Department of Endodontics, Faculty of Dentistry, Kocaeli University, Kocaeli, Turkey.
Private Practice, BeamReaders Inc., Kennewick, WA, USA.
Med Sci Monit. 2022 Aug 15;28:e936569. doi: 10.12659/MSM.936569.
BACKGROUND The aim of this study was to determine the current prevalence and quality of endodontic treatments and investigate the relationship of various factors with posttreatment endodontic disease (PTED) in a Turkish subpopulation. MATERIAL AND METHODS The cone beam computed tomography (CBCT) images of 1069 patients (male, 50.9%; female, 49.1%; mean age, 45.32±13.50 years) were retrospectively analyzed. A total of 20 646 teeth were examined; 1604 had undergone root canal. Periapical status was assessed using a modified CBCT periapical index. The relationship between periapical status and quality of root canal fillings (RCFs) was analyzed statistically using the chi-square test. Multivariate logistic regression was performed to evaluate the effect of individual parameters by adjusting them for other variables. RESULTS A total of 7.8% of all teeth had RCF. The prevalence of poor filling (having at least 1 procedural error) was 54.1%; the prevalence of PTED was 56.8%. The prevalence of PTED was 44.3% in teeth with short RCF, 10.8% with overextended RCF, 35.7% with nonhomogeneous RCF, and 15.5% in teeth with untreated root canals. The rate of RCF teeth with procedural errors associated with PTED was 76.2%. There was no significant difference between sexes in apical periodontitis (P>0.05), which developed more frequently in teeth with procedural errors. CONCLUSIONS The overall prevalence of poor fillings (having at least 1 procedural error) among RCF teeth was high (54.1%) in this subpopulation. There is a substantial need to improve the technical quality of endodontic treatment.
本研究旨在确定土耳其人群中根管治疗的当前流行率和质量，并研究各种因素与根管治疗后疾病（PTED）的关系。
回顾性分析了 1069 名患者（男性 50.9%，女性 49.1%，平均年龄 45.32±13.50 岁）的锥形束 CT（CBCT）图像。共检查了 20646 颗牙齿，其中 1604 颗进行了根管治疗。使用改良的 CBCT 根尖指数评估根尖状态。使用卡方检验统计分析根尖状态与根管充填质量（RCF）之间的关系。通过调整其他变量，多变量逻辑回归用于评估单个参数的影响。
所有牙齿中 RCF 的比例为 7.8%。不良充填（至少存在 1 项操作失误）的患病率为 54.1%；PTED 的患病率为 56.8%。RCF 较短的牙齿中 PTED 的患病率为 44.3%，RCF 过长的牙齿中 PTED 的患病率为 10.8%，RCF 不均匀的牙齿中 PTED 的患病率为 35.7%，未治疗根管的牙齿中 PTED 的患病率为 15.5%。与 PTED 相关的 RCF 牙齿的 RCF 牙齿的操作失误率为 76.2%。在根尖周炎方面，男女之间无显著差异（P>0.05），但操作失误的牙齿中更常发生。
在该人群中，RCF 牙齿中不良充填（至少存在 1 项操作失误）的总体患病率较高（54.1%）。需要大幅提高根管治疗的技术质量。
