Şanal Çikman Ahter, Köse Taha Emre, Günaçar Dilara Nil, Çene Erhan, Arıcıoğlu Banu
Department of Endodontics, Faculty of Dentistry, Recep Tayyip Erdogan University, Rize, Turkey.
Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Recep Tayyip Erdogan University, Rize, Turkey.
Aust Endod J. 2022 Dec;48(3):431-443. doi: 10.1111/aej.12638. Epub 2022 Jun 11.
The purpose of this study was to evaluate the technical treatment quality and the status of apical pathology of endodontically treated teeth, as well as apical periodontitis (AP) prevalence, in a Turkish population using cone-beam computed tomography (CBCT). The CBCT images obtained between January 2018 and April 2020 were retrospectively examined. The quality of the endodontic treatments and the related periapical inflammatory lesions were classified according to the periapical and endodontic status scale (PESS). The data were statistically analysed using logistic regression, crosstabs and chi-square tests. AP was detected in 41% of 429 endodontically treated teeth. The prevalence of AP was significantly higher in teeth with inadequate root canal treatment compared with those with adequate treatment, 70.8% and 29.3%, respectively. Inadequate canal length and homogeneity, and complications were significantly associated with the prognostic periapical status scores of higher risk.
本研究的目的是使用锥形束计算机断层扫描（CBCT）评估土耳其人群中根管治疗牙齿的技术治疗质量、根尖病变状况以及根尖周炎（AP）患病率。对2018年1月至2020年4月期间获得的CBCT图像进行回顾性检查。根据根尖和根管状况量表（PESS）对根管治疗质量和相关根尖周炎性病变进行分类。使用逻辑回归、交叉表和卡方检验对数据进行统计分析。在429颗接受根管治疗的牙齿中，41%检测到AP。根管治疗不充分的牙齿中AP患病率显著高于治疗充分的牙齿，分别为70.8%和29.3%。根管长度和均匀性不足以及并发症与较高风险的预后根尖周状况评分显著相关。
