首页> 外文期刊>Journal of Endodontics: Official Journal of American Association of Endodontists >Periradicular status and quality of root canal fillings and coronal restorations in an urban colombian population
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Periradicular status and quality of root canal fillings and coronal restorations in an urban colombian population

机译:哥伦比亚城市人群的根管充盈和冠状修复体的骨周状态和质量

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Introduction: This cross-sectional study determined the prevalence of apical periodontitis in 1086 root canal-treated teeth from an urban Colombian population and evaluated the association of several factors with the periradicular status. Methods: Periapical radiographs were used for analyses, and teeth were classified as healthy or diseased according to the periradicular status. Other factors were also evaluated for their association with the periradicular conditions, including gender, quality of both endodontic treatment and coronal restoration, apical level of filling, and presence of post restoration. Results: Fifty-one percent of the treated teeth were classified as healthy. Only 33% of the teeth had endodontic treatment rated as adequate. The quality of both endodontic treatment and coronal restoration significantly influenced the periradicular conditions (P <.001). Combined data revealed that teeth with both adequate endodontic treatment and adequate restorations showed significantly better periradicular status than the other combinations (P < .01), except for teeth with adequate treatment and inadequate restoration (P =.08). Canals filled up to 0-2 mm short of the apex had a significantly higher number of teeth rated as healthy than overfilled or underfilled cases (P =.02). Regression analysis showed that the quality of endodontic treatment was the most significant factor influencing the periradicular status (P <.001). Gender and presence of post restoration had no association with the periradicular conditions. Conclusions: Data from this Colombian population showed a relatively high prevalence of apical periodontitis in root canal-treated teeth. This was largely due to an equally high prevalence of treatments performed under substandard technical quality. The quality of the endodontic treatment was the most determinant factor for healthy periradicular status.
机译:简介:这项横断面研究确定了哥伦比亚城市人口中1086根管治疗过的牙齿中的根尖性牙周炎的患病率,并评估了多种因素与根尖周状态的相关性。方法:根尖X线片进行分析,根据根尖周围状况将牙齿分类为健康或患病。还评估了其他因素与放射周围状况的相关性,包括性别,牙髓治疗和冠状动脉修复的质量,根尖充盈水平和修复后的存在。结果:51%的治疗牙齿被归类为健康牙齿。只有33%的牙齿接受了根管治疗,评定为足够。牙髓治疗和冠状动脉修复的质量均显着影响根尖周围情况(P <.001)。综合数据显示,经过充分的牙髓治疗和适当的修复的牙齿,其根尖周围状态显着好于其他组合(P <.01),除了经过充分治疗和修复不足的牙齿(P = .08)。根尖最多0-2 mm处的根管中,被评为健康的牙齿的数量明显多于过满或未满的病例(P = .02)。回归分析表明,牙髓治疗的质量是影响根尖周状态的最重要因素(P <.001)。性别和恢复后的存在与放射周围状况无关。结论:该哥伦比亚人群的数据显示,在根管治疗的牙齿中,根尖周炎的患病率较高。这主要是由于以不合格的技术质量进行的治疗同样普遍。牙髓治疗的质量是决定健康的放射状周围状态的最主要因素。

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