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Periapical status and quality of root fillings and coronal restorations in an adult Spanish population.
Int Endod J. 2004 Aug; 37(8):525-30.IE

Abstract

AIM

To investigate the quality of root fillings and coronal restorations and their association with periapical status in an adult Spanish population.

METHODOLOGY

A total of 180 subjects, aged 37.1 +/- 15.7 years, who presented as new patients at the Faculty of Dentistry, Seville, Spain, were examined. All participants underwent a full-mouth radiographic survey incorporating 14 periapical radiographs. The periapical region of all root filled teeth, excluding third molars, were examined. The technical quality of root fillings was evaluated in terms of length in relation to the root apex and lateral adaptation to the canal wall. Radiographic signs of overhang or open margins associated with coronal restorations were also evaluated. Periapical status was assessed using the Periapical Index score. Statistical analyses were conducted using the Cohen's kappa test and logistic regression.

RESULTS

The total number of root filled teeth was 93, and 60 (64.5%) had apical periodontitis (AP). Presence of AP in root filled teeth was associated with inadequate adaptation of the filling (OR = 2.29; P = 0.06), inadequate length of the root filling (OR = 2.44; P = 0.048), and with poor radiographic quality of the coronal restoration (OR = 2.38; P = 0.054). Only 34.4% of the root fillings were adequate from a technical perspective. When both root fillings and coronal restorations were adequate the incidence of AP decreased to 31.3% (OR = 5.50; P < 0.01).

CONCLUSIONS

The incidence of AP in root filled teeth was high. Many root fillings were technically unsatisfactory. Adequate root fillings and coronal restorations were associated with a lower incidence of AP; an adequate root filling had a more substantial impact on the outcome of treatment than the quality of the coronal restoration.

Authors+Show Affiliations

Segura-Egea JJ
Department of Stomatology, School of Dentistry, University of Seville, Seville, Spain. segurajj@wanadoo.es
Jiménez-Pinzón A
No affiliation info available
Poyato-Ferrera M
No affiliation info available
Velasco-Ortega E
No affiliation info available
Ríos-Santos JV
No affiliation info available

MeSH

AdultDental Pulp CavityDental Restoration FailureDental Restoration, PermanentFemaleHumansLogistic ModelsMaleObserver VariationPeriapical PeriodontitisQuality of Health CareRadiographyRoot Canal ObturationSpainTooth Crown

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15230905

Citation

Segura-Egea, J J., et al. "Periapical Status and Quality of Root Fillings and Coronal Restorations in an Adult Spanish Population." International Endodontic Journal, vol. 37, no. 8, 2004, pp. 525-30.
Segura-Egea JJ, Jiménez-Pinzón A, Poyato-Ferrera M, et al. Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. Int Endod J. 2004;37(8):525-30.
Segura-Egea, J. J., Jiménez-Pinzón, A., Poyato-Ferrera, M., Velasco-Ortega, E., & Ríos-Santos, J. V. (2004). Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. International Endodontic Journal, 37(8), 525-30.
Segura-Egea JJ, et al. Periapical Status and Quality of Root Fillings and Coronal Restorations in an Adult Spanish Population. Int Endod J. 2004;37(8):525-30. PubMed PMID: 15230905.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. AU - Segura-Egea,J J, AU - Jiménez-Pinzón,A, AU - Poyato-Ferrera,M, AU - Velasco-Ortega,E, AU - Ríos-Santos,J V, PY - 2004/7/3/pubmed PY - 2004/8/24/medline PY - 2004/7/3/entrez SP - 525 EP - 30 JF - International endodontic journal JO - Int Endod J VL - 37 IS - 8 N2 - AIM: To investigate the quality of root fillings and coronal restorations and their association with periapical status in an adult Spanish population. METHODOLOGY: A total of 180 subjects, aged 37.1 +/- 15.7 years, who presented as new patients at the Faculty of Dentistry, Seville, Spain, were examined. All participants underwent a full-mouth radiographic survey incorporating 14 periapical radiographs. The periapical region of all root filled teeth, excluding third molars, were examined. The technical quality of root fillings was evaluated in terms of length in relation to the root apex and lateral adaptation to the canal wall. Radiographic signs of overhang or open margins associated with coronal restorations were also evaluated. Periapical status was assessed using the Periapical Index score. Statistical analyses were conducted using the Cohen's kappa test and logistic regression. RESULTS: The total number of root filled teeth was 93, and 60 (64.5%) had apical periodontitis (AP). Presence of AP in root filled teeth was associated with inadequate adaptation of the filling (OR = 2.29; P = 0.06), inadequate length of the root filling (OR = 2.44; P = 0.048), and with poor radiographic quality of the coronal restoration (OR = 2.38; P = 0.054). Only 34.4% of the root fillings were adequate from a technical perspective. When both root fillings and coronal restorations were adequate the incidence of AP decreased to 31.3% (OR = 5.50; P < 0.01). CONCLUSIONS: The incidence of AP in root filled teeth was high. Many root fillings were technically unsatisfactory. Adequate root fillings and coronal restorations were associated with a lower incidence of AP; an adequate root filling had a more substantial impact on the outcome of treatment than the quality of the coronal restoration. SN - 0143-2885 UR - https://www.unboundmedicine.com/medline/citation/15230905/Periapical_status_and_quality_of_root_fillings_and_coronal_restorations_in_an_adult_Spanish_population_ DB - PRIME DP - Unbound Medicine ER -