Inadequate root canal and coronal restorations were associated with an increased incidence of AP.

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The results from the present study of a Danish population showed that the most important risk indicator of having AP in the individual was the radiographic evidence of root fillings. The presence of several caries lesions, the quality of the dental treatment, the regularity of dental visits and smoking were also statistically associated with AP. Further, the socioeconomic status of the individual did not provide much additional information on the periapical status.

Results from the present study demonstrate that it is important to provide high quality dental restorations to minimize the risk of pulpal infection. The clinical focus, in relation to the incidence of AP, should be on improving the quality of the coronal restoration. The quality of a root filling was not associated with the incidence of AP, but may be of importance in relation to healing of AP.