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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

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. M...

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Published in:International journal of clinical pediatric dentistry 2013-05, Vol.6 (2), p.89-94
Main Authors: Gupta, Shailendra, Khatri, Rohit Kumar, Khullar, Poorva
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Language:English
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container_title International journal of clinical pediatric dentistry
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creator Gupta, Shailendra
Khatri, Rohit Kumar
Khullar, Poorva
description 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.
doi_str_mv 10.5005/jp-journals-10005-1196
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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. 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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. 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title 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
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