Radiographic characteristics in the periapical healing post endodontic treatment in patients of the Autonomous University of Yucatan, School of Dentistry

Oscar David Jurado Patrón, Andrés Vargas López, Elma María Vega Lizama, Gabriel Alvarado Cárdenas, María Eugenia López Villanueva, Marco Antonio Ramírez Salomón

Abstract


Introduction: The radiographic control of the root canal treatment can evaluate the healing of the periapical lesions. The objective of this study was to determinate the characteristics of the radiographic healing that was observed after one year, during follow-up sessions; so, the healing of the lesions according to the periapical pathology at the beginning of the treatment and the causes of failure of the endodontic treatments were recorded.

Method: This is a prospective, observational, descriptive and longitudinal study, carried out in patients who attended control one year after endodontic treatment through the Periapical Index (PAI).

Results: A total of 395 teeth of patients who underwent endodontic treatment one year prior to data collection, 87 presented radiogaphically observable periapical lesions; of these, 40 (45.97%) attended the control at one year. The frequency of cases in which some degree of radiographic healing was observed one year after treatment was 97.46%. The pathology with more cases of complete healing was periodontitis with sinus tract. In general, 84.61% of the cases decreased two levels in their PAI after one year. The 100% of the cases of failure presented vertical root fractures.

Conclusion: The frequency of periapical healing after endodontic treatment is high. The main cause for the failure of the treatments documented in this study was the lack of coronal restoration that caused vertical fractures.


Keywords


periapical healing; root canal treatment; periapical pathology; radiographic healing

Full Text:

PDF

References


Herica A, Rivas J, Geraldes F, Mauricio G. (2007). Evaluación del éxito clínico y radiográfico post-tratamiento de dientes con necrosis pulpar y lesión periapical visible radiográficamente. Acta Odontológica Venezolana 45: 1–6.

Altare, L. (2010). Reparación apical y periapical post-tratamiento endodóntico. Journal of Endodontics Rosario 2: 433–61.

Becconsall-Ryan K, Tong D, Love R.M. (2010). Radiolucent Inflammatory Jaw Lesions : A Twenty- Year Analysis. International Endodontic Journal 43: 859–65.

Cleen MJ, Schuurs AH, Wesselink PR, Wu MK. (1993). Periapical status and prevalence of endodontic treatment in an adult dutch population. International Endodontic Journal 26: 112–19.

Davies A, Patel S, Foschi F, Andiappan M, Mitchell PJ, Mannocci F. (2016). The detection of periapical pathoses using digital periapical radiography and cone beam computed tomography in endodontically retreated teeth - Part 2: A 1 year post-treatment follow-up. International Endodontic Journal 49: 623–35.

Haapasalo M, Shen Y, & Ricucci D. (2011). Reasons for Persistent and Emerging Post-Treatment Endodontic Disease. Endodontic Topics 18: 31–50.

Hargreaves KM & Berman LH. (2016). Cohen´s Pathways of the Pulp 11th ed. St. Louis, Elsevier.

Hilú R, Balandrano-Pinal F. (2009). El éxito en endodoncia. Endodoncia 27: 131–38.

Huumonen S, Ørstavik D. (2013). Radiographic follow-up of periapical status after endodontic treatment of teeth with and without apical periodontitis. Clinical Oral Investigations 17: 2099–2104.

Hurst S (2014). Declaration of Helsinki and protection for vulnerable research participants. J Am Med Assoc 12: 1252-72.

Kirkevang LL, Orstavik D, Wenzel A, Vaeth M. (2014). Prognostic value of the full-scale periapical index. International Endodontic Journal 48: 1051–8.

Liang YH, Li G, Wesselink PR, Wu MK. (2011). Endodontic outcome predictors identified with periapical radiographs and cone-beam computed tomography scans. Journal of Endodontics 37: 326–31.

Lynch CD, Burke FM. (2006). Quality of root canal fillings performed by undergraduate dental students on single-rooted teeth. European Journal of Dental Education 10: 67–72.

Monardes H, Lolas C, Aravena J, Gonzáles H, Abarca J. (2016). Evaluación del tratamiento endodóntico y su relación con el tipo y la calidad de la restauración definitiva. Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral. 9: 108-13.

Ng YL, Mann V, Gulabivala K (2011). A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. International Endodtic Journal. 44:583-609.

Orstavik D, Kerekes K, Eriksen HM. (1986). The periapical index a scoring system for radiographic assessment of apical periodontitis. Dental Traumatology 2: 20–34.

Peralta-Lazo EC, Ramirez-Salomón M, Alvarado-Cádenas G, López-Villanueva MA, Ayala-Ham A, Vega-Lizama EM. (2017). Frecuencia del éxito del tratamiento endodóntico en la Facultad de Odontología de la UADY. Revista Odontológica Latinoamericana. 9: 57-62.

Peters CI, Peters O. (2013). Cone beam computed tomography and other imaging techniques in the determination of periapical healing. Endodontic Topics 26: 57–75.

Peters LB, Lindeboom JA, Elst ME. (2011). Prevalence of apical periodontitis relative to endodontic treatment in an adult dutch population: a repeated cross-sectional study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.111: 523–28.

Pirani C, Friedman S, Gatto MR, Iacono F, Tinarelli V, Gandolfi MG, Prati C. (2018). Survival and periapical health after root canal treatment with carrier-based root fillings: five-year retrospective assessment. International Endodontic Journal. 51: 178–88.

Ridao-Sacie C, Segura-Egea JJ, Fernández-Palacín A, Bullón-Fernández P, Ríos Santos JV. (2007). Radiological assessment of periapical status using the periapical index: comparison of periapical radiography and digital panoramic radiography. International Endodontic Journal 40: 433–40.

Saatchi M. (2007). Healing of large periapical lesion: a non-surgical endodontic. Australian Endodontic Journal 33: 136–40.

Segura-Egea JJ, Martin-Gonzalez J, Castellanos-Cosano L. (2015). Endodontic medicine: connections between apical periodontitis and systemic diseases. International Endodontic Journal 48: 933–51.

Sigurdsson A. (2003). Pulpal Diagnosis. Endodontic Topics 5: 12–25.

Soares I, Goldberg F. (2012). Endodoncia, técnica y fundamentos. Panamericana, 272–93.

Timmerman A, Calache H, Parashos P, Timmerman AN. (2017). A cross sectional and longitudinal study of endodontic and periapical status in an australian population. Australian Dental Journal 62: 345–54.

Zhang MM, Liang YH, Gao XJ, Jiang L, Van-Der-Sluis L, Wu MK. (2015). Management of apical periodontitis: healing of post-treatment periapical lesions present 1 year after endodontic treatment. Journal of Endodontics 41: 1020–25.




DOI: https://doi.org/10.21640/ns.v10i21.1592

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Nova Scientia

Scope

Nova Scientia is a multidisciplinary, electronic publication that publishes biannually in the months of May and November; it is published by the Universidad De La Salle Bajío and aims to distribute unpublished and original papers from the different scientific disciplines written by national and international researchers and academics. It does not publish reviews, bibliographical revisions, or professional applications.

Nova Scientia, year 10, issue 20, May – October 2018, is a biannual journal printed by the Universidad De La Salle Bajío, with its address: Av. Universidad 602, Col. Lomas del Campestre, C. P. 37150, León, Gto. México. Phone: (52) 477 214 3900, e-mail: http://nova_scientia.delasalle.edu.mx. Chief editor: Ph.D. Ramiro Rico Martínez. ISSN 2007 - 0705. Copyright for exclusive use No. 04-2008-092518225500/102, Diffusion rights via computer net 04 - 2008 – 121011584800-203 both granted by the Instituto Nacional del Derecho de Autor.

Editor responsible for updating this issue: Direction of Research Department of the Universidad De La Salle Bajío, last updated on May 25th, 2018.