Imane El Ouarti1, Sanaa Chala2,3,4, Majid Sakout2,3, Faiza Abdallaoui2. 1. Department of Endodontics and Restorative Dentistry, Faculty of Dental Medicine, Mohammed V University in Rabat, Rue Mohammed Jazouli, BP 6212 Madinat Al Irfane, Rabat, Morocco. imane.elouarti@um5.ac.ma. 2. Department of Endodontics and Restorative Dentistry, Faculty of Dental Medicine, Mohammed V University in Rabat, Rue Mohammed Jazouli, BP 6212 Madinat Al Irfane, Rabat, Morocco. 3. Military Teaching Hospital Mohammed V, Rabat, Morocco. 4. Laboratory of Biostatistics, Clinical and Epidemiological Research, Faculty of Medicine and Pharmacy, University Mohammed V in Rabat, Rabat, Morocco.
Abstract
BACKGROUND: The present study aimed at investigating the prevalence of Apical periodontitis in a Moroccan Adult subpopulation with a non-surgical root canal treatment and to assess associated risk factors including endodontic treatment quality, periodontal health status, coronal restoration cavity design and quality. METHODS: A total of 358 endodontically treated teeth were evaluated after more than 1-year period in a Moroccan subpopulation according to predetermined criteria. Studied parameters were assessed clinically and radiographically. The association between coronal restoration quality, cavity design, periodontal status, root canal filling quality, coronal restoration related features, presence or absence of the opposing dentition and the periapical status was determined. Data were analyzed using chi-square test, odds ratio and logistic regression. RESULTS: The present study revealed that gingival health, coronal restoration with CL II cavity design, and root canal filling quality influenced periapical status of endodontically treated teeth. Multivariate analysis showed that this association was statistically significant for gingival inflammation (95% CI 1.08-3.91, OR 2.05, p = 0.02), inadequate coronal restoration (95% CI 1.16-4.04, OR 2.16, p = 0.01), inadequate root canal filling length and homogeneity (95% CI 1.24-3.01, OR 1.93, P = 0.004), (95% CI 1.41-4.44, OR 2.50, p = 0.002) respectively. CONCLUSIONS: The present study revealed that inadequate coronal restorations especially with large proximal margins (CL II cavity design) and gingival inflammation increased the risk of apical periodontitis in endodontically treated teeth. Prevalence of Apical periodontitis in the present study was 72.1%.
BACKGROUND: The present study aimed at investigating the prevalence of Apical periodontitis in a Moroccan Adult subpopulation with a non-surgical root canal treatment and to assess associated risk factors including endodontic treatment quality, periodontal health status, coronal restoration cavity design and quality. METHODS: A total of 358 endodontically treated teeth were evaluated after more than 1-year period in a Moroccan subpopulation according to predetermined criteria. Studied parameters were assessed clinically and radiographically. The association between coronal restoration quality, cavity design, periodontal status, root canal filling quality, coronal restoration related features, presence or absence of the opposing dentition and the periapical status was determined. Data were analyzed using chi-square test, odds ratio and logistic regression. RESULTS: The present study revealed that gingival health, coronal restoration with CL II cavity design, and root canal filling quality influenced periapical status of endodontically treated teeth. Multivariate analysis showed that this association was statistically significant for gingival inflammation (95% CI 1.08-3.91, OR 2.05, p = 0.02), inadequate coronal restoration (95% CI 1.16-4.04, OR 2.16, p = 0.01), inadequate root canal filling length and homogeneity (95% CI 1.24-3.01, OR 1.93, P = 0.004), (95% CI 1.41-4.44, OR 2.50, p = 0.002) respectively. CONCLUSIONS: The present study revealed that inadequate coronal restorations especially with large proximal margins (CL II cavity design) and gingival inflammation increased the risk of apical periodontitis in endodontically treated teeth. Prevalence of Apical periodontitis in the present study was 72.1%.
Authors: J Meirinhos; J N R Martins; B Pereira; A Baruwa; J Gouveia; S A Quaresma; A Monroe; A Ginjeira Journal: Int Endod J Date: 2019-12-15 Impact factor: 5.264
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Authors: A Jiménez-Pinzón; J J Segura-Egea; M Poyato-Ferrera; E Velasco-Ortega; J V Ríos-Santos Journal: Int Endod J Date: 2004-03 Impact factor: 5.264
Authors: George Moreira Costa; Suelleng Maria Santos Soares; Paula Cristina Pelli Paiva; Flaviana Dornela Verli; Patrícia Furtado Gonçalves; Sangela Maria da Silva Pereira; Rudys Rodolfo De Jesus Tavarez; Janir Alves Soares; Etevaldo Matos Maia Filho Journal: Int J Dent Date: 2017-05-21