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Predicting the outcome of initial non-surgical endodontic procedures by periapical status and quality of root canal filling: a cohort study.
García-Guerrero, Claudia; Delgado-Rodríguez, Cindy Estefanía; Molano-González, Nicolás; Pineda-Velandia, Gerardo Antonio; Marín-Zuluaga, Dairo Javier; Leal-Fernandez, Maria Carolina; Gutmann, James L.
Afiliação
  • García-Guerrero C; School of Dentistry, Basic Sciences Department, Endodontics Postgraduate Program Director. Research Group INVENDO, Universidad Nacional de Colombia, Carrera 45#26-85, 111111, Bogotá, Colombia. ccgarciag@unal.edu.co.
  • Delgado-Rodríguez CE; Research Group INVENDO, Basic Sciences and Oral Medicine Department, School of Dentistry, Universidad Nacional de Colombia, Bogotá, Colombia.
  • Molano-González N; Clinical Research Group, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia.
  • Pineda-Velandia GA; Statistics Department, Universidad Nacional de Colombia, Bogotá, Colombia.
  • Marín-Zuluaga DJ; Division of Gerodontology, Department of Restorative Dentistry, School of Dentistry, Universidad Nacional de Colombia, Bogotá, Colombia.
  • Leal-Fernandez MC; Postgraduate Program in Endodontics, School of Dentistry, Pontificia Universidad Javeriana, Bogotá, Colombia.
  • Gutmann JL; Department of Endodontics, Nova Southeastern University College of Dental Medicine, Davie Fl., USA.
Odontology ; 108(4): 697-703, 2020 Oct.
Article em En | MEDLINE | ID: mdl-32078100
To assess the previous periapical status and the quality of root canal filling as predictors of the outcome in initial non-surgical endodontic procedures. A retrospective cohort study was designed in which the presence of a previous periapical lesion was determined radiographically. The quality of the root filling was evaluated in terms of homogeneity, taper, and apical extension. The response variable was dichotomized to success and failure. Bivariate analyzes and a mixed generalized linear model interpreted the association between the explanatory variables and the outcome of the initial non-surgical endodontic procedures. A total of 349 roots were evaluated, and a failure rate of 13.18% was established. Poor filling quality was determined in 8.3% of the roots. As a main result, the presence of a preoperative periapical lesion did not determine a significant risk to the failure of the initial treatment. Unlike, a poor quality of the obturation determined association with an unfavorable outcome like this: (1) homogeneity (OR 2.32; p = 0.0181); (2) taper (OR 5.8; p = 0.0); and, (3) extension (OR 3.41; p = 0.0). Therefore, a significant association between inadequate quality of the root filling and failure of the primary non-surgical endodontic procedures was found. Short length of filling was highly associated with failure. The presence of previous periapical lesion was not found to be a significant predictor for treatment outcomes.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Periodontite Periapical / Cavidade Pulpar Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Odontology Assunto da revista: ODONTOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Japão
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Periodontite Periapical / Cavidade Pulpar Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Odontology Assunto da revista: ODONTOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Japão