Periapical health related to the quality of coronal restorations and root fillings

Hommez, Geert; Coppens, Christine; Moor, R. J. G. De

doi:10.1046/j.1365-2591.2002.00546.x

Cited by 264 publications

(281 citation statements)

References 54 publications

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“…It suggests a correlation between restorative treatment and success of endodontic therapy in the maintenance of dental elements in the oral cavity, considering the importance in the prevention of recontamination of the root canal system [16,23]. Furthermore, the relation between coronal restoration and apical periodontitis has been explored in several retrospective clinical trials, suggesting that failure or fracture on coronal restoration is a factor related to development of this pathology [24]. Another reason to indicate extraction of endodontically treated teeth was periodontal disease, representing 15% of cases in the present study.…”

Section: Discussionmentioning

confidence: 99%

Analysis of reasons for retreatment and extraction of endodontically treated teeth: A transversal study

Souza

Haas

Franco

et al. 2017

Rev. Odonto Ciênc. (Online)

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OBJECTIVE: Was to analyze the reasons related to retreatment and extraction of endodontically treated teeth. METHODS: Data were collected consecutively during a 12-month period from data of patients who had indication for root canal retreatment or extraction of endodontically treated teeth after an initial visit. The patients were scheduled for a new consultation and the need for root canal retreatment or extraction was confirmed by three previously calibrated examiners. After that, a clinical form was completed, including data about the patient and tooth, presence of apical radiolucency, reasons for root canal retreatment or extraction, and the treatment option. The aforementioned variables related to the patients and the teeth were computed and are given as their absolute value and percentage. RESULTS: Inadequate filling was the most frequent reason (40.5%) to perform root canal retreatment; non-surgical root canal retreatment was the most frequent treatment option (95%). Failure or fracture on definitive restoration (prosthetic crown) was the most frequent reason (30%) to perform extraction of endodontically treated teeth; tooth extraction with prosthetic rehabilitation was the most frequent treatment option (78%). CONCLUSION: Inadequate filling and failure or fracture on definitive restoration associated with apical radiolucency should be taken into account during the decision-making process regarding endodontically treated teeth with questionable prognosis.Key words: Endodontically treated teeth; Retreatment; Extraction Análise das razões para retratamento e extração de dentes tratados endodonticamente: um estudo transversal RESUMO INTRODUÇÃO: Analisar razões relacionadas com retratamento e extração de dentes tratados endodonticamente. METODOLOGIA: Os dados foram coletados consecutivamente durante 12 meses a partir de pacientes que tiveram indicação para retratamento ou extração de dentes tratados endodonticamente após uma consulta inicial. Os pacientes foram agendados para uma nova consulta e a necessidade de reatratamento ou extração foi confirmada por três examinadores previamente calibrados. Em seguida, um formulário clínico foi preenchido, incluindo informações sobre o paciente e o dente acometido, presença de lesão periapical, razões para retratamento ou extração e a opção de tratatamento. As variáveis mencionadas foram computadas e descritas como valor absoluto e percentual. RESULTADOS: Obturação inadequada foi a razão mais frequente (40.5%) para realizar o retratamento endodôntico; o retratamento convencional não-cirúrgico foi a mais frequente opção de tratamento nesses casos (95%). Falha ou fratura de restaurações definitivas (coroas protéticas) foi a razão mais frequente (30%) para realizar a extração de dentes tratados endodonticamente; a reabilitação protética foi a mais frequente opção de tratamento nesses casos (78%). CONCLUSÃO: Obturação inadequada e falha ou fratura em restaurações definitivas associadas com lesão periapical devem ser levados em consideração durante o processo de tom...

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Section: Discussionmentioning

confidence: 99%

Analysis of reasons for retreatment and extraction of endodontically treated teeth: A transversal study

Souza

Haas

Franco

et al. 2017

Rev. Odonto Ciênc. (Online)

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“…However, a suc ceeding article 20 reported the completely opposite result. When fi ve studies inves tigating the same issue [19][20][21][22][23] were identi fied and were statistically combined, a different picture emerged. The highly significant result in Ray and Trope then became non-significant (P = 0.55) with odds ratio of 0.8 (95% CI; 0.3 to 1.8) (meta-analysis data using the random effect method, RevMan Version 4.2.7).…”

Section: Where Can the Evidence Be Found?mentioning

confidence: 99%

Questions and answers in evidence-based patient care

Sathorn

Parashos

2007

Br Dent J

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• Outlines how dentistry can be practised in an evidence-based manner.• Closes the gap between dental research and day-to-day dental practice. I N B R I E F PRACTICEQuestions and answers in evidence-based patient care C. Sathorn 1 and P. Parashos 2Evidence-based healthcare has become the mainstream of current healthcare practices, yet there seem to be many misun derstandings concerning this concept. This paper reviews several aspects of the concept of evidence-based healthcare in a simple question-and-answer format. The areas considered include: the significance of the evidence-based concept in clini cal practice, the method of conducting a detailed electronic search of the literature, and the interpretation and application of research evidence to patients and immediate clinical applications.

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“…Successful treatments depend on the correct chemomechanical preparation followed by obturation and coronal restoration. These proceedings may prevent the failure of root canal treatment due to the persistence of microorganisms or secondary intraradicular infection [1] Regarding filling materials, it is expected that they are able to seal the pulp canal space, in order to prevent the entry of tissue fluids, stimulate the apical repair, and that they also have an adequate biocompatibility to allow deposition of sealing cement to achieve biological seal [2] One of the most widely used materials for root canal filling is gutta-percha in association with endodontic sealers. A great number of endodontic filling materials, in combination with different filling techniques, have been suggested every year to replace the technique of cold lateral condensation.…”

Section: Introductionmentioning

confidence: 99%

Comparison of bacterial leakage between Epiphany and AH Plus sealers using single cone and Tagger’s hybrid obturation techniques

Rodrigues

Affonso

Vieira

et al. 2015

Rev. Odonto Ciênc. (Online)

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Objective: To evaluate and compare, by means of bacterial infiltration, the quality of sealing obtained by Tagger's hybrid (TH) and Single Cone (SC) techniques, in association with AH Plus/Gutta-percha (AH) and Epiphany/Resilon (ER). Methods: Palatal roots of 70 maxillary molars were instrumented and divided randomly into six groups: G1, TH/AH; G2, SC/AH; G3, TH/ER; G4, SC/ER; G5, negative control; G6, positive control. The roots were sterilized and monitored for 56 days to detect bacterial leakage using Enterococcus faecalis. The data were subjected to Binomial test (α<0.05) to compare the infiltration among groups and Kruskal-Wallis test (α<0.05) to analyze the infiltration as a function of time.Results: All positive controls leaked within 24 h; none of negative controls leaked. There was no influence of time on leakage. Individual comparisons showed that there were no influences of the techniques and filling materials on quality of root canal sealing. Significant difference was found only between G1 and G4 (p=0.0229), the G1 showed a lesser and G2 the higher quantity of infiltration. Conclusion: It could be concluded that none of the groups was able to prevent bacterial leakage and the lowest ability to prevent infiltration was obtained when applied SC/ER to filling the canal.Key words: Bacteria; Dental materials; Endodontic; Root canal obturation; Dental leakage.Comparação da infiltração bacteriana entre os cimentos Epiphany e AH Plus usando as técnicas de obturação de cone único e Híbrida de Tagger Resumo Objetivo: Avaliar e comparar, por meio da infiltração bacteriana, a qualidade de selamento obtido pelas técnicas híbrida de Tagger (TH) e do cone único (SC) associadas com AH Plus/Guta-percha (AH) e Epiphany/Resilon (ER) . Métodos: Raízes palatinas de 70 molares superiores foram instrumentadas e divididas aleatoriamente em seis grupos: G1, TH/AH; G2, SC/AH; G3, TH/ER; G4, SC/ER; G5, controle negativo; G6, controle positivo. As raízes foram esterilizadas e monitoradas durante 56 dias para detectar a infiltração bacteriana utilizando Enterococcus faecalis. Os dados foram submetidos a teste Binomial (α<0,05) ao comparar a infiltração entre grupos e Kruskal-Wallis (α<0,05) para analisar a infiltração, como uma função do tempo. Resultados: Todos os controles positivos infiltraram em 24 horas. Nenhum dos controles negativos infiltrou. Não houve influência do tempo na infiltração. Comparações individuais mostraram não haver influencia das técnicas e materiais de obturação na qualidade de selamento do canal radicular. Houve diferença significativa apenas entre G1 e G4 (P=0,0229), o G1 mostrou o menor e G4 a maior quantidade de infiltração. Conclusão: Nenhum dos grupos foi capaz de evitar a infiltração bacteriana e a menor capacidade de prevenir a infiltração foi obtida quando utilizados de SC/ER para obturar o canal.Palavras-chave: Bactérias, materiais dentários, endodontia, obturação do canal radicular, infiltração dentária. 88Rev Odonto Cienc 2014;29(3):87-91Assessment of bacterial leakage when using dif...

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Periapical health related to the quality of coronal restorations and root fillings

Abstract: The importance of a good coronal restoration, as well as of a good root filling should be emphasized as the technical quality of both influencing the periapical status.

Cited by 264 publications

References 54 publications

Analysis of reasons for retreatment and extraction of endodontically treated teeth: A transversal study

Analysis of reasons for retreatment and extraction of endodontically treated teeth: A transversal study

Questions and answers in evidence-based patient care

Comparison of bacterial leakage between Epiphany and AH Plus sealers using single cone and Tagger’s hybrid obturation techniques

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