A retrospective analysis of factors associated with the periapical status of restored, endodontically treated teeth (original) (raw)
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Research and reviews: journal of medical and health sciences, 2016
The objective of the study was to evaluate the relation of various clinical and radiographic factors on the periapical status of teeth treated endodontically by postgraduate students. Radiographic and clinical parameters related to root canal fillings, periodontal condition, coronal restorations, caries, endodontic signs and symptoms, and treatment-related complications were evaluated. Bivariate analysis and a multiple logistic regression model were used to analyze the data. In total, 157 endodontically treated teeth in 124 patients were investigated, 86 (54.8%) of which were molars. Radiographically, 136 (86.6%) teeth had periapical normality and 141 (90.5%) were asymptomatic. Only 20 (12.7%) of the root canal fillings were deficient, but 77 (49.1%) coronal restorations were inadequate. Thirty-six (22.9%) teeth had caries, whereas 60 (38.2%) had periodontal disease. Bivariate analysis showed that only the type of caries (p = 0.019) and ideal apical limit of the root canal filling (...
Survival of Restored Endodontically Treated Teeth in Relation to Periodontal Status
Brazilian dental journal, 2016
The aim of the present study was to investigate the success and survival of restored endodontically treated teeth (ETT) in a general practice environment related to periodontal parameters. Data from 360 restored ETT treated between 2000 and 2011 were collected. Dates of interventions like restorations, repairs, replacements and extractions were recorded. Additionally, general information about patients and dentitions as well as periodontal status was recorded. Success was analyzed using Kaplan-Meier statistics and a multivariate Cox regression analysis was performed to assess variables influencing success and survival. After a mean observation time of 4.34 years (range 0.6 - 11.6 years), 19 teeth were extracted and 27 restorations needed repair or replacement. According to the Cox regression, increasing maximum pocket depth of the tooth resulted in a higher risk for failure (p=0.012). In conclusion, periodontal pocket depth was found to be a significant factor in the survival of res...
The Journal of Contemporary Dental Practice
Intorduction: Patients usually undergo orthodontic treatment for achieving ideal interocclusal relationship between the dental tissue and bony tissue along with improving the speech, mastication, and facial esthetic appearance. Literature quotes paucity in the studies evaluating the effect of orthodontic treatment on the periodontal health of endodontically treated teeth. Hence, we planned the present study to assess the effect of orthodontic treatment on the periodontal health of endodontically restored tooth. Materials and methods: The present study included assessment of 80 patients who underwent orthodontic treatment. All the patients were divided broadly into two study groups: groups I and II. Group I included patients with the absence of endodontically treated teeth, while group II included patients which maxillary central incisors were resorted endodontically. Examination of the periodontal health of the patients was done using the community periodontal index of treatment need (CPITN) around the selected teeth. All the values were recorded during the preorthodontic time, postorthodontic time, and after the first
Clinical Outcomes of Endodontic Treatments and Restorations with and without Posts Up to 18 Years
Journal of Clinical Medicine, 2021
Background: The aim of this study was to collect long-term restorative and endodontic outcomes of endodontically treated teeth (ETT). Methods: 298 teeth were included in the study and were recalled up to 18 years with a media of 10.2 years. At baseline, 198 sample teeth (66.44%) showed symptoms and 164 (55%) had periapical radiolucency. The most frequently used obturation techniques were warm gutta-percha in 80% of cases, and by carrier in 20%. A total of 192 ETT were restored by direct resin composite restorations, and 106 posts were luted. Moreover, 75 (25.16%) direct restorations remained as final restorations, 137 single crowns (45.97%), 42 (14.09%) partial adhesive crowns, and 42 (14.09%) abutments of fixed bridges were the final treatments. Descriptive and inferential statistics were performed (α = 0.05). A Cox regression model was made. Results: results showed success for 92.6% of ETT up to 18 years, 2.68% (8 ETT) showed irreversible failures, and 14 (4.69%) reversible compli...
Restoration of endodontically treated teeth: criteria and technique considerations
Quintessence international (Berlin, Germany : 1985)
The restoration of endodontically treated teeth is often required and may represent a challenge as there is no consensus on ideal treatment. The failure of endodontically treated teeth is usually not a consequence of endodontic treatment, but inadequate restorative therapy or periodontal reasons. Prior to the initiation of endodontic treatment the restorability, occlusal function, periodontal health, biologic width, and crown-to-root ratio need to be assessed. If acceptable, the appropriate technique, material, and type of restoration to restore function need to be considered. Posts are used to provide retention for the core material and to replace missing tooth structure. The residual amount of tooth structure will determine its stability for restoration. The creation of adequate ferrule (approaching 2 mm circumferentially is ideal) minimizes the damaging effects of lateral and rotational forces on the restoration and post.
2020
Purpose: Endodontic procedure leads to weakening of tooth structure. To restore the natural form of coronal tooth structure two basic techniques are used that is direct and indirect technique. The aim of this study was to evaluate and compare choice of posterior restorative material on the outcome of root canal treatment radiographically. Material and method: radiographic and clinical examination of 188 posterior mandibular molars was performed, the quality of treatment and periapical status was observed. Results: there was even distribution between left (48.2%) and right (51.8%) mandibular molar. A significantly higher survival rate of indirect restoration p<0.001 was observed as compared to direct restoration. Conclusion: No significant correlation was found between coronal restoration and PAI score between indirect and direct coronal.
Endodontically treated teeth: Characteristics and considerations to restore them
Journal of Prosthodontic Research, 2011
The restoration of endodontically treated teeth is a topic that is extensively studied and yet remains controversial. This article emphasizes the characteristics of endodontically treated teeth and some principles to be observed when restorations of these teeth are planned. It was concluded that the amount of remaining coronal tooth structure and functional requirements determine the best way to restore these teeth, indicating the material to be used, direct or indirect restorations, associated or not to posts.
Endodontic versus coronal treatment quality on the periapical status
INTRODUCTION: Coronal sealing, quality of root canal treatment, and periapical status have been widely investigated. However, which of two practitioner-dependent determinants (endodontic treatment or coronal restoration) is the most important to the periapical status remains scientifically debated. OBJECTIVES: This study investigated the relative importance of the technical qualities of root canal filling and marginal sealing of the coronal restoration on the periapical status and screened previously published data. METHODS: A retrospective study collected and analyzed clinical and radiological data on 246 endodontically-treated teeth. Six paired comparisons were carried out between groups combining good or poor endodontic treatment (G/P E) with good or poor coronal restoration G/P R). Results are displayed through forest plots of odds ratios for each comparison.RESULTS: In the retrospective study, the endodontic determinant seems to be more important than the restorative one (37.5%...
Current opinions concerning the restoration of endodontically treated teeth: basic principles
Journal of medicine …, 2009
The goal of this general article is to present a survey of the current knowledge about the clinical approach of restoring endodontically treated teeth.The best way to restore teeth after root canal treatment has long been and still is a controversial subject of debate to this day.The clinical approach of restoring endodontically treated teeth needs taking into consideration several issues: aims of coronal restoration, criteria for establishing the various modalities of coronal restoration, clinical solutions of restoring teeth after endodontic treatment, guidelines regarding restorative materials and techniques, possibilities and limits of restoration using direct adhesive materials and techniques.The aims of coronal restoration of endodontically treated teeth are generally considered to be the following ones: to prevent recontamination of the root canal system and / or periapical space, to replace missing hard dental tissues and to restore coronal morphology and functions, to provide the necessary strength for the restoration/tooth complex in order to withstand functional stress and prevent crown and/or root fracture.The criteria for establishing the modalities of coronal restoration for endodontically treated teeth are: amount and quality of remaining hard dental tissues, topography and coronal morphology of the tooth, functional occlusal forces that the restoration/tooth complex has to withstand, restoring requirements in order to include the treated tooth in a comprehensive oral rehabilitation treatment plan, esthetic requirements.