Is Coronal Restoration a Predictor of Posttreatment Apical Periodontitis?
Abstract Objectives To investigate the posttreatment apical periodontitis (AP) in endodontically treated teeth through a multivariate approach and to analyze the relative importance of quality and type of coronal restoration as predictors of periapical disease. Materials and Methods The present st...
Gespeichert in:
| Veröffentlicht in: | European journal of dentistry 2022-05, Vol.16 (2), p.386-395 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 395 |
|---|---|
| container_issue | 2 |
| container_start_page | 386 |
| container_title | European journal of dentistry |
| container_volume | 16 |
| creator | Persic Bukmir, Romana Paljevic, Ema Vidas, Jelena Glazar, Irena Pezelj-Ribaric, Sonja Brekalo Prso, Ivana |
| description | Abstract
Objectives
To investigate the posttreatment apical periodontitis (AP) in endodontically treated teeth through a multivariate approach and to analyze the relative importance of quality and type of coronal restoration as predictors of periapical disease.
Materials and Methods
The present study sample was drawn within 2-year period from the 1,072 consecutive patients older than 18 years, first time attending the Dental Clinic of the Clinical Hospital Center Rijeka, Croatia. A total of 1,350 endodontically treated teeth were included in the study. For each tooth, the periapical status, root filling quality, intracanal post, separated file presence, marginal bone loss, and quality and type of coronal restoration were recorded.
Statistical Analysis
Chi-square tests were used to analyze the variations in the periapical status, quality of root canal filling, and quality of coronal restoration in different tooth types. The effect of explanatory variables on periapical status was explored using univariate and multivariate logistic regression models. The outcome variable was set as the presence versus absence of AP in the tooth.
Results
Multivariate logistic regression analysis revealed statistically significant associations and increased risk for AP presence in molars (odds ratio [OR] = 2.15;
p
|
| doi_str_mv | 10.1055/s-0041-1735909 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9339940</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2596018022</sourcerecordid><originalsourceid>FETCH-LOGICAL-c335t-77e2b1c3951cee7a8e080e360d1395e7288cc074253d0cddee04bc48f20f31c93</originalsourceid><addsrcrecordid>eNp1UD1PwzAQtRCIlsLKnJEl5RzHSbyAUMVHpUpUCGbLdS7UVRIX20Hi3-OqVSUGpju9e-_d3SPkmsKUAue3PgXIaUpLxgWIEzKmDHha5kV-eux5MSIX3m8AClYIcU5GLC85o1U1JvO5T2bW2V61yRv6YJ0KxvaJSpYOa6MjkNgmWVofgkMVOuxD8rA1OvKX6IytbR9MMP7-kpw1qvV4dagT8vH0-D57SRevz_PZwyLVjPGQliVmK6qZ4FQjlqpCqABZATWNGJZZVWkNZZ5xVoOua0TIVzqvmgwaRrVgE3K3990Oqw5rHQ9yqpVbZzrlfqRVRv6d9GYtP-23FIwJkUM0uDkYOPs1xJ9lZ7zGtlU92sHLjIsCaAVZFqnTPVU7673D5riGgtzlL73c5S8P-UdBuheEtcEO5cYOLkbr_-P_AiNEhdM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2596018022</pqid></control><display><type>article</type><title>Is Coronal Restoration a Predictor of Posttreatment Apical Periodontitis?</title><source>Thieme Connect Journals Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Persic Bukmir, Romana ; Paljevic, Ema ; Vidas, Jelena ; Glazar, Irena ; Pezelj-Ribaric, Sonja ; Brekalo Prso, Ivana</creator><creatorcontrib>Persic Bukmir, Romana ; Paljevic, Ema ; Vidas, Jelena ; Glazar, Irena ; Pezelj-Ribaric, Sonja ; Brekalo Prso, Ivana</creatorcontrib><description>Abstract
Objectives
To investigate the posttreatment apical periodontitis (AP) in endodontically treated teeth through a multivariate approach and to analyze the relative importance of quality and type of coronal restoration as predictors of periapical disease.
Materials and Methods
The present study sample was drawn within 2-year period from the 1,072 consecutive patients older than 18 years, first time attending the Dental Clinic of the Clinical Hospital Center Rijeka, Croatia. A total of 1,350 endodontically treated teeth were included in the study. For each tooth, the periapical status, root filling quality, intracanal post, separated file presence, marginal bone loss, and quality and type of coronal restoration were recorded.
Statistical Analysis
Chi-square tests were used to analyze the variations in the periapical status, quality of root canal filling, and quality of coronal restoration in different tooth types. The effect of explanatory variables on periapical status was explored using univariate and multivariate logistic regression models. The outcome variable was set as the presence versus absence of AP in the tooth.
Results
Multivariate logistic regression analysis revealed statistically significant associations and increased risk for AP presence in molars (odds ratio [OR] = 2.15;
p
< 0.001), teeth positioned in mandible (OR = 1.49;
p
= 0.007), teeth with short length of root filling (OR = 4.08;
p
< 0.001), overfilled teeth (OR = 2.99;
p
= 0.001), and teeth with inadequate density of root filling (OR = 4.14;
p
< 0.001). Considering variables related to coronal restoration, neither coronal restoration type nor quality was found to be predictive for posttreatment AP. Merely, the presence of intracanal post significantly increased the odds of AP presence (OR = 1.57;
p
= 0.009).
Conclusion
The results of the present study did not indicate that type or quality of coronal restoration may be predictors of posttreatment AP. Periapical disease was significantly associated with molars, mandibular teeth, substandard quality of root fillings, and intracanal post presence.</description><identifier>ISSN: 1305-7456</identifier><identifier>EISSN: 1305-7464</identifier><identifier>DOI: 10.1055/s-0041-1735909</identifier><identifier>PMID: 34753188</identifier><language>eng</language><publisher>A-12, 2nd Floor, Sector 2, Noida-201301 UP, India: Thieme Medical and Scientific Publishers Pvt. Ltd</publisher><subject>Original ; Original Article</subject><ispartof>European journal of dentistry, 2022-05, Vol.16 (2), p.386-395</ispartof><rights>The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited.</rights><rights>The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( ) 2021 The Author(s).</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c335t-77e2b1c3951cee7a8e080e360d1395e7288cc074253d0cddee04bc48f20f31c93</citedby><cites>FETCH-LOGICAL-c335t-77e2b1c3951cee7a8e080e360d1395e7288cc074253d0cddee04bc48f20f31c93</cites><orcidid>0000-0002-5325-6726</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339940/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339940/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,20872,27905,27906,53772,53774,54568,54596</link.rule.ids></links><search><creatorcontrib>Persic Bukmir, Romana</creatorcontrib><creatorcontrib>Paljevic, Ema</creatorcontrib><creatorcontrib>Vidas, Jelena</creatorcontrib><creatorcontrib>Glazar, Irena</creatorcontrib><creatorcontrib>Pezelj-Ribaric, Sonja</creatorcontrib><creatorcontrib>Brekalo Prso, Ivana</creatorcontrib><title>Is Coronal Restoration a Predictor of Posttreatment Apical Periodontitis?</title><title>European journal of dentistry</title><addtitle>Eur J Dent</addtitle><description>Abstract
Objectives
To investigate the posttreatment apical periodontitis (AP) in endodontically treated teeth through a multivariate approach and to analyze the relative importance of quality and type of coronal restoration as predictors of periapical disease.
Materials and Methods
The present study sample was drawn within 2-year period from the 1,072 consecutive patients older than 18 years, first time attending the Dental Clinic of the Clinical Hospital Center Rijeka, Croatia. A total of 1,350 endodontically treated teeth were included in the study. For each tooth, the periapical status, root filling quality, intracanal post, separated file presence, marginal bone loss, and quality and type of coronal restoration were recorded.
Statistical Analysis
Chi-square tests were used to analyze the variations in the periapical status, quality of root canal filling, and quality of coronal restoration in different tooth types. The effect of explanatory variables on periapical status was explored using univariate and multivariate logistic regression models. The outcome variable was set as the presence versus absence of AP in the tooth.
Results
Multivariate logistic regression analysis revealed statistically significant associations and increased risk for AP presence in molars (odds ratio [OR] = 2.15;
p
< 0.001), teeth positioned in mandible (OR = 1.49;
p
= 0.007), teeth with short length of root filling (OR = 4.08;
p
< 0.001), overfilled teeth (OR = 2.99;
p
= 0.001), and teeth with inadequate density of root filling (OR = 4.14;
p
< 0.001). Considering variables related to coronal restoration, neither coronal restoration type nor quality was found to be predictive for posttreatment AP. Merely, the presence of intracanal post significantly increased the odds of AP presence (OR = 1.57;
p
= 0.009).
Conclusion
The results of the present study did not indicate that type or quality of coronal restoration may be predictors of posttreatment AP. Periapical disease was significantly associated with molars, mandibular teeth, substandard quality of root fillings, and intracanal post presence.</description><subject>Original</subject><subject>Original Article</subject><issn>1305-7456</issn><issn>1305-7464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>0U6</sourceid><recordid>eNp1UD1PwzAQtRCIlsLKnJEl5RzHSbyAUMVHpUpUCGbLdS7UVRIX20Hi3-OqVSUGpju9e-_d3SPkmsKUAue3PgXIaUpLxgWIEzKmDHha5kV-eux5MSIX3m8AClYIcU5GLC85o1U1JvO5T2bW2V61yRv6YJ0KxvaJSpYOa6MjkNgmWVofgkMVOuxD8rA1OvKX6IytbR9MMP7-kpw1qvV4dagT8vH0-D57SRevz_PZwyLVjPGQliVmK6qZ4FQjlqpCqABZATWNGJZZVWkNZZ5xVoOua0TIVzqvmgwaRrVgE3K3990Oqw5rHQ9yqpVbZzrlfqRVRv6d9GYtP-23FIwJkUM0uDkYOPs1xJ9lZ7zGtlU92sHLjIsCaAVZFqnTPVU7673D5riGgtzlL73c5S8P-UdBuheEtcEO5cYOLkbr_-P_AiNEhdM</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Persic Bukmir, Romana</creator><creator>Paljevic, Ema</creator><creator>Vidas, Jelena</creator><creator>Glazar, Irena</creator><creator>Pezelj-Ribaric, Sonja</creator><creator>Brekalo Prso, Ivana</creator><general>Thieme Medical and Scientific Publishers Pvt. Ltd</general><scope>0U6</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5325-6726</orcidid></search><sort><creationdate>20220501</creationdate><title>Is Coronal Restoration a Predictor of Posttreatment Apical Periodontitis?</title><author>Persic Bukmir, Romana ; Paljevic, Ema ; Vidas, Jelena ; Glazar, Irena ; Pezelj-Ribaric, Sonja ; Brekalo Prso, Ivana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c335t-77e2b1c3951cee7a8e080e360d1395e7288cc074253d0cddee04bc48f20f31c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Original</topic><topic>Original Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Persic Bukmir, Romana</creatorcontrib><creatorcontrib>Paljevic, Ema</creatorcontrib><creatorcontrib>Vidas, Jelena</creatorcontrib><creatorcontrib>Glazar, Irena</creatorcontrib><creatorcontrib>Pezelj-Ribaric, Sonja</creatorcontrib><creatorcontrib>Brekalo Prso, Ivana</creatorcontrib><collection>Thieme Connect Journals Open Access</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Persic Bukmir, Romana</au><au>Paljevic, Ema</au><au>Vidas, Jelena</au><au>Glazar, Irena</au><au>Pezelj-Ribaric, Sonja</au><au>Brekalo Prso, Ivana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is Coronal Restoration a Predictor of Posttreatment Apical Periodontitis?</atitle><jtitle>European journal of dentistry</jtitle><addtitle>Eur J Dent</addtitle><date>2022-05-01</date><risdate>2022</risdate><volume>16</volume><issue>2</issue><spage>386</spage><epage>395</epage><pages>386-395</pages><issn>1305-7456</issn><eissn>1305-7464</eissn><abstract>Abstract
Objectives
To investigate the posttreatment apical periodontitis (AP) in endodontically treated teeth through a multivariate approach and to analyze the relative importance of quality and type of coronal restoration as predictors of periapical disease.
Materials and Methods
The present study sample was drawn within 2-year period from the 1,072 consecutive patients older than 18 years, first time attending the Dental Clinic of the Clinical Hospital Center Rijeka, Croatia. A total of 1,350 endodontically treated teeth were included in the study. For each tooth, the periapical status, root filling quality, intracanal post, separated file presence, marginal bone loss, and quality and type of coronal restoration were recorded.
Statistical Analysis
Chi-square tests were used to analyze the variations in the periapical status, quality of root canal filling, and quality of coronal restoration in different tooth types. The effect of explanatory variables on periapical status was explored using univariate and multivariate logistic regression models. The outcome variable was set as the presence versus absence of AP in the tooth.
Results
Multivariate logistic regression analysis revealed statistically significant associations and increased risk for AP presence in molars (odds ratio [OR] = 2.15;
p
< 0.001), teeth positioned in mandible (OR = 1.49;
p
= 0.007), teeth with short length of root filling (OR = 4.08;
p
< 0.001), overfilled teeth (OR = 2.99;
p
= 0.001), and teeth with inadequate density of root filling (OR = 4.14;
p
< 0.001). Considering variables related to coronal restoration, neither coronal restoration type nor quality was found to be predictive for posttreatment AP. Merely, the presence of intracanal post significantly increased the odds of AP presence (OR = 1.57;
p
= 0.009).
Conclusion
The results of the present study did not indicate that type or quality of coronal restoration may be predictors of posttreatment AP. Periapical disease was significantly associated with molars, mandibular teeth, substandard quality of root fillings, and intracanal post presence.</abstract><cop>A-12, 2nd Floor, Sector 2, Noida-201301 UP, India</cop><pub>Thieme Medical and Scientific Publishers Pvt. Ltd</pub><pmid>34753188</pmid><doi>10.1055/s-0041-1735909</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5325-6726</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1305-7456 |
| ispartof | European journal of dentistry, 2022-05, Vol.16 (2), p.386-395 |
| issn | 1305-7456 1305-7464 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9339940 |
| source | Thieme Connect Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Original Original Article |
| title | Is Coronal Restoration a Predictor of Posttreatment Apical Periodontitis? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T15%3A59%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Is%20Coronal%20Restoration%20a%20Predictor%20of%20Posttreatment%20Apical%20Periodontitis?&rft.jtitle=European%20journal%20of%20dentistry&rft.au=Persic%20Bukmir,%20Romana&rft.date=2022-05-01&rft.volume=16&rft.issue=2&rft.spage=386&rft.epage=395&rft.pages=386-395&rft.issn=1305-7456&rft.eissn=1305-7464&rft_id=info:doi/10.1055/s-0041-1735909&rft_dat=%3Cproquest_pubme%3E2596018022%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2596018022&rft_id=info:pmid/34753188&rfr_iscdi=true |