International Journal of Clinical Pediatric Dentistry

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VOLUME 6 , ISSUE 2 ( May-August, 2013 ) > List of Articles


A Survey Report on Effect of Root Canal Fillings and Coronal Restorations on the Periapical Status of Endodontically Treated Teeth in a Selected Group of Population

Poorva Khullar, Shailendra Gupta, Rohit Kumar Khatri

Keywords : Apical periodontitis, Endodontic treatment, Coronal restoration, Root fillings

Citation Information : Khullar P, Gupta S, Khatri RK. A Survey Report on Effect of Root Canal Fillings and Coronal Restorations on the Periapical Status of Endodontically Treated Teeth in a Selected Group of Population. Int J Clin Pediatr Dent 2013; 6 (2):89-94.

DOI: 10.5005/jp-journals-10005-1196

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2013; The Author(s).


Aim: A cross-sectional radiographic orthopantomogram (OPG) survey was done to determine the prevalence of apical periodontitis (AP) in root canal–treated teeth in a selected population, and to evaluate the influence of the coronal restorations (CR) and root canal fillings on the periapical status. Materials and methods: A total of 250 OPGs were evaluated out of which root canal treatment (RCT) had been performed in 438 teeth which was taken as the sample size. Statistical analysis used: Chi-square test, odds ratio and p-values were recorded. Results: The results showed that 53.1% of the endodontically treated teeth presented with AP radiographically. Incidence of AP among teeth with acceptable RCT (32.3%) was significantly lower than those suffering from unacceptable RCT (92.7%). Moreover, adequate CR demonstrated a significantly better periapical status (83.2%) compared to teeth with inadequate CR (37.2%). Also, the combination of adequate CR and adequate root filling resulted in significantly reduced incidence of AP (21.6%) compared to the presence of AP (97%) when both parameters scored as inadequate. Conclusion: Results hence demonstrated that a well-performed RCT and well-sealing CR are both essential for the overall success of endodontic treatment. Therefore, a considerable improvement in the quality of RCT and CR in general dental practice is required to promote oral/periapical health. How to cite this article: Khullar P, Raisingani D, Gupta S, Khatri RK. A Survey Report on Effect of Root Canal Fillings and Coronal Restorations on the Periapical Status of Endodontically Treated Teeth in a Selected Group of Population. Int J Clin Pediatr Dent 2013;6(2):89-94.

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  1. Hargreaves, KM.; Cohen S.; Berman, LH. Cohen's pathways of the pulp. 10th ed. St. Louis: Mosby; 2010. p. 349-350.
  2. Ingle JI. Ingle's endodontics. 6th ed. Ontario: BC Decker; 2008. p. 1091-1094.
  3. Jimenez-Rubio A, Segura JJ, Feito JJ. A case of combined dental development abnormalities: Importance of a thorough examination. Endod Dent Traumatol 1998 Apr;14(2):99-102.
  4. Friedman S, Mor C. The success of endodontic therapy-healing and functionality. J Calif Dent Assoc 2004 Jun;32(2):493-503.
  5. Chen SC, Chueh LH, Hsiao CK, Tsai MY, Ho SC, Chiang CP. An epidemiologic study of tooth retention after nonsurgical endodontic treatment in a large population in Taiwan. J Endod 2007 Mar;33(3):226-229.
  6. Eriksen HM, Kirkevang LL, Petersson K. Endodontic epidemiology and treatment outcome: General considerations. Endod Topics 2002;2:1-9.
  7. Imfeld TN. Prevalence and quality of endodontic treatment in an elderly urban population of Switzerland. J Endod 1991 Dec;17(12):604-607.
  8. Kirkevang LL, Hörsted-Bindslev P, Ørstavik D, Wenzel A. Frequency and distribution of endodontically treated teeth and apical periodontitis in an urban Danish population. Int Endod J 2001 Apr;34(3):198-205.
  9. Sunay H, Tanalp J, Dikbas I, Bayirli G. Cross-sectional evaluation of the periapical status and quality of root canal treatment in a selected population of urban Turkish adults. Int Endod J 2007 Feb;40(2):139-145.
  10. Tronstad L, Asbjornsen K, Doving L, Pedersen I, Eriksen HM. Influence of coronal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol 2000 Oct;16(5):218-221.
  11. Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J 2002 Aug;35(8):680-689.
  12. Petersson K, Petersson A, Olsson B, Hakansson J, Wennberg A. Technical quality of root fillings in an adult Swedish population. Endod Dent Traumatol 1986 Jun;2(3):99-102.
  13. Eriksen HM, Bjertness E, Orstavik D. Prevalence and quality of endodontic treatment in an urban adult population in Norway. Endod Dent Traumatol 1988 Jun;4(3):122-126.
  14. Saunders WP, Saunders EM. Prevalence of periradicular periodontitis associated with crowned teeth in an adult Scottish subpopulation. Br Dent J 1998 Aug;185(3):137-140.
  15. Dugas NN, Lawrence HP, Teplitsky PE, Pharoah MJ, Friedman S. Periapical health and treatment quality assessment of rootfilled teeth in two Canadian populations. Int Endod 2003 Mar;36(3):181-192.
  16. Weiger R, Hitzler S, Hermle G, Löst C. Periapical status, quality of root canal fillings and estimated endodontic treatment needs in an urban German population. Endod Dent Traumatol 1997 Apr;13(2):69-74.
  17. Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Jan;81(1):93-102.
  18. Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990 Oct;16(10):498-504.
  19. Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: Systematic review of the literature - Part 2. Influence of clinical factors. Int Endod J 2008 Jan;41(1):6-31.
  20. Ahlqwist M, Halling A, Hollender L. Rotational panoramic radiography in epidemiological studies of dental health. Comparison between panoramic radiographs and intraoral full mouth surveys. Swed Dent J 1986;10(1-2):73-84.
  21. Eriksen HM, Berset GP, Hansen BF, Bjertness E. Changes in endodontic status 1973-1993 among 35-year-olds in Oslo, Norway. Int Endod J 1995 May;28(3):129-132.
  22. Muhammed AH, Manson-Hing LR, Ala B. A comparison of panoramic and intraoral radiographic surveys in evaluating a dental clinic population. Oral Surg Oral Med Oral Pathol 1982 Jul;54(1):108-117.
  23. De Cleen MJ, Schuurs AH, Wesselink PR, Wu MK. Periapical status and prevalence of endodontic treatment in an adult Dutch population. Int Endod J 1993 Mar;26(2):112-119.
  24. Asgary S, Shadman B, Ghalamkarpour Z, Shahravan A, Ghoddusi J, Bagherpour A, Akbarzadeh Baghban A, Hashemipour M, Ghasemian Pour M. Periapical status and quality of root fillings and coronal restorations in Iranian population. Int Endod J 2010 Spring;5(2):74-82.
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