Factors influencing the outcome of nonsurgical root canal treatment and retreatment: A retrospective study

Author:

Vieira Adalberto R.1,Pacheco‐Yanes Juan1ORCID,Gazzaneo Isbelia D.1ORCID,Neves Mônica A. S.1ORCID,Siqueira José F.2,Gonçalves Lucio S.1ORCID

Affiliation:

1. Postgraduate Program in Dentistry Estácio de Sá University Rio de Janeiro Brazil

2. Postgraduate Program in Dentistry Grande Rio University Rio de Janeiro Brazil

Abstract

AbstractThis study assessed the influence of diverse variables on the outcome of nonsurgical root canal treatment/retreatment. In general, 304 teeth from 218 patients were treated/retreated and the outcome evaluated by the periapical index (PAI). Teeth with apical periodontitis lesions that have not completely healed were classified as success or failure based on lenient and rigid criteria, respectively. Findings were evaluated using a logistic regression analysis. The overall success rates were 74% and 82% using the PAI‐rigid and lenient success criteria, respectively. Specifically for treatment, the success rates were 73% (rigid) and 82% (lenient), while for retreatment they were 78% (rigid) and 83% (lenient). The treatment outcome was negatively affected by overextension, presence of preoperative lesion, lesion size >10 mm, and higher number of treatment visits (with no intracanal medication). Regarding retreatment, the chance of success was greater for teeth with adequate coronal restorations.

Publisher

Wiley

Subject

General Dentistry

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