Periapical Status and Quality of Root Fillings and Coronal Restorations in an Adult Turkish Subpopulation

Nimet Gencoglu; Filiz Namdar Pekiner; Birsay Gumru; Dilek Helvacioglu

doi:10.1055/s-0039-1697803

European Journal of Dentistry, Table of Contents

CC BY-NC-ND 4.0 · Eur J Dent 2010; 04(01): 017-022
DOI: 10.1055/s-0039-1697803

Original Article

European Journal of Dentistry

Periapical Status and Quality of Root Fillings and Coronal Restorations in an Adult Turkish Subpopulation

Nimet Gencoglu

^aProfessor, Marmara University, Faculty of Dentistry, Department of Endodontics, Istanbul, Turkey

,

Filiz Namdar Pekiner

^bAssistant Professor, Marmara University, Faculty of Dentistry, Department of Oral Diagnosis and Radiology, Istanbul, Turkey

,

Birsay Gumru

^cResearch Associate, Marmara University, Faculty of Dentistry, Department of Oral Diagnosis and Radiology, Istanbul, Turkey

,

Dilek Helvacioglu

^dResearch Assistant, Marmara University, Faculty of Dentistry, Department of Endodontics, Istanbul, Turkey

› Author Affiliations

Abstract

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ABSTRACT

Objectives: To investigate the quality of root fillings and coronal restorations and their association with periapical status in an adult Turkish subpopulation.

Methods: A total of 400 subjects were examined. Panoramic radiographs of all participants and additional periapical radiographs of affected teeth were processed. The frequency of root canal treatment and the periapical status of all root filled teeth were evaluated. The relationship between the radiographic quality of root fillings and coronal restorations was examined by chi-squared statistical analysis.

Results: A total of 9460 teeth were examined. The total number of root filled teeth was 890 (9.39%), and 658 (73.9%) had apical periodontitis (AP). There was a significant correlation between the presence of periapical pathology and inadequate root canal fillings (P <.05). Presence of AP in root filled teeth was associated with inadequate adaptation of the filling (OR=1.097; P=0.54), and with poor radiographic quality of the coronal restoration (OR=0.91; P=0.70), and with poor radiographic quality of the filling restoration (OR=0.97; P=0.92). Only 24.5% of the root fillings were adequate. The highest percentage of root fillings was found in maxillary right first molars (6.9%).

Conclusions: The results demonstrate a low prevalence of root-filled teeth and poor quality of coronal restorations and root fillings consistent with a high prevalence of apical periodontitis in a Turkish subpopulation. (Eur J Dent 2010;4:17-22)

Key words

Coronal restoration - Endodontics - Periapical status - Root fillings

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References

References
1 Consensus report of the European Society of Endodontology on quality guidelines for endodontic treatment. Int Endod J 1994; 27: 115-124
2 Lupi-Pegurier L, Bertrand MF, Muller-Bolla M, Rocca JP, Bolla M. Periapical status, prevalence and quality of endodontic treatment in an adult French population. Int Endod J 2002; 35: 690-697
3 Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990; 16: 498-504
4 Dugas NN, Lawrence HP, Teplitsky PE, Pharoah MJ, Friedman S. Periapical health and treatment quality assessment of root-filled teeth in two Canadian populations. Int Endod J 2003; 36: 181-192
5 Kirkevang LL, Ørstavik D, Hörsted-Bindslev P, Wenzel A. Periapical status and quality of root fillings and coronal restorations in a Danish population. Int Endod J 2000; 33: 509-515
6 Tronstad L, Asbjørnsen K, Doving L, Pedersen I, Eriksen HM. Influence of coronal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol 2000; 16: 218-221
7 Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and coronal restoration. Int Endod J 1995; 28: 12-18
8 Weiger R, Hitzler S, Hermle G, Löst C. Periapical status, quality of root canal fillings and estimated endodontic treatment needs in an urban German population. Endod Dent Traumatol 1997; 13: 69-74
9 Sidaravicius B, Aleksejuniene J, Eriksen HM. Endodontic treatment and prevalence of apical periodontitis in an adult population of Vilnius, Lithuania. Endod Dent Traumatol 1999; 15: 210-215
10 Segura-Egea JJ, Jiménez-Pinzón A, Poyato-Ferrera M, Velasco-Ortega E, Ríos-Santos JV. Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. Int Endod J 2004; 37: 525-530
11 De Moor RJ, Hommez GM, De Boever JG, Delmé KI, Martens GE. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J 2000; 33: 113-120
12 Sunay H, Tanalp J, Dikbas I, Bayirli G. Cross-sectional evaluation of the periapical status and quality of root canal treatment in selected population of urban Turkish adults. Int Endod J 2007; 40: 139-145
13 Haznedaroglu F, Ersev H, Odabasi H, Yetkin G, Batur B, Asci S, Issever H. Incidence of patent furcal accessory canals in permanent molars of a Turkish population. Int Endod J 2003; 36: 515-519
14 Sert S, Bayirli GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 2004; 30: 391-398
15 Er O, Sagsen B, Maden M, Cinar S, Kahraman Y. Radiographic technical quality of root fillings performed by dental students in Turkey. Int Endod J 2006; 39: 867-872
16 Kayahan MB, Malkondu O, Canpolat C, Kaptan F, Bayirli G, Kazazoglu E. Periapical health related to the type of coronal restorations and quality of root canal fillings in a Turkish subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105: e58-62
17 De Cleen MJ, Schuurs AH, Wesselink PR, Wu MK. Periapical status and prevalence of endodontic treatment in adult Ducth population. Int Endod J 1993; 26: 112-119
18 Orstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol 1986; 2: 20-34
19 Saunders WP, Saunders EM, Sadiq J, Cruickshank E. Technical standard of root canal treatment in an adult Scottish sub-population. Br Dent J 1997; 182: 382-386
20 Boucher Y, Matossian L, Rilliard F, Machtou P. Radiographic evaluation of the prevalence and technical quality of root canal treatment in a French subpopulation. Int Endod J 2002; 35: 229-238
21 Rohlin M, Kullendorff B, Ahlqwist M, Henrikson CO, Hollender L, Stenström B. Comparison between panoramic and periapical radiography in the diagnosis of periapical bone lesions. Dentomaxillofac Radiol 1989; 18: 151-155
22 Molander B, Ahlqwist M, Gröndahl HG, Hollender L. Comparison of panoramic and intraoral radiography for the diagnosis of caries and periapical pathology. Dentomaxillofac Radiol 1993; 22: 28-32
23 Molander B, Ahlqwist M, Gröndahl HG. Panoramic and restrictive intraoral radiography in comprehensive oral radiographic diagnosis. Eur J Oral Sci 1995; 103: 191-198
24 Ahlqwist M, Halling A, Hollender L. Rotational panoramic radiography in epidemiological studies of dental health. Comparison between panoramic radiographs and intraoral full mouth surveys. Swed Dent J 1986; 10: 73-84
25 Skudutyte-Rysstad R, Eriksen HM. Endodontic status amongst 35-year-old Oslo citizens and changes over a 30- year period. Int Endod J 2006; 39: 637-642
26 Loftus JJ, Keating AP, McCartan BE. Periapical status and quality of endodontic treatment in an adult Irish population. Int Endod J 2005; 38: 81-86
27 Eriksen HM, Bjertness E. Prevalence of apical periodontitis and results of endodontic treatment in middle-aged adults in Norway. Endod Dent Traumatol 1991; 7: 1-4
28 Flint DJ, Paunovich E, Moore WS, Wofford DT, Hermesch CB. A diagnostic comparison of panoramic and intraoral radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85: 731-735
29 Tsuneishi M, Yamamoto T, Yamanaka R, Tamaki N, Sakamoto T, Tsuji K, Watanabe T. Radiographic evaluation of periapical status and prevalence of endodontic treatment in an adult Japanese population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 631-635
30 Jiménez Pinzón A, Segura-Egea JJ, Poyato-Ferrera M, Velasco-Ortega E, Ríos-Santos JV. Prevalence of apical periodontitis and frequency of root-filled teeth in an adult Spanish population. Int Endod J 2004; 37: 167-173
31 Eriksen HM, Berset GP, Hansen BF, Bjertness E. Changes in endodontic status 1973-93 among 35-year-olds in Oslo, Norway. Int Endod J 1995; 28: 129-132
32 Kirkevang LL, Hörsted-Bindslev P, Ørstavik D, Wenzel A. Frequency and distribution of endodontically treated teeth and apical periodontitis in an urban Danish population. Int Endod J 2001; 34: 198-205
33 Siqueira Jr JF, Rôcas IN, Alves FR, Campos LC. Periradicular status related to the quality of coronal restorations and root canal fillings in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 369-374
34 Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of root filling and the coronal restoration. Int Endod J 1995; 28: 12-18
35 Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J 2002; 35: 680-689