Pooled analysis of 1‐year recall data from three root canal treatment outcome studies undertaken using cone beam computed tomography

Al-Nuaimi, Nassr; Patel, Shanon; Davies, Andrew; Bakhsh, Abdulaziz; Foschi, Federico; Mannocci, Francesco

doi:10.1111/iej.12844

Cited by 32 publications

(34 citation statements)

References 45 publications

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“…, Al‐Nuaimi et al . ). Detection of untreated canals has the potential to positively influence the outcome of retreatment or periradicular surgery of these teeth (Patel et al .…”

Section: Discussionmentioning

confidence: 97%

“…This exam is especially useful for teeth with complex anatomy, such as molars, in which CBCT revealed the greater percentage of untreated canals in the present study (57% in maxillary and 26% in mandibular molars). Other studies have reported the superiority of CBCT over conventional periapical radiographs in revealing a greater failure rate in molar teeth (Patel et al 2012a, Al-Nuaimi et al 2018. Detection of untreated canals has the potential to positively influence the outcome of retreatment or periradicular surgery of these teeth (Patel et al 2012a).…”

Section: Discussionmentioning

confidence: 99%

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Association between missed canals and apical periodontitis

et al. 2018

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Aim To evaluate the frequency of post‐treatment apical periodontitis associated with root filled teeth with at least one untreated root canal. Methodology Eight hundred and seven cone beam computed tomography images containing at least one root filled tooth were selected from a collection of 1543 images from Brazilian individuals. Scans were taken using ICAT Classic devices (Imaging Sciences, Hatfield, PA, USA) in a private oral radiology clinic from January to April 2015. All root filled teeth were analysed for the presence of missed canals and apical periodontitis. The chi‐square and odds ratio tests were used to verify if there were an association and risk relationship between the occurrence of untreated canals and apical periodontitis. Results A total of 2294 teeth with evidence of root fillings were identified. Two hundred and eighty‐one teeth had at least one untreated missed canal (12%). The frequency of apical periodontitis in teeth with at least one untreated canal was significantly greater in comparison to teeth with all canals treated (274/281, 98% versus 1736/2013, 86%) (P < 0.01). The odds for apical periodontitis to be present was 6.25 times greater for teeth with an untreated canal. The mesiobuccal roots of maxillary first molars had the greatest frequency of untreated canals (114/154, 74%), with the second mesiobuccal canal being the most frequently missed (n = 106/114, 93%). Conclusion Root filled teeth with at least one missed canal had a high prevalence of post‐treatment apical periodontitis.

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“…, Al‐Nuaimi et al . ). Detection of untreated canals has the potential to positively influence the outcome of retreatment or periradicular surgery of these teeth (Patel et al .…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Association between missed canals and apical periodontitis

et al. 2018

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“…Furthermore, molar teeth had a significantly poorer success rate than premolar and anterior teeth (Al‐Nuaimi et al . ).…”

Section: Assessment Of Periapical Periodontitismentioning

confidence: 97%

“…Clinical studies comparing the detection of periapical lesions between CBCT and periapical radiographs (PR) in untreated and endodontically treated teethPatel et al CBCT in Endodonticsa review International Endodontic Journal, 52, 1138-1152 analysis of 354 root filled teeth (123 primary treatments and 231 retreatments), the success rate for root canal treatment was lower when assessed using CBCT compared to PR. Furthermore, molar teeth had a significantly poorer success rate than premolar and anterior teeth(Al-Nuaimi et al 2018). Fern andez et al…”

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confidence: 99%

Cone beam computed tomography in Endodontics – a review of the literature

et al. 2019

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The use of cone beam computed tomography (CBCT) in the diagnosis and/or management of endodontic problems is increasing and is reflected in the exponential rise in publications on this topic in the last two decades. The aim of this paper is to: (i) Review current literature on the endodontic applications of CBCT; (ii) Based on current evidence make recommendations for the use of CBCT in Endodontics; (iii) Highlight the areas in which more research is required.

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“…The outcome of root canal treatment is assessed using clinical signs and symptoms, radiographic/CBCT imaging and histopathological evaluation (Lazarski et al , Ng et al , Al‐Nuaimi et al ). Many preoperative, intra‐operative and postoperative factors impact on the outcome of root canal treatment (Cabanillas‐Balsera et al ) with diabetes mellitus being a systemic condition that has been implicated in a greater incidence of post‐treatment endodontic disease, delayed healing and an increased prevalence of tooth extractions (Segura‐Egea et al ).…”

Section: Introductionmentioning

confidence: 99%

Association between diabetes and the outcome of root canal treatment in adults: an umbrella review

et al. 2019

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Background Diabetes mellitus is the most common metabolic disorder amongst dental patients. The association between the diabetes and the outcome of root canal treatment is unclear. Aim To conduct an umbrella review to determine whether there is an association between diabetes and the outcome of root canal treatment. Data source The protocol of the review was developed and registered in the PROSPERO database (CRD42019141684). Four electronic databases (PubMed, EBSCHOhost, Cochrane and Scopus databases) were used to perform a literature search until July 2019. Study eligibility criteria, participants and interventions Systematic reviews with or without meta‐analyses published in English assessing any outcomes of root canal treatment comparing diabetic and nondiabetic patients were included. Two reviewers were involved independently in study selection, data extraction and appraising the reviews that were included. Disagreements were resolved with the help of a third reviewer. Study appraisal and synthesis methods The quality of the reviews was assessed using the AMSTAR tool (A measurement tool to assess systematic reviews), with 11 items. Each AMSTAR item was given a score of 1 if the criterion was met, or 0 if the criterion was not met or the information was unclear. Results Four systematic reviews were included. The AMSTAR score for the reviews ranged from 5 to 7, out of a maximum score of 11, and all the systematic reviews were classified as ‘medium’ quality. Limitations Only two systematic reviews included a meta‐analysis. Only systematic reviews published in English were included. Conclusions and implications of key findings Diabetes mellitus is associated with the outcome of root canal treatment and can be considered as a preoperative prognostic factor.

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Pooled analysis of 1‐year recall data from three root canal treatment outcome studies undertaken using cone beam computed tomography

Cited by 32 publications

References 45 publications

Association between missed canals and apical periodontitis

Association between missed canals and apical periodontitis

Cone beam computed tomography in Endodontics – a review of the literature

Association between diabetes and the outcome of root canal treatment in adults: an umbrella review

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