scholarly journals Digitally Scanned Radiographs versus Conventional Films for Determining Clarity of Periapical Lesions and Quality of Root Canal Treatment

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Kholod Almanei ◽  
Rakan Alsulaimani ◽  
Sarah Alfadda ◽  
Sarah Albabtain ◽  
Reem Alsulaimani
Keyword(s):  
Root Canal ◽  
Digital Images ◽  
Root Canal Treatment ◽  
Quality Data ◽  
Endodontically Treated Teeth ◽  
Conventional Radiograph ◽  
Diagnostic Quality ◽  
X Ray ◽  
Periapical Lesions

Aim. To compare digital images of conventional radiographs with the original radiographs for perceived clarity of periapical lesions and the quality of root canal treatment. Materials and Methods. One hundred and four intraoral periapical radiographs of patients with endodontically treated teeth were randomly selected. The radiographs were digitized using an MD300 USB X-ray Reader. The digital images were transferred to an HP laptop. Three evaluators compared each conventional radiograph with the matching digital image. The images were ranked for clarity and assessed for diagnostic quality; data were analyzed using the Reliability Calculation “ReCal.” Results. Both the digital images and conventional films had comparable clarity and diagnostic quality. Results indicated a moderate agreement between the evaluators. Conclusions. Conventional radiographs digitized using an MD300 USB X-ray Reader have similar clarity and diagnostic quality in comparison to the original radiographs.

scholarly journals Radiological status of endodontically treated teeth in senegalese subpopulation: Cone-beam computed tomography study

2021 ◽  
Vol 6 (3) ◽  
pp. 152-156
Keyword(s):  
Root Canal ◽  
Poor Quality ◽  
Cone Beam ◽  
Periapical Lesion ◽  
Endodontically Treated Teeth ◽  
Root Canal Filling ◽  
X Ray ◽  
Periapical Lesions ◽  
Root Canals

This study aimed to assess the periapical status and the quality of root canal filling of endodontically treated teeth from cone-beam volume tomography (CBCT) images.Of 66 teeth (124 root canals) that received root canal treatment, the quality of the root canal filling as well as the periapical status were assessed using cone-beam volume tomography (CBCT). Radicular obturation on an X-ray image was defined as satisfactory if it is 0-2 mm from the radiographic apex without voids. On CBCT scans, the apical end of the canal has replaced the radiographic apex.The present study showed, according to the periapical status, 87.9% (n = 109) of the canals exhibited a periapical lesion. The 1, 2, and D scores of the CBCT PAI were more met with respectively 46, 19.4%, and 8.9%. The association between the lengh of root canal filling and the presence of apical radiolucency showed a significant relationship (p = 0.02). The presence of apical radiolucency is also very significantly associated with the inadequate density of root canal fillings (p = 00003).The present study confirms, by CBCT, that the presence of periapical lesions was associated with poor quality obturation technique.

scholarly journals Radiological assessment of the quality of root canal fillings in teeth endodontically treated at students’ practical sessions

2011 ◽  
Vol 58 (3) ◽  
pp. 139-146
Author(s):  
Ljiljana Kulic ◽  
Dajana Nogo-Zivanovic ◽  
Jelena Krunic ◽  
Mirjana Vujaskovic ◽  
Nikola Stojanovic
Keyword(s):  
Root Canal ◽  
Epidemiological Studies ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Root Canal Filling ◽  
Study Program ◽  
Periapical Lesions ◽  
Study Programs ◽  
The Difference

Introduction. The main goal of obturation is prevention of reinfection of the root canal system and consequently appearance of periapical lesion. Epidemiological studies have confirmed high prevalence of periapical lesions in endodontically treated teeth with inadequate root canal fillings. The aim of this study was to assess the quality of root canal fillings in teeth treated at students? practical sessions. Iatrogenic errors during endodontic interventions were also assessed. Methods. Two hundred dental records of the patients treated by students in the study program Dentistry at the School of Medicine in Foca during the academic year 2010/2011 were randomly chosen. The length and homogeneity of the fillings or the presence of iatrogenic errors were recorded. A root canal filling was considered adequate if it had correct length and homogeneity in the absence of iatrogenic errors. Two students? curricula V1 and V2 were evaluated for the treatment outcome. Results. Out of 128 endodontically treated teeth, adequate length of the canal filling to the physiological apex was observed in 57% of teeth, homogeneity in 78.9%, while both of these criteria were satisfied in 66 teeth (51.6%). Better quality of root canal fillings was achieved by students of the study curricula V2 and the difference between these two programs was significant (p<0.05). Better quality of root canal fillings in both study programs was recorded for incisors and canines as compared to premolars. Conclusion. The quality of endodontic treatment performed by students was considered adequate in 51.6% of cases. The type of curriculum for endodontic course had a significant impact on the quality of endodontic treatment performed by students.

scholarly journals Cone-beam computed tomography in the assessment of periapical lesions in endodontically treated teeth

2018 ◽  
Vol 12 (01) ◽  
pp. 136-143 ◽  
Author(s):  
Gianluca Gambarini ◽  
Lucila Piasecki ◽  
Gabriele Miccoli ◽  
Gianfranco Gaimari ◽  
Dario Di Nardo ◽  
...  
Keyword(s):  
Root Canal ◽  
Dental Treatment ◽  
Endodontically Treated Teeth ◽  
Chi Square ◽  
Root Canal Filling ◽  
Significance Level ◽  
Periapical Lesions ◽  
Chi Square Test ◽  
Periapical Periodontitis

ABSTRACTObjective: This study aimed to evaluate the relationship between the quality of the coronal restoration and the root canal filling on the periapical status of endodontically treated teeth using CBCT. Materials and Methods: CBCT data were obtained from the records of patients who deny any dental treatment in the 2 years prior to the CBCT examination. CBCT images (90 kVp and 7 mA, exposure time of 23 s, and a voxel size of 0.2 mm, with a field of view of 13 cm x 13 cm) of 1011 endodontically treated teeth were observed. A score was given to the quality of the root filling and the quality of the coronal restoration. Statistical Analysis Used: Data were statistically analyzed to correlate the periapical status with gender, dental group. and quality of endodontic treatment and restoration (Chi-square test with a significance level of P < 0.001). Results: Absence of periapical periodontitis was found in 54.9% of the cases. The periapical outcome was not related to gender or dental group (P > 0.05). A statistically significant factor (Chi-square test, P < 0.0001) resulted when different qualities of sealing were compared. Conclusions: CBCT showed that high-quality root canal treatments followed by an adequate coronal sealing restoration avoid the presence of periapical periodontitis in time.

scholarly journals Radiographic analysis of 1000 cast posts in Sergipe state, Brazil

2017 ◽  
Vol 46 (5) ◽  
pp. 255-260
Author(s):  
Caroline Garcez MENDONÇA ◽  
José Rogério Vieira de ALMEIDA ◽  
Wilton Mitsunari TAKESHITA ◽  
Fábio MARTINS ◽  
Monica Silveira PAIXÃO
Keyword(s):  
Root Canal ◽  
Endodontically Treated Teeth ◽  
Chi Square ◽  
Root Canal Filling ◽  
Cast Metal ◽  
Restorative Treatment ◽  
Se Brazil ◽  
Chi Square Test ◽  
Metal Post

Abstract Introduction Endodontically treated teeth with extensive coronary destruction require posts and cores to enable prosthetic restoration. Despite the increasing use of prefabricated posts, cast metal posts and cores are still widely used. The quality of the latter is important for the longevity of restorative treatment, and failure can occur if the fundamental principles are not followed. Objective To radiographically evaluate the prosthetic principles of 1000 cast metal post-and-core restorations performed in single-rooted teeth and their coherence with the principles used for their confection. Material and method Digital periapical radiographs of 1000 endodontically treated, single-rooted teeth with cast metal posts and cores were selected from the collection of a radiology clinic (Centro de Imagem, Aracaju/SE, Brazil). The images were analyzed using a measurement software (ImageJ, USA) in accordance with the fundamental prosthetic principles: length and diameter of the post, ratio between post and bone crest, contiguity of post to the root canal, gap between post and the remaining root canal filling, amount of remaining root canal filling, and absence of periapical lesion. The data were qualitatively analyzed, classified into ideal and not ideal, and submitted to the chi-square test (α=0.05). Result Only 6.7% of the cast metal posts analyzed were satisfactorily fabricated. Conclusion Many prosthetic criteria are neglected during the manufacturing of cast metal post and cores, resulting in inadequate work that may compromise the longevity of restorative treatments.

Evaluation of Quality of Root Canal Obturation, Coronal Restoration and Periapical Health in Failed Endodontically Treated Teeth

2021 ◽  
Vol 11 (02) ◽  
pp. 54-59
Author(s):  
Syed Adeel Ahmed ◽  
Safia Anwar ◽  
Imtiaz ul Haq
Keyword(s):  
Root Canal ◽  
P Value ◽  
Periapical Lesion ◽  
Endodontically Treated Teeth ◽  
Chi Square ◽  
Cross Sectional ◽  
Total N ◽  
Chi Square Test ◽  
Cross Tabulation

Objective: To investigate the implication of quality of obturation and coronal restoration on periapical tissue in failed endodontically treated teeth. Study Design and Setting: This cross-sectional research was performed in the Operative Department of BUMDC on 187 patients reporting with root canal failure from March 2019 to August 2019. Methodology: Patients of both genders aged between 20-60 years were considered for this study. Single and multirooted teeth indicated for repeated endodontic treatment due to under filled, overfilled obturation, voids in obturation, absence and presence of coronal restoration were included. One operator carried out clinical examination of the teeth and periapical radiograph was taken for each patient by using E-Speed film and evaluated by the same operator using an illuminated viewer box. SPSS 17 for windows software was used for data entering and chi- square test was applied for statistical calculation of the outcomes. Results: Total n=187 endodontic treated failed teeth were evaluated, out of which 52.9% were of females and 47.1% to males. The number of obturations with acceptable length were 81(43.3%), with adequate density were 107 (57.2%) and with consistent taper were 116(62%). Periapical lesion was observed in 118(63.1%) cases. Quality of obturation significantly affects the periapical health. Cross tabulation showed a significant association (p-value <0.000) between inadequate coronal restoration and changes in periapical area. Conclusion: The successful prognosis of the root canal treatment relies on the good quality of obturation and adequate coronal filling.

scholarly journals Prevalence evaluation of apical periodontitis and its relationship with endodontic and restorative treatment in a community in Southern Brazil

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Julia Machado Saporiti ◽  
Andressa Gomes ◽  
Melissa Feres Damian ◽  
Nadia De Souza Ferreira
Keyword(s):  
Root Canal ◽  
Apical Periodontitis ◽  
Endodontic Treatment ◽  
Endodontically Treated Teeth ◽  
Chi Square ◽  
Root Canal Filling ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Chi Square Test

Objective: The aim of this study was evaluate radiographically prevalence of apical periodontitis (AP) in endodontically treated teeth (ETT) and relate with demographic factors, quality of endodontic treatment and coronal restoration. Material and methods: Data were collected from dental records wich contained full-mouth radiographic series. In ETT, arch, dental group and presence of AP were evaluated. Quality of root canal filling, presence and quality of coronal restoration and type of restorative material were also collected. Data were evaluated using descriptive statistics and Chi-square Test. Results: Of 70 patients included in the final sample, the majority were female (54.3%) and age ranged from 13 to 77 years (47.14 ± 13.18). Of 1,333 teeth evaluated, 73 (5.4%) had endodontic treatment, being the majority maxillary (74%) and anterior teeth (52.1%). Of teeth without endodontic treatment, 320 (25.4%) had AP. Failure rate was high (52.8%) and quality of root canal filling and coronal restoration were considered inadequate in majority cases (58.3% and 47.7%, respectively). Dental group had a statistically significant relationship with presence of AP in ETT, being more frequent in anterior teeth (p = 0.019). Conclusion: It was concluded that prevalence of AP in ETT was high and dental group was the factor that most influenced prevalence of AP in ETT.KeywordsApical periodontitis; Radiography; Root canal filling.

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