Author:
Hussain Md. Asdaq,Singh Shailendra Kumar,Naz Shazia,Haque Merazul,Shah Harish Kumar,Singh Abanish
Abstract
Abstract
Background
Endodontic literature search revealed that no study has been conducted to evaluate the prevalence of apical periodontitis (AP) in root canal treated teeth from an adult Nepalese population of Madhesh Province. Consequently, little is known about the extent and risk factors associated with it. This study aimed to determine AP prevalence in root canal treated teeth from an adult Nepalese subpopulation and to analyze the related risk factors including age, sex, tooth type, type of coronal restoration and quality of root canal treatment and coronal restoration as predictors of AP.
Methods
Digital panoramic radiographs were evaluated. Periapical status of 300 root canal-treated teeth was scored by using the periapical index. The quality of root canal treatment and coronal restorations were categorized as adequate or inadequate through radiographic and clinical evaluation. The data were analyzed using univariate and multivariate logistic regression models.
Results
Prevalence of AP in the present study was 31.7%. In 45.7% of the treated teeth, quality of root canal treatment was adequate whereas 46% of the cases had adequate coronal restorations. Multivariate logistic regression analysis revealed statistically significant associations and remarkably increased risk for AP in teeth with inadequate root canal treatment (odds ratio [OR] = 7.92; 95% CI: 3.96–15.82; p < 0.001) whereas lower risk for AP was found in females (OR = 0.51; 95% CI: 0.28–0.90; p = 0.021) and in teeth restored with crown (OR = 0.22; 95% CI: 0.09–0.51; p < 0.001) and filling (OR = 0.18; 95% CI: 0.08–0.42; p < 0.001). Quality of coronal restoration, tooth type and age of the patient were not found to be the predictors of AP.
Conclusions
Within the limits of this study, a high prevalence of AP and poor overall quality of root canal treatment and coronal restoration was found in the subpopulation studied. Quality of root canal treatment, type of coronal restoration and sex of the patient are significant predictors of possible AP development in root canal treated teeth. Substantial efforts are needed to improve the endodontic treatment standards.
Publisher
Springer Science and Business Media LLC
Reference50 articles.
1. Zieliński G, Filipiak Z, Ginszt M, Matysik-Woźniak A, Rejdak R, Gawda P. The Organ of Vision and the Stomatognathic System-Review of Association Studies and evidence-based discussion. Brain Sci. 2021;12(1):14.
2. Babu NC, Gomes AJ. Systemic manifestations of oral diseases. J Oral Maxillofac Pathol. 2011;15(2):144–7.
3. WHO Global oral health status report: towards universal health coverage for oral health by 2030. 2022. https://www.who.int/team/noncommunicable-diseases/global-status-report-on-oral-health-2022 Accessed 24 Sept 2023.
4. Hussein FE, Liew AK, Ramlee RA, Abdullah D, Chong BS. Factors Associated with apical periodontitis: a Multilevel Analysis. J Endod. 2016;42(10):1441–5.
5. Kassebaum N, Bernabé E, Dahiya M, Bhandari B, Murray C, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94(5):650–8.
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