Technical quality of root fillings and periapical status in root filled teeth in Jönköping, Sweden

Frisk, Fredrik; Hugoson, Anders; Hakeberg, Magnus

doi:10.1111/j.1365-2591.2008.01457.x

Cited by 71 publications

(99 citation statements)

References 24 publications

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“…The prevalence of AP was 41% in our subjects which is within the range reported in other studies from Sweden [4, 25, 26]. This still is a high number of lesions anticipated to pose a threat to health.…”

Section: Discussionsupporting

confidence: 84%

Apical periodontitis associates with cardiovascular diseases: a cross-sectional study from Sweden

et al. 2017

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BackgroundPeriodontal disease associates with systemic diseases but corresponding links regarding apical periodontitis (AP) are not so clear. Hence our aim was to study association between AP and the prevalence of systemic diseases in a study population from Sweden.MethodsThe subjects were 150 patients from a randomly selected epidemiological sample of 1676 individuals. 120 accepted to participate and their basic and clinical examination data were available for these secondary analyses where dental radiographs were used to record signs for endodontic treatments and AP. Periapical Index and modified Total Dental Index scores were calculated from the x-rays to classify the severity of AP and dental infection burden, respectively. Demographic and hospital record data were collected from the Swedish National Statistics Center. T-test, chi-square and univariate analysis of covariance (ANCOVA) and regressions analyses were used for statistics.ResultsOf the 120 patients 41% had AP and 61% had received endodontic treatments of which 52% were radiographically unsatisfactory. AP patients were older and half of them were smokers. AP and periodontitis often appeared in the same patient (32.5%). From all hospital diagnoses, cardiovascular diseases (CVD) were most common, showing 20.4% prevalence in AP patients. Regression analyses, controlled for age, gender, income, smoking and periodontitis, showed AP to associate with CVD with odds ratio 3.83 (95% confidence interval 1.18–12.40; p = 0.025).ConclusionsThe results confirmed our hypothesis by showing that AP statistically associated with cardiovascular diseases. The finding that subjects with AP also often had periodontitis indicates an increased oral inflammatory burden.

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Section: Discussionsupporting

confidence: 84%

Apical periodontitis associates with cardiovascular diseases: a cross-sectional study from Sweden

et al. 2017

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“…At a first glance, this would suggest that root canal treatment does not control the disease [10, 46]. However, adequately root canal filled teeth had a significantly lower prevalence of apical pathosis than inadequately treated teeth (35.0% vs. 50.3%, respectively; see Table 5), and this relation seems to corroborate other observations [55, 56]. …”

Section: Discussionsupporting

confidence: 76%

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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“…3 Outcomes from cross-sectional epidemiological surveys showed evidences that older subjects have a lower number of remaining teeth and higher ratio of RF and AP in their teeth compared with younger adults. 10 Longitudinal studies also confirmed these results demonstrated that, on average, the number of teeth decreased with age, but the number of root filled teeth increased in studied elderly populations.…”

Section: Introductionsupporting

confidence: 72%

“…13 In different population, several epidemiological studies have reported high frequency of AP associated with RF teeth, especially those related with inadequate endodontic treatments. [1][2][3][4][5][6][7][8][9][10] However, the outcomes of these cross-sectional studies considered samples from different age. Cohort studies containing exclusively elderly patients are scant.…”

Section: 12mentioning

confidence: 99%

Periapical Status and Quality of Root Canal Obturation in Elderly Population: A Systematic Review

Silva¹,

Hebling²,

Brizon³

et al. 2014

JOFR

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The aim of this study was to investigate the relationship between root fillings and the presence of apical periodontitis in studies with samples containing elderly patients. The data were obtained by means of a systematic review of studies that evaluated the quality of root fillings and their relationship with periapical health. 1,376 potentially relevant articles were selected, of which 667 were repeated and 16 were duplicates. 693 abstracts were analyzed, with 608 of these being excluded and 85 selected for reading in full. Fourteen (14) articles were included, totaling data of 135,566 teeth. Of these, 13,704 (10.1%) had endodontic fillings, with 6,455 (47.1%) being considered adequate and 7,249 (52.9%) inadequate. Among the teeth with apical periodontitis, 2,084 (32.3%) had adequate endodontic fillings and 3,749 (51.6%) had inadequate fillings. There was a significant correlation between the quality of endodontic fillings considered adequate and lower frequency of apical periodontitis in elderly patients.

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Technical quality of root fillings and periapical status in root filled teeth in Jönköping, Sweden

Abstract: This study reports on an improving technical quality of root fillings over time, without a concomitant improvement of the periapical status in root filled teeth. A larger proportion of treated molars over time may be of importance for the result.

Cited by 71 publications

References 24 publications

Apical periodontitis associates with cardiovascular diseases: a cross-sectional study from Sweden

Apical periodontitis associates with cardiovascular diseases: a cross-sectional study from Sweden

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

Periapical Status and Quality of Root Canal Obturation in Elderly Population: A Systematic Review

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