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Periapical Health Related to the Quality of Coronal Restorations and Root Fillings in a Turkish Population

Year 2013, , 261 - 266, 01.11.2013
https://doi.org/10.7126/cdj.2013.1881

Abstract

Objectives: The aim of the present study was to evaluate the quality of root canal treatments and coronal restorations investigating their influence on the periapical status of endodontically-treated teeth in a Turkish population based on radiographic examination.

Materials and Methods: The study included 583 patients referred for routine dental care. A total of 1125 endodontically treated teeth were examined with panoramic radiographs. The quality of root canal fillings and coronal restorations were evaluated according to the criteria determined by Gündüz et al., which were slightly modified from those described by De Moor et al. Apical status was assessed by the Periapical Index (PAI) scores.

Results: Out of 1125 endodontically treated teeth, 539 were classified as healthy and 586 as displaying apical periodontitis. Of these 539 subjects, 389 teeth had received quality endodontic treatment. Of 586 teeth with apical periodontitis, 500 had poor endodontic treatment. Four hundred and seventy-five teeth had adequate root canal fillings. Of these teeth, 389 were classified as healthy. Of the 666 teeth with adequate restoration, apical region was classified as healthy for 410 subjects. For the 388 teeth with both adequate coronal restorations and root canal fillings, the success rate was 85.3%. For the 372 teeth with both inadequate coronal restorations and root canal fillings, the success rate was 18.8%.

Conclusions: The quality of root fillings in the population living in the back country of Turkey is in general below the acceptable standard and requires substantial improvement.

References

  • 1. Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J 2005;38:238-245.
  • 2. De Moor RJ, Hommez GM, De Boever JG, Delme KI, Martens GE. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J 2000;33:113-120.
  • 3. Figdor D. Apical periodontitis: a very prevalent problem. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:651-652.
  • 4. Kirkevang LL, Wenzel A. Risk indicators for apical periodontitis. Community Dent Oral Epidemiol 2003;31:59-67.
  • 5. Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J 1995;28:12- 18.
  • 6. Siqueira JF, Jr., Rocas 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.
  • 7. Torabinejad M, Ung B, Kettering JD. In vitro bacterial penetration of coronally unsealed endodontically treated teeth. J Endod 1990;16:566- 569.
  • 8. Gunduz K, Avsever H, Orhan K, Demirkaya K. Cross-sectional evaluation of the periapical status as related to quality of root canal fillings and coronal restorations in a rural adult male population of Turkey. BMC Oral Health 2011;11:20.
  • 9. Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol 1986;2:20-34.
  • 10. 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.
  • 11. Ozbas H, Asci S, Aydin Y. Examination of the prevalence of periapical lesions and technical quality of endodontic treatment in a Turkish subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:136-142.
  • 12. Sunay H, Tanalp J, Dikbas I, Bayirli G. Cross-sectional evaluation of the periapical status and quality of root canal treatment in a selected population of urban Turkish adults. Int Endod J 2007;40:139-145.
  • 13. Muhammed AH, Manson-Hing LR, Ala B. A comparison of panoramic and intraoral radiographic surveys in evaluating a dental clinic population. Oral Surg Oral Med Oral Pathol 1982;54:108-117.
  • 14. 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.
  • 15. 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.
  • 16. 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.
  • 17. Segura-Egea JJ, Jimenez-Pinzon A, Poyato-Ferrera M, Velasco-Ortega E, Rios-Santos JV. Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. Int Endod J 2004;37:525- 530.
  • 18. European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J 2006;39:921-930.
  • 19. Eriksen HM, Bjertness E, Ørstavik D. Prevalence and quality of endodontic treatment in an urban adult population in Norway. Endod Dent Traumatol 1988;4:122-126.
  • 20. 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.
  • 21. De Cleen MJ, Schuurs AH, Wesselink PR, Wu MK. Periapical status and prevalence of endodontic treatment in an adult Dutch population. Int Endod J 1993;26:112- 119.
  • 22. 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.
  • 23. López-López J, Jané-Salas E, Estrugo-Devesa A, Castellanos- Cosano L, Martín-González J, Velasco-Ortega E, Segura-Egea JJ. Frequency and distribution of rootfilled teeth and apical periodontitis in an adult population of Barcelona, Spain. Int Dent J 2012;62:40-46.
Year 2013, , 261 - 266, 01.11.2013
https://doi.org/10.7126/cdj.2013.1881

Abstract

References

  • 1. Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J 2005;38:238-245.
  • 2. De Moor RJ, Hommez GM, De Boever JG, Delme KI, Martens GE. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J 2000;33:113-120.
  • 3. Figdor D. Apical periodontitis: a very prevalent problem. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:651-652.
  • 4. Kirkevang LL, Wenzel A. Risk indicators for apical periodontitis. Community Dent Oral Epidemiol 2003;31:59-67.
  • 5. Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J 1995;28:12- 18.
  • 6. Siqueira JF, Jr., Rocas 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.
  • 7. Torabinejad M, Ung B, Kettering JD. In vitro bacterial penetration of coronally unsealed endodontically treated teeth. J Endod 1990;16:566- 569.
  • 8. Gunduz K, Avsever H, Orhan K, Demirkaya K. Cross-sectional evaluation of the periapical status as related to quality of root canal fillings and coronal restorations in a rural adult male population of Turkey. BMC Oral Health 2011;11:20.
  • 9. Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol 1986;2:20-34.
  • 10. 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.
  • 11. Ozbas H, Asci S, Aydin Y. Examination of the prevalence of periapical lesions and technical quality of endodontic treatment in a Turkish subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:136-142.
  • 12. Sunay H, Tanalp J, Dikbas I, Bayirli G. Cross-sectional evaluation of the periapical status and quality of root canal treatment in a selected population of urban Turkish adults. Int Endod J 2007;40:139-145.
  • 13. Muhammed AH, Manson-Hing LR, Ala B. A comparison of panoramic and intraoral radiographic surveys in evaluating a dental clinic population. Oral Surg Oral Med Oral Pathol 1982;54:108-117.
  • 14. 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.
  • 15. 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.
  • 16. 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.
  • 17. Segura-Egea JJ, Jimenez-Pinzon A, Poyato-Ferrera M, Velasco-Ortega E, Rios-Santos JV. Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. Int Endod J 2004;37:525- 530.
  • 18. European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J 2006;39:921-930.
  • 19. Eriksen HM, Bjertness E, Ørstavik D. Prevalence and quality of endodontic treatment in an urban adult population in Norway. Endod Dent Traumatol 1988;4:122-126.
  • 20. 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.
  • 21. De Cleen MJ, Schuurs AH, Wesselink PR, Wu MK. Periapical status and prevalence of endodontic treatment in an adult Dutch population. Int Endod J 1993;26:112- 119.
  • 22. 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.
  • 23. López-López J, Jané-Salas E, Estrugo-Devesa A, Castellanos- Cosano L, Martín-González J, Velasco-Ortega E, Segura-Egea JJ. Frequency and distribution of rootfilled teeth and apical periodontitis in an adult population of Barcelona, Spain. Int Dent J 2012;62:40-46.
There are 23 citations in total.

Details

Primary Language English
Journal Section Original Research Articles
Authors

Sibel Koçak

Baran Sağlam

Mustafa Koçak

Fürüzan Köktürk

Publication Date November 1, 2013
Submission Date December 14, 2012
Published in Issue Year 2013

Cite

EndNote Koçak S, Sağlam B, Koçak M, Köktürk F (November 1, 2013) Periapical Health Related to the Quality of Coronal Restorations and Root Fillings in a Turkish Population. Cumhuriyet Dental Journal 16 4 261–266.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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