Periapical Status and Prevalence of Endodontic Treatment in Institutionalized Elderly

Hebling, Eduardo; Coutinho, Lorena Alves; Ferraz, Caio Cézar Randi; Cunha, Fernanda Gonçalves da; Queluz, Dagmar de Paula

doi:10.1590/0103-6440201302348

Cited by 28 publications

(31 citation statements)

References 25 publications

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“…This is in accordance with previous investigations having reported similar results (ranging from 8.8% to 13.4%) [45, 57]. Altogether, 44.9% of the endodontically treated teeth were associated with apical periodontitis, and this again corresponded well with results from other studies [7, 9, 14, 15, 58, 59].…”

Section: Discussionsupporting

confidence: 93%

Radiologic assessment of quality of root canal fillings and periapical status in an Austrian subpopulation – An observational study

2017

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Background/ObjectiveProgress in endodontic techniques and methodological advances have altered root canal therapy over the last decades. These techniques and methods need periodical documentation. This observational study determined the current prevalence of endodontic treatments, and investigated the relationship of various factors with the periapical status in a Lower Austrian subpopulation.MethodologyOne thousand orthopantomograms of first-time university adult patients radiographed at an outpatient clinic were evaluated. For each tooth, the presence of periradicular pathosis and/or endodontic treatment was recorded, as was the quality of (post-)endodontic treatment (homogeneity and length of root canal fillings; preparation failures; posts/screws; apicoectomies; coronal restorations). Two evaluators, blinded to each other, scored all teeth. In cases of disagreement, they joined for a consensus score.ResultsIn all, 22,586 teeth were counted. Of these, 2,907 teeth (12.9%) had periapical pathosis, while 2,504 teeth had undergone root canal treatment. Of the endodontically treated teeth, 52% showed no radiographic signs of apical periodontitis, while 44.9% had overt apical lesions, and 3,1% revealed widened periodontal ligament space. The majority of the root canal fillings was inhomogeneous (70.4%); 75.4% were rated too short, and 3.8% too long. The presence of apical pathosis was significantly correlated (odds ratio (OR) 2.556 [confidence interval (CI) 2.076–3.146]; P<0.0001) with poor root canal fillings (length and homogeneity). Posts or screws positively affected periapical status (OR 1.853 [CI 1.219–2.819]; P = 0.004), but endodontically treated posterior teeth were infrequently restored (posts, 7.5%; screws, 2.7%). Best results were found for teeth with both appropriate endodontic treatment and adequate coronal restoration.ConclusionA high prevalence of periradicular radiolucencies was observed with root canal filled teeth, along with high numbers of unmet treatment needs. Periapical health was associated with adequate root canal obturation and high-grade postendodontic restorations, and quality regarding these latter aspects is considered mandatory to promote periapical health.

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Section: Discussionsupporting

confidence: 93%

Radiologic assessment of quality of root canal fillings and periapical status in an Austrian subpopulation – An observational study

2017

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“…18 Age-related changes of dental pulp complex influence the frequency of endodontic treatment in elderly people. 30 Besides, younger individuals tend to attend regular check-up more often when compared to elderly and thus they have a lower incidence of caries and periodontal diseases. 31 In various studies, caries has been shown to be more prevalent in women because of such mechanisms: earlier eruption of teeth in girls, hormonal fluctuations in pregnancy, the biochemical composition of saliva, etc.…”

Section: Discussionmentioning

confidence: 99%

Investigation of the frequency and distribution of teeth requiring endodontic treatment and endodontically treated teeth

Taşsöker¹,

Güleç²,

Şener³

2018

Yeditepe J Dent

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SUMMARY Aim:To determine the distribution and frequency of endodontic treatment and endodontic treatment requirement in permanent teeth. Materials and Methods: Of the 19800 teeth from 775 individuals (age range 16-80 years) were included in the study. All patients were examined clinically and radiologically to determine the teeth requiring endodontic treatment and endodontically treated teeth. For each case, information was collected in a questionnaire including age, gender, education, residence place, income level, frequency of tooth brushing and dental visit. Obtained data were statistically analyzed by using chi-square test with a significance level at p<0,05. Results: Out of 19800 teeth, the frequency of teeth requiring endodontic treatment and endodontically treated teeth was 3% and 4%, respectively. Presence of endodontic treatment showed statistical difference between age subgroups (p<0.05). Gender, frequency of tooth brushing and dental visit had effect on the endodontic treatment requirement (p<0.05). Conclusion:This study provides an epidemiological data about endodontic treatment in a Turkish population. Such datas will help to identify public dental health problems which will constitute an essential step in improving the general health status of the citizens of this country.

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“…Therefore, data from endodontic epidemiological surveys may contribute to the improvement of this knowledge 7 . Investigations on the prevalence of pulp and periradicular diseases in the Brazilian population produced few studies [8][9][10][11] and most of them were conducted exclusively based on radiographic assessments for the diagnosis of such infections. Considering the importance of epidemiological investigations, the objective of this study was to determine the prevalence of pulp and periradicular diseases diagnosed in a Brazilian subpopulation, correlating this information to gender, age group and most affected teeth.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of endodontic diseases: an epidemiological evaluation in a Brazilian subpopulation

2017

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Aim: To determine the prevalence of pulp and periradicular diseases in a Brazilian subpopulation, correlating the prevalence with sex, age and most affected teeth. Methods: Data collected from medical records of patients treated at the Clinic of Specialization in Endodontics of the Federal University of Pernambuco between 2003 and 2010. The following variables were recorded for each patient: sex, age, affected teeth and diagnosed endodontic disease. Using Pearson's chi-square and Fisher's exact tests, the collected data analysis was set at a 5% significance level. Results: From all the treated teeth, 57% were diagnosed with pulp diseases, with the symptomatic irreversible pulpitis being the most prevalent (46.3%), while among the diagnosed periradicular diseases (43%), chronic apical periodontitis was the most prevalent (81%). Pulp diseases were detected in men and women in an unequal mode (p=0.008). Subjects under 40 years old had higher prevalence of pulp disease (p=0.286), and patients over 50 years were most affected by periradicular diseases (p=0.439). Maxillary incisors and mandibular first molars were the most affected teeth by endodontic diseases. Conclusions: In the evaluated subpopulation, the endodontic diseases were more prevalent in the maxillary incisive, affected indiscriminately individuals of different age groups and chronic apical periodontitis was the most prevalent diagnosed disease.

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Periapical Status and Prevalence of Endodontic Treatment in Institutionalized Elderly

Cited by 28 publications

References 25 publications

Radiologic assessment of quality of root canal fillings and periapical status in an Austrian subpopulation – An observational study

Radiologic assessment of quality of root canal fillings and periapical status in an Austrian subpopulation – An observational study

Investigation of the frequency and distribution of teeth requiring endodontic treatment and endodontically treated teeth

Prevalence of endodontic diseases: an epidemiological evaluation in a Brazilian subpopulation

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