根管治疗期间所拍摄X光片的质量对根管充填技术质量和牙髓治疗结果的影响。

Effect of quality of radiographs taken during root canal treatment on technical quality of root canal fillings and endodontic outcome.

作者信息

Ng Jia Min, Lee Yan Yee, Chippagiri Prashanti, Ahanin Elaheh, Parolia Abhishek

机构信息

School of Dentistry, IMU University, Kuala Lumpur, Malaysia.

Putra Business School, University Putra Malaysia, Selangor, Malaysia.

出版信息

Restor Dent Endod. 2025 Feb;50(1):e3. doi: 10.5395/rde.2025.50.e3. Epub 2025 Jan 7.

DOI:10.5395/rde.2025.50.e3

PMID:39772291

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11921453/

Abstract

OBJECTIVES

This study evaluated the number and quality of working length (WL) and master cone (MC) radiographs taken during root canal treatment by dental undergraduates, and their associations with the technical quality of root canal fillings (TQRCF) and endodontic outcomes (EO).

METHODS

A retrospective evaluation of radiographs from 303 root canal-treated teeth in 231 patients was conducted, with 72 patients attending recall visits to assess EO. The chi-square and one-way analysis of variance tests were performed.

RESULTS

A total of 505 WL and 557 MC radiographs were reviewed, with 72.9% and 75% deemed satisfactory, respectively. Satisfactory TQRCF was achieved in 60.4% of cases. Significant associations were found between the extension of the file in WL and gutta-percha in MC radiographs and TQRCF (p = 0.000). Misinterpretation of these radiographs resulted in poor TQRCF. Furthermore, 64.2% of teeth had satisfactory EO. A significant relationship was noted between the quality of MC radiographs and both TQRCF (p = 0.043) and EO (p = 0.003).

CONCLUSIONS

Unsatisfactory MC radiographs were linked to poor TQRCF and unfavorable EO. Regular radiographic training is recommended to enhance EO.

摘要

目的

本研究评估了牙科本科生在根管治疗期间拍摄的工作长度（WL）和主尖锉（MC）X线片的数量和质量，以及它们与根管充填技术质量（TQRCF）和根管治疗结果（EO）之间的关联。

方法

对231例患者的303颗接受根管治疗牙齿的X线片进行回顾性评估，其中72例患者进行了回访以评估EO。进行了卡方检验和单因素方差分析。

结果

共审查了505张WL X线片和557张MC X线片，分别有72.9%和75%被认为是满意的。60.4%的病例实现了满意的TQRCF。在WL中锉的长度和MC X线片中牙胶的长度与TQRCF之间发现了显著关联（p = 0.000）。对这些X线片的错误解读导致了TQRCF不佳。此外，64.2%的牙齿有满意的EO。MC X线片的质量与TQRCF（p = 0.043）和EO（p = 0.003）之间均存在显著关系。