The influence of coronal tooth tissue in the diagnosis of apical pathosis

Rushton, V E; Qualtrough, A. J. E.; Al-Masserah, Y.; Rushton, Michael N.

doi:10.1111/j.1365-2591.2009.01554.x

Cited by 4 publications

(13 citation statements)

References 15 publications

(35 reference statements)

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“…These observers had graduated from different dental schools with different experience backgrounds but had adequate preliminary radiographic education and training. Many studies 3,4,12,22,23 have previously reported using clinicians with a varying range of clinical experience, as with the current study. It was well documented by many authors that observer experience may influence the radiographic interpretation of early periapical pathosis 5,20,24,25 .…”

Section: Discussionmentioning

confidence: 58%

“…In this study, the consensus agreement of the two expert radiologists on the radiographic evidence of early periapical lesion was dependent on reviewing thorough clinical records taken into account important indicators and clinical signs of periapical infection such as a negative response to vitality tests and tenderness to percussion. The use of complete clinical assessment from the patient's notes in the assessment of the status of teeth has been previously used by other authors 5,12 . Bohay 6 noted that the use of complete clinical records may minimise the risk of bias within a research study.…”

Section: Discussionmentioning

confidence: 99%

“…These have employed different methodologies ranging from consensus amongst participating clinicians 5,9,10,11,12 to confirm evidence of early apical change. Other studies did not include healthy patient radiographs in the sample 13,14 .…”

Section: Discussionmentioning

confidence: 99%

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The Ability to Identify Early Apical Pathology: A Comparison between UK's General Dental Practitioners and Endodontists

Orafi¹

2015

ojdom

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Objectives:To investigate the ability of endodontists and general dental practitioners (GDPs) to interpret early periapical pathology and to examine effect of age, undergraduate education and attendance at courses upon radiographic interpretation. The hypothesis was that there would be no significant difference between GDPs and endodontists. Methods: General dental practitioners (n=603) and endodontists (n=132) had access to high quality images of 12 periapical radiographs. The images had been previously scanned to obtain the same resolution as the original radiograph. Each was presented to observers as an exact replica of the size of a size 2 periapical film. Six radiographs demonstrated the presence of an early periapical lesion on a specific tooth whilst the remaining six radiographs showed normal periodontium. Each radiograph was printed on high quality paper. Each participant was asked to examine a specific tooth for the presence/absence of apical pathosis. Results: The mean sensitivity and specificity for the endodontists was 0.65 and 0.73 respectively and, for the GDPs, mean sensitivity was 0.53 and specificity 0.66. The independent T-test found a significant difference (p<0.001) for both sensitivity and specificity between GDPs and the endodontists. The study also found a significant difference between the sensitivity and specificity of GDPs and their undergraduate education (p-value of 0.01 and <0.001 respectively). GDPs also recorded a significant difference between attending continuing education courses in radiology and their specificity (p< 0.004). Conclusions: Endodontists were more able than GDPs in recognising apical pathology. Attending postgraduate courses in radiology interpretation increased the specificity of GDPs.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

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The Ability to Identify Early Apical Pathology: A Comparison between UK's General Dental Practitioners and Endodontists

Orafi¹

2015

ojdom

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“…17 Prior to restoration, the clinician needs to appraise the remaining coronal tooth tissue objectively, judging the amount of tissue removal required to provide a retentive restoration whilst gauging the likelihood of significant pulpal insult. 18,19,20 Indeed, the tooth may have already undergone procedures that have compromised the pulp and hence may be inherently more vulnerable. 21 The prospective advantages of crown provision must be balanced against risks such as the development of endodontic pathology requiring root canal treatment.…”

Section: Morbidity In Crown Provisionmentioning

confidence: 99%

Decision-making in the provision of extra-coronal restorations

2013

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With the plethora of dental materials available, the clinician has a wide choice of restorations. As clinicians become increasingly aware of the relative complications associated with different restorations, they are less likely to choose those that may result in problems, such as loss of vitality. In comparison, patients, if not kept fully informed, are unlikely to be aware of these problems and therefore may be happy to accept a more 'aesthetic' restoration. This decision dynamic-is examined in this article.

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“…,Hommez et al (2004),Chazel et al (2005),Cheung et al (2005),Kirakozova & Caplan (2006),Kirkevang et al (2007),Rushton et al (2009), van Dijken & Hasselrot (2010), Chala et al (2011), White et al (2012) Review Stanley (1995), Bergenholtz (2000), Murray et al (2002), Whitworth et al (2002), Mjor & Ferrari (2002), Graha (2005), Schwartz & Fransman (2005) No report of clinical endodontic conditions during or after study Scheibenbogen et al (1998), Tekyatan et al (2005), Gulsahi et al (2008), Cotert et al (2009), Brackett et al (2010) No report of type or number of restorations Abbott (2004) Attrition more than 60% Unemori et al (2007) Histologic outcome Wisithphrom et al…”

mentioning

confidence: 98%

Endodontic complications in teeth with vital pulps restored with composite resins: a systematic review

2014

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Composite resin is used extensively for restoration of teeth with vital pulps. Although cell culture studies have disclosed harmful effects on pulpal cells, any untoward clinical effects, manifest as adverse pulpal responses, have yet to be determined. This study comprises a systematic review, designed to address the question of whether the risk of endodontic complications is greater with composite resin restorations than with other restorative materials, such as amalgam. The study methodology involved (i) formulation of the research question, (ii) construction and conduct of an extensive literature search with (iii) interpretation and assessment of the retrieved literature. A search of the medical database PubMed was complemented with a search of the Controlled Trials Register (CENTRAL). The initial search yielded 1043 publications, the abstracts of which were read independently by the authors. After additional searches, 10 studies were included in the review. In all the included studies, the level of evidence was assessed as low. No conclusions could therefore be drawn. The included studies reported few, if any, endodontic complications. Little or no differences emerged between teeth restored with composite resins and those restored with amalgam. To determine whether composite resin restorations of teeth with vital pulps are associated with an increased risk for development of endodontic complications such as apical periodontitis, further evidence is needed, from well-constructed studies with a large number of participants.

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The influence of coronal tooth tissue in the diagnosis of apical pathosis

Abstract: The status of coronal tooth tissue had a major impact on the diagnostic accuracy of the observers with limited radiological experience supporting the need for earlier radiological training within the undergraduate curriculum.

Cited by 4 publications

References 15 publications

The Ability to Identify Early Apical Pathology: A Comparison between UK's General Dental Practitioners and Endodontists

The Ability to Identify Early Apical Pathology: A Comparison between UK's General Dental Practitioners and Endodontists

Decision-making in the provision of extra-coronal restorations

Endodontic complications in teeth with vital pulps restored with composite resins: a systematic review

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