Prevalence of apical periodontitis and root filled teeth in a Belgian subpopulation found on <scp>CBCT</scp> images

Veken, Dominique Van der; Curvers, Frederik; Fieuws, Steffen; Lambrechts, Paul

doi:10.1111/iej.12631

Cited by 47 publications

(64 citation statements)

References 55 publications

(214 reference statements)

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“…Additional important prognostic factors for tooth retention include the following: age (Imura et al , Landys Borén et al ), tooth type (Imura et al , Ng et al ), presence of mesial/distal contacts (Ng et al ) and post‐treatment type of coronal restoration (Ng et al , Landys Borén et al ). Several studies from different research groups unanimously highlight the high prevalence of periapical periodontitis associated with poor‐quality root fillings (Boucher et al , Segura‐Egea et al , Georgopoulou et al , Kabak & Abbott , Chala et al , Paes da Silva Ramos Fernandes et al , Dutta et al , Van der Veken et al , Huumonen et al ).…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration – a cross‐sectional study

et al. 2019

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Aim To analyse the prevalence of periapical lesions and their association with previous root canal treatment, root canal filling length and type of coronal restoration using in vivo cone‐beam computed tomographic (CBCT) assessment. Methodology A global sample of 20 836 teeth, with a combined total of 27 046 roots, from 1160 patients, was analysed via CBCT assessment in eight health centres. Each tooth was evaluated by one out of five examiners after having performed a defined calibration procedure on the basis of 319 teeth. Intra‐ and inter‐rater reliability tests were performed. Each tooth was classified according the tooth number, presence/absence of periapical lesions, presence/absence of previous root canal treatment, length of root canal filling (short, good or overfilling) and type of coronal restoration. The z‐test for proportions was used to analyse differences between tooth subgroups, and an odds ratio was determined in order to analyse the association between treatment status and periapical lesions. A P < 0.05 was considered significant. Results At a tooth level, the overall prevalence of periapical lesions in the sample was 10.4%. Maxillary teeth were associated with a significantly larger percentage of lesions (13.1%), whilst maxillary first molars had the greater proportion of lesions (21.2%). The prevalence of periapical lesions was significantly larger in root filled teeth (55.5%), short root canal fillings (72.7%) and in teeth restored with crowns (46.1%). At a root level, the mesiobuccal roots of both maxillary first molars had a tendency for a larger percentage of periapical lesions. Conclusion History of root canal treatment, root canal filling length and type of coronal restoration influenced the presence of periapical lesions. Molars were more commonly associated with periapical lesions on root filled teeth, particularly those with short root fillings and those with crowns.

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Section: Discussionmentioning

confidence: 99%

“…Contamination of the root canal system may arise in teeth with or without previous root canal treatment (Van der Veken et al 2016). However, several authors (Saunders et al 1997, De Moor et al 2000, L opez-L opez et al 2012 have reported that apical periodontitis is more prevalent in root filled teeth.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration – a cross‐sectional study

et al. 2019

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“…, Van der Veken et al . ), (ii) the numerous advantages of VPT in terms of preserving tooth structure (Reeh et al . ), maintaining possible proprioceptive defensive mechanisms of the remaining pulp, and reducing the propensity of tooth fracture (Randow & Glantz , Ou et al .…”

Section: Introductionmentioning

confidence: 99%

Outcome of full pulpotomy using Biodentine in adult patients with symptoms indicative of irreversible pulpitis

2018

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“…Increasing number of investigations from Europe and other parts of the world indicate that AP is a remarkably prevalent disease among adults (Moreno et al, ; Sidaravicius, Aleksejuniene, & Eriksen, ; Van der Veken, Curvers, Fieuws, & Lambrechts, ; Vengerfeldt, Mändar, Nguyen, Saukas, & Saag, ). Frequency of AP varies between populations depending on diversity in caries prevalence, accessibility to dental care and methodological issues such as sampling and measurement differences.…”

Section: Introductionmentioning

confidence: 99%

Socio‐economic and health status as a predictor of apical periodontitis in adult patients in Croatia

et al. 2018

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Objective A few studies focused on determinants of apical periodontitis other than technical or biological factors. This research aimed to investigate to what extent socio‐economic and health status can predict apical periodontitis in adult patients. Subjects and Methods The cross‐sectional study included 599 adult patients. Medical history, health habits and socio‐economic status of each participant were recorded using a self‐administered structured questionnaire. For caries detection, the World Health Organization diagnostic thresholds were used, and oral hygiene level was estimated using plaque index. Periapical index system was used to analyse the periapical status of all teeth. Dental, socio‐economic and health‐related variables were tested against dependent variable (periapical disease ratio) in a multiple linear regression analysis. Results Dental independent variables explained 71.7% of the observed variation in periapical disease ratio (R2 = 0.717; p < 0.001). Periapical disease ratio increased with the increase in number of carious teeth, plaque index and number of root‐filled teeth, but also with decrease in number of coronal fillings (all p < 0.001). Socio‐economic and health‐related variables accounted for lower portion of variability, 15.5% and 12.9%, respectively (both p < 0.001). Conclusions Dental variables are more important predictors of periapical status than socio‐economic and health‐related variables.

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Prevalence of apical periodontitis and root filled teeth in a Belgian subpopulation found on CBCT images

Cited by 47 publications

References 55 publications

Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration – a cross‐sectional study

Prevalence of apical periodontitis and its association with previous root canal treatment, root canal filling length and type of coronal restoration – a cross‐sectional study

Outcome of full pulpotomy using Biodentine in adult patients with symptoms indicative of irreversible pulpitis

Socio‐economic and health status as a predictor of apical periodontitis in adult patients in Croatia

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