DOI QR코드

DOI QR Code

Prevalence of apical periodontitis and quality of root canal treatment in an adult Kuwaiti sub-population: a cross-sectional study

  • Abdulrahman A. Alhailaa (Department of Restorative Dentistry, College of Medicine and Dentistry, Riyadh Elm University) ;
  • Saad AAl-Nazhan (Department of Restorative Dentistry – Endodontics, College of Medicine and Dentistry, Riyadh Elm University) ;
  • Mazen A Aldosimani (Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University)
  • 투고 : 2024.01.13
  • 심사 : 2024.02.13
  • 발행 : 2024.05.31

초록

Objectives: This cross-sectional study evaluated the prevalence of apical periodontitis (AP) and the technical quality of root canal fillings in an adult Kuwaiti subpopulation using cone-beam computed tomography (CBCT) images. Materials and Methods: Two experienced examiners analyzed 250 CBCT images obtained from Kuwaiti patients aged 15-65 years who attended government dental specialist clinics between January 2019 and September 2020. The assessment followed the radiographic scoring criteria proposed by De Moor for periapical status and the technical quality of root canal filling. Chi-square and Fisher's exact tests were used for statistical analysis, with significance level set at p < 0.05. Results: Among the 2,762 examined teeth, 191 (6.91%) exhibited radiographic signs of AP, and 176 (6.37%) had undergone root canal filling. AP prevalence in root canal-treated teeth was 32.38%, with a significant difference between males and females. Most of the endodontically treated teeth exhibited adequate root canal filling (71.5%). Conclusions: The study demonstrated a comparable prevalence of AP and satisfactory execution of root canal treatment compared to similar studies in different countries.

키워드

참고문헌

  1. Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol 1965;20:340-349. https://doi.org/10.1016/0030-4220(65)90166-0
  2. Sundqvist G, Figdor D, Persson S, Sjogren U. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:86-93. https://doi.org/10.1016/S1079-2104(98)90404-8
  3. Abbott PV. Classification, diagnosis and clinical manifestations of apical periodontitis. Endod Topics 2004;8:36-54. https://doi.org/10.1111/j.1601-1546.2004.00098.x
  4. Tiburcio-Machado CS, Michelon C, Zanatta FB, Gomes MS, Marin JA, Bier CA. The global prevalence of apical periodontitis: a systematic review and meta-analysis. Int Endod J 2021;54:712-735. https://doi.org/10.1111/iej.13467
  5. Seppanen L, Lemberg KK, Lauhio A, Lindqvist C, Rautemaa R. Is dental treatment of an infected tooth a risk factor for locally invasive spread of infection? J Oral Maxillofac Surg 2011;69:986-993. https://doi.org/10.1016/j.joms.2010.05.015
  6. Orstavik D, Qvist V, Stoltze K. A multivariate analysis of the outcome of endodontic treatment. Eur J Oral Sci 2004;112:224-230. https://doi.org/10.1111/j.1600-0722.2004.00122.x
  7. Kojima K, Inamoto K, Nagamatsu K, Hara A, Nakata K, Morita I, et al. Success rate of endodontic treatment of teeth with vital and nonvital pulps. A meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:95-99. https://doi.org/10.1016/j.tripleo.2003.07.006
  8. Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature -- part 2. influence of clinical factors. Int Endod J 2008;41:6-31. https://doi.org/10.1111/j.1365-2591.2007.01323.x
  9. Estrela C, Bueno MR, Leles CR, Azevedo B, Azevedo JR. Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis. J Endod 2008;34:273-279. https://doi.org/10.1016/j.joen.2007.11.023
  10. Al-Nazhan SA, Alsaeed SA, Al-Attas HA, Dohaithem AJ, Al-Serhan MS, Al-Maflehi NS. Prevalence of apical periodontitis and quality of root canal treatment in an adult Saudi population. Saudi Med J 2017;38:413-421. https://doi.org/10.15537/smj.2017.4.16409
  11. Halse A, Molven O, Fristad I. Diagnosing periapical lesions--disagreement and borderline cases. Int Endod J 2002;35:703-709. https://doi.org/10.1046/j.1365-2591.2002.00552.x
  12. Nair MK, Nair UP. Digital and advanced imaging in endodontics: a review. J Endod 2007;33:1-6. https://doi.org/10.1016/j.joen.2006.08.013
  13. Zaatar EI, al-Kandari AM, Alhomaidah S, al-Yasin IM. Frequency of endodontic treatment in Kuwait: radiographic evaluation of 846 endodontically treated teeth. J Endod 1997;23:453-456. https://doi.org/10.1016/S0099-2399(97)80302-0
  14. Maslamani M, Behbahani J, Mitra AK. Radiographic evaluation and predictors of periapical lesions in patients with root-filled and nonroot-filled teeth in Kuwait. Indian J Dent Sci 2017a;9:237-240. https://doi.org/10.4103/IJDS.IJDS_78_17
  15. Maslamani M, Khalaf M, Mitra AK. Association of quality of coronal filling with the outcome of endodontic treatment: a follow-up study. Dent J (Basel) 2017;5:5.
  16. McHugh ML. Interrater reliability: the kappa statistic. Biochem Med (Zagreb) 2012;22:276-282. https://doi.org/10.11613/BM.2012.031
  17. De Moor RJ, Hommez GM, De Boever JG, Delme KI, Martens GE. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J 2000;33:113-120. https://doi.org/10.1046/j.1365-2591.2000.00295.x
  18. Lupi-Pegurier L, Bertrand MF, Muller-Bolla M, Rocca JP, Bolla M. Periapical status, prevalence and quality of endodontic treatment in an adult French population. Int Endod J 2002;35:690-697. https://doi.org/10.1046/j.1365-2591.2002.00547.x
  19. Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J 2005;38:238-245. https://doi.org/10.1111/j.1365-2591.2005.00942.x
  20. Estrela C, Bueno MR, Azevedo BC, Azevedo JR, Pecora JD. A new periapical index based on cone beam computed tomography. J Endod 2008;34:1325-1331. https://doi.org/10.1016/j.joen.2008.08.013
  21. Loftus JJ, Keating AP, McCartan BE. Periapical status and quality of endodontic treatment in an adult Irish population. Int Endod J 2005;38:81-86. https://doi.org/10.1111/j.1365-2591.2004.00902.x
  22. Jimenez-Pinzon A, Segura-Egea JJ, Poyato-Ferrera M, Velasco-Ortega E, Rios-Santos JV. Prevalence of apical periodontitis and frequency of root-filled teeth in an adult Spanish population. Int Endod J 2004;37:167-173. https://doi.org/10.1111/j.0143-2885.2004.00759.x
  23. Alfouzan K, Baskaradoss JK, Geevarghese A, Alzahrani M, Alhezaimi K. Radiographic diagnosis of periapical status and quality of root canal fillings in a Saudi Arabian subpopulation. Oral Health Prev Dent 2016;14:241-248.
  24. Petersson K, Lewin B, Hakansson J, Olsson B, Wennberg A. Endodontic status and suggested treatment in a population requiring substantial dental care. Endod Dent Traumatol 1989;5:153-158. https://doi.org/10.1111/j.1600-9657.1989.tb00352.x
  25. Mukhaimer R, Hussein E, Orafi I. Prevalence of apical periodontitis and quality of root canal treatment in an adult Palestinian sub-population. Saudi Dent J 2012;24:149-155. https://doi.org/10.1016/j.sdentj.2012.02.001
  26. Alrahabi M, Younes HB. A cross-sectional study of the quality of root canal treatment in Al-Madinah Al-Munawwarah. Saudi Endod J 2016;6:31-35. https://doi.org/10.4103/1658-5984.172005
  27. Georgopoulou MK, Spanaki-Voreadi AP, Pantazis N, Kontakiotis EG. Frequency and distribution of root filled teeth and apical periodontitis in a Greek population. Int Endod J 2005;38:105-111. https://doi.org/10.1111/j.1365-2591.2004.00907.x
  28. Orstavik D. Time-course and risk analyses of the development and healing of chronic apical periodontitis in man. Int Endod J 1996;29:150-155. https://doi.org/10.1111/j.1365-2591.1996.tb01361.x
  29. Petersson K, Hakansson R, Hakansson J, Olsson B, Wennberg A. Follow-up study of endodontic status in an adult Swedish population. Endod Dent Traumatol 1991;7:221-225. https://doi.org/10.1111/j.1600-9657.1991.tb00440.x
  30. Ariga J, Al-Mutawa S, Nazar H. School oral health program in Kuwait. Med Princ Pract 2014;23 Supplement 1:43-46. https://doi.org/10.1159/000356504
  31. Kerekes K, Tronstad L. Long-term results of endodontic treatment performed with a standardized technique. J Endod 1979;5:83-90. https://doi.org/10.1016/S0099-2399(79)80154-5
  32. Weiger R, Hitzler S, Hermle G, Lost C. Periapical status, quality of root canal fillings and estimated endodontic treatment needs in an urban German population. Endod Dent Traumatol 1997;13:69-74. https://doi.org/10.1111/j.1600-9657.1997.tb00013.x
  33. Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990;16:498-504. https://doi.org/10.1016/S0099-2399(07)80180-4
  34. Schaeffer MA, White RR, Walton RE. Determining the optimal obturation length: a meta-analysis of literature. J Endod 2005;31:271-274. https://doi.org/10.1097/01.don.0000140585.52178.78
  35. Nair PN, Sjogren U, Krey G, Sundqvist G. Therapy-resistant foreign body giant cell granuloma at the periapex of a root-filled human tooth. J Endod 1990;16:589-595. https://doi.org/10.1016/S0099-2399(07)80202-0
  36. Sidaravicius B, Aleksejuniene J, Eriksen HM. Endodontic treatment and prevalence of apical periodontitis in an adult population of Vilnius, Lithuania. Endod Dent Traumatol 1999;15:210-215. https://doi.org/10.1111/j.1600-9657.1999.tb00776.x
  37. Tronstad L, Asbjornsen K, Doving L, Pedersen I, Eriksen HM. Influence of coronal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol 2000;16:218-221. https://doi.org/10.1034/j.1600-9657.2000.016005218.x
  38. Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J 1995;28:12-18. https://doi.org/10.1111/j.1365-2591.1995.tb00150.x
  39. Segura-Egea JJ, Jimenez-Pinzon A, Poyato-Ferrera M, Velasco-Ortega E, Rios-Santos JV. Periapical status and quality of root fillings and coronal restorations in an adult Spanish population. Int Endod J 2004;37:525-530. https://doi.org/10.1111/j.1365-2591.2004.00826.x
  40. Hoskinson SE, Ng YL, Hoskinson AE, Moles DR, Gulabivala K. A retrospective comparison of outcome of root canal treatment using two different protocols. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:705-715. https://doi.org/10.1067/moe.2001.122822