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. 2013 May;6(2):89-94.
doi: 10.5005/jp-journals-10005-1196. Epub 2013 Aug 26.

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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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 et al. Int J Clin Pediatr Dent. 2013 May.

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.

Keywords: Apical periodontitis; Coronal restoration; Endodontic treatment; Root fillings.

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Conflict of interest statement

Source of support: Nil

Conflict of interest: None declared

Figures

Fig. 1
Fig. 1
The effect or coronal restoration and root canal filling can be further evaluated with the OPGs shown here. Due to inadequate root canal fillings and improper CR, a periapical lesion more than 3 mm is seen in relation to mandibular right molar
Fig. 2
Fig. 2
As seen from the above OPG, the root canal treated teeth have been adequately filled and restored with crowns. Hence, chances of finding AP in such cases automatically reduce to almost zero

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