 10 were male. In the last 3 months, only 5 patients aged 80 and over were admitted to the faculty.Amongst 50 selected patients who were over the age of 65, 22 were male and 28 were female. The number of young olds were 39, old olds we...

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Relationship between quality of root canal obturation and periapical lesion in elderly patients: a systematic review

Abstract: There is no consensus on the relationship between the quality of root canal obturations and periapical health in older patients.

Cited by 6 publications

References 92 publications

Periapical Status and Quality of Root Canal Fillings in a Moroccan Subpopulation

Periapical Status and Quality of Root Canal Fillings in a Moroccan Subpopulation

A literature review of local and systemic considerations for endodontic treatments in older adults

Üniversite Hastanesine Geriatrik Hasta Başvuruları ve Endodontik Tedavi İnsidanslarının İncelenmesi

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