The quality of root canal treatment and periapical status of permanent teeth in Turkish children and teens: a retrospective CBCT study

Ballıkaya, Elif; Koç, Nagihan; Avcu, Nihal; Çehrelį, Zafer C.

doi:10.1007/s11282-021-00570-2

Cited by 6 publications

(3 citation statements)

References 57 publications

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“…Comparison of the pattern of lesions in maxillary and mandibular teeth without endodontic treatment revealed no significant difference, which may be due to the small number of lesions in non-endodontically treated teeth, as one indication of a CBCT request in endodontics is the assessment of the causes of endodontic treatment failure, and evaluation of the size and healing status of PA lesions after endodontic treatment [ 17 , 18 ]. For teeth with pulpitis or necrosis (due to severe caries or other reasons) that have not yet undergone endodontic treatment, diagnosis and treatment planning are often performed based on panoramic and PA radiographs [ 15 ], and CBCT is requested only for certain cases.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have compared the accuracy of CBCT with panoramic and PA radiographic modalities for the detection of PA lesions and have reported a higher accuracy in CBCT than in 2D modalities [ 5 , 12 , 13 , 14 , 15 , 16 , 17 ]; therefore, the application of CBCT for the diagnosis or management of endodontic problems is on the rise [ 8 , 18 , 19 , 20 ]. Moreover, CBCT, when prescribed for the right reason [ 21 ], provides important anatomical information for the management of root canal treatment and visualization of the root canal anatomy, leading to decreased rate of treatment failure [ 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…The pattern of expansion of endodontic lesions in the jaws has been less commonly addressed in the literature [ 5 ]. Considering the significance of the correct and early detection of lesions for proper treatment planning, for orthograde endodontic therapy or radicular surgery [ 14 , 18 ], plus the higher accuracy of CBCT for diagnostic purposes, especially for detection of buccolingual lesions compared with 2D radiography [ 13 ], this study aims to assess the pattern of endodontic lesions of posterior maxillary and mandibular teeth using CBCT.…”

Section: Introductionmentioning

confidence: 99%

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Pattern of Endodontic Lesions of Maxillary and Mandibular Posterior Teeth: A Cone-Beam Computed Tomography Study

et al. 2022

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The pattern of expansion of endodontic lesions in the jaws has been less commonly addressed in the literature. For this reason, the aim of this study is to assess the pattern of endodontic lesions of maxillary and mandibular posterior teeth using cone-beam computed tomography (CBCT). This cross-sectional study was conducted on 317 endodontic lesions of posterior teeth on CBCT scans retrieved from a radiology center in Qazvin, Iran, from 2020 to 2022. Endodontic lesions were assessed on sagittal, coronal, and axial sections by an endodontist and dental student using the Romexis software. The largest lesion diameter was measured occluso-apically, mesiodistally, and buccolingually. Lesion size was analyzed based on age, gender, jaw, tooth type, and presence/absence of root filling by independent samples t-tests and a one-way Analysis Of Variannce (ANOVA). The largest diameter of lesions in the maxilla and mandible was recorded in the occluso-apical dimension followed by buccolingual and mesiodistal dimensions (p > 0.05). The pattern of lesions was the same in teeth with and without endodontic treatment, but it was significantly different in maxillary and mandibular endodontically treated teeth in the occluso-apical and buccolingual dimensions (p < 0.05). No significant correlation was noted with tooth type or jaw except for maxillary and mandibular first molar lesions, which were significantly different in the occluso-apical dimension (p < 0.05). Lesion size in all three dimensions was significantly greater in males than females (p < 0.05), and was the highest in the occluso-apical dimension in both genders. In the maxilla, the mean lesion size significantly decreased in the mesiodistal dimension with age (p < 0.05). In conclusion, the largest lesion diameter in the maxilla and mandible was found in the occluso-apical dimension, indicating the role of bone density in the pattern of lesions.

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Section: Discussionmentioning

confidence: 99%