Periapical Status of Root-filled Teeth Restored with Composite, Amalgam, or Full Crown Restorations: A Cross-sectional Study of a Swedish Adult Population

Dawson, Victoria; Petersson, Kerstin; Wolf, Eva; Åkerman, Sigvard

doi:10.1016/j.joen.2016.06.008

Cited by 22 publications

(20 citation statements)

References 29 publications

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“…A recent cross‐sectional study by Dawson et al investigated the prevalence of various restoration types in root‐filled teeth and the association to periapical disease in the Swedish adult population. 35% of the root‐filled teeth had a direct coronal restoration, 62.6% had an indirect coronal restoration and the remaining 2.4% had no restoration . In the present study we found a lower frequency of indirect restorations compared to the cross‐sectional study.…”

Section: Discussioncontrasting

confidence: 46%

Demographic factors in the choice of coronal restoration after root canal treatment in the Swedish adult population

Olsson

Pigg

Isberg

et al. 2018

J of Oral Rehabilitation

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Summary Background After root canal treatment, a choice is made between different coronal restorations which in the long run could affect the survival of the tooth. Objective To compare demographic characteristics between individuals choosing an indirect coronal restoration (crown, inlay/onlay) and individuals choosing other restorations after completion of a root filling. Methods The cohort consisted of all root‐filled upper first molars that were reported to the tax‐funded Swedish Social Insurance Agency (SSIA) during 2009. After registration of the root filling, any subsequent coronal restorations within 2 years were identified. The crown group consisted of individuals registered with an indirect coronal restoration and the restoration group was the remaining individuals with a direct coronal restoration or lacking registration. Demographic data (gender, disposable income, age, educational level, civil status and country of birth) were received from Statistics Sweden or the SSIA. Statistical analyses included chi‐square test, t test and logistic regression analysis. P < 0.05 was considered statistically significant. Results An indirect coronal restoration was received by 7806 individuals (21.9%), and 27 886 individuals (78.1%) received a direct restoration. All demographic variables except gender differed significantly between groups. Logistic regression analysis found significant associations for all demographic variables and the registration of an indirect restoration except for country of birth and gender. Conclusions The identified demographic differences between individuals choosing to restore their newly root‐filled teeth with an indirect restoration compared to those receiving other restorations may indicate that the tax‐funded Swedish dental insurance fails to provide dental care on equal terms for Swedish citizens.

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Section: Discussioncontrasting

confidence: 46%

Demographic factors in the choice of coronal restoration after root canal treatment in the Swedish adult population

Olsson

Pigg

Isberg

et al. 2018

J of Oral Rehabilitation

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“…In fact, higher success rates (94%) were found with teeth adequately restored using composite resin or amalgam. Dawson et al [ 44 ] reported no differences in AP frequencies between teeth adequately restored with amalgam, composite resin, or fabricated full-crowns (i.e., 29.7%, 43.1%, and 26.2%, resp.). An association was found between AP and inadequate root canal filling and marginal bone loss, as well.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Initial Endodontic Treatment Performed, by One Specialist, in 122 Tunisian Patients: A Retrospective Study

Berrezouga

Bouguezzi

Belkhir

2018

International Journal of Dentistry

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Objective To assess the 6- to 24-month outcome of endodontic treatments performed, by one specialist, and to identify prognostic factors that may influence initial endodontic treatment outcome (IETO). Methods One hundred and forty-six patients out of 163 were included. A number of 201 teeth were endodontically treated, and an overall number of 408 canals were obturated. Of these, 165 teeth received initial endodontic treatment (IET). The criteria of the European Society of Endodontology were used to assess the IETO. The level of significance was set at p < 0.05%. Results Apical periodontitis (AP) was present in 42.5% of all cases, with a PAI >3 in 28.5%. The success rate (SR) was 91.5%. It was significantly higher in vital teeth (97%) than in devital teeth (87.7%) (p=0.04); however, a lower SR was recorded in teeth with AP (p=0.02). The lesion healed in 60 teeth (85.7%), decreased in size in 4 teeth (5.7%), and increased in size in 6 teeth (8.5%). A higher SR was obtained when a permanent restoration was present (94%) than absent (68.7%) (p=0.005). Conclusion Within the limitations of the study, pulp and periapical status and permanent restoration are found to be strong outcome predictors.

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“…Enhanced digital periapical radiographs were used in this study rather than panoramic radiographs, which have been more commonly used in previous similar epidemiological studies,[ 17 18 27 28 ] are more readily available, and afford a more comprehensive overview of patients (a large volume of patient data could be readily gathered). Enhanced digital periapical radiographs have a higher sensitivity in detecting periapical osteolytic lesions, especially in the anterior region.…”

Section: Discussionmentioning

confidence: 99%

“…This situation is inconsistent with the studies of Dawson et al . [ 27 ] and Nimigean et al . [ 37 ] In those investigations, the commonly used posts were cast posts (in 43.7% and 69.6% of cases, respectively), and threaded posts were used only in 30.4% and 5.8% of cases, respectively.…”

Section: Discussionmentioning

confidence: 99%

A radiographic study of the association between apical periodontitis and technical quality of intraradicular posts and root canal fillings: A cross-sectional study in Qassim Region, Saudi Arabia

2017

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Objectives:This study evaluates the association between the apical periodontitis (AP) and quality of intraradicular posts and the quality of root fillings assessed radiographically in Qassim region, Saudi Arabia.Materials and Methods:Digital periapical radiographs of 327 teeth with post-retained restoration were retrieved randomly from the Qassim University screening clinic's digital archives and evaluated. The quality of the intraradicular post and root filling was evaluated according to the optimum criteria. The presence of AP was assessed based on the periapical index scoring system. The relation between the post technical quality, the quality of root filling, and AP was determined. The data were analyzed using Chi-square test and logistic regression.Results:AP was found in 22% of the investigated teeth. Adequate root fillings were found in 69% of roots, and 14% of these cases were associated with AP. In roots with root filling classified as inadequate, 38% had AP with a statistically significant association between the root filling length and the presence of AP (P < 0.001). The most frequently used posts were prefabricated metallic posts (57%). Teeth restored with cast posts and prefabricated metallic posts exhibited AP with a frequency of 42.3% and 25.4%, respectively, and teeth with nonmetallic posts had significantly fewer cases of AP (12.0%) with a statistically significant association between the post type and the presence of AP (P = 0.016).Conclusion:Both the quality of the root filling and the intraradicular post type were correlated significantly with the presence of AP. The technical quality of root fillings and intraradicular posts was adequate. Nevertheless, the use of threaded posts is still a common practice in this study population.

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Periapical Status of Root-filled Teeth Restored with Composite, Amalgam, or Full Crown Restorations: A Cross-sectional Study of a Swedish Adult Population

Abstract: The results did not indicate any association between AP and resin composite restorations. Neither the type nor the material of the restoration was of significance for periapical status as long as the quality was adequate.

Cited by 22 publications

References 29 publications

Demographic factors in the choice of coronal restoration after root canal treatment in the Swedish adult population

Demographic factors in the choice of coronal restoration after root canal treatment in the Swedish adult population

Outcome of Initial Endodontic Treatment Performed, by One Specialist, in 122 Tunisian Patients: A Retrospective Study

A radiographic study of the association between apical periodontitis and technical quality of intraradicular posts and root canal fillings: A cross-sectional study in Qassim Region, Saudi Arabia

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