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

JOURNAL TITLE: International Journal of Clinical Pediatric Dentistry

Author
1. Rohit Kumar Khatri
2. Poorva Khullar
3. Shailendra Gupta
ISSN
0974-7052
DOI
10.5005/jp-journals-10005-1196
Volume
6
Issue
2
Publishing Year
2013
Pages
6
Author Affiliations
    1. Professor and Head, Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Dental College and Hospital Sitapura, Jaipur, Rajasthan, India
    1. Department of Conservative Dentistry, RUHS Cllege of Dental Science, Jaipur, Rajasthan, India
  • Article keywords
    Apical periodontitis, Endodontic treatment, Coronal restoration, Root fillings

    Abstract

    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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