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The evaluation of endodontic flare-ups and their relationship to various risk factors

BACKGROUND: To evaluate the incidence of flare-ups and identify the risk factors including age, gender, tooth type, number of root canals, initial diagnosis, the type of irrigation regimen, treatment modality and the number of visits, in patients who received root canal treatment from January 2002 t...

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Autores principales: Onay, Emel Olga, Ungor, Mete, Yazici, A. Canan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4647657/
https://www.ncbi.nlm.nih.gov/pubmed/26577095
http://dx.doi.org/10.1186/s12903-015-0135-2
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author Onay, Emel Olga
Ungor, Mete
Yazici, A. Canan
author_facet Onay, Emel Olga
Ungor, Mete
Yazici, A. Canan
author_sort Onay, Emel Olga
collection PubMed
description BACKGROUND: To evaluate the incidence of flare-ups and identify the risk factors including age, gender, tooth type, number of root canals, initial diagnosis, the type of irrigation regimen, treatment modality and the number of visits, in patients who received root canal treatment from January 2002 to January 2008. METHODS: Records of 1819 teeth belonging to 1410 patients treated by 1 endodontics specialist during 6-year period were kept. Patient, tooth, and treatment characteristics were evaluated and the relationships between these characteristics and flare-ups were studied. Statistical analysis was carried out by using Pearson Chi-square test, Fisher’s Exact test, and Binary Logistic regression analyses. RESULTS: The incidence of flare-ups was 59 (3.2 %) out of 1819 teeth that received endodontic therapy. Pulpal necrosis without periapical pathosis was the most common indication for flare-up (6 %) (p < 0.01). Teeth undergoing multiple visits had a higher risk of developing flare-ups compared to those with single appointments (OR: 3.14, CI: 1.414–7.009, p < 0.01). There were also no statistically significant differences in the incidence of flare-ups regarding to age, gender, tooth type, number of root canals, treatment modality, and the irrigation solutions that used during the treatment. CONCLUSIONS: The incidence of flare-up is minimal when teeth are treated in one visit. Absence of a periapical lesion in necrotic teeth is a significant risk factor for flare-ups.
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spelling pubmed-46476572015-11-18 The evaluation of endodontic flare-ups and their relationship to various risk factors Onay, Emel Olga Ungor, Mete Yazici, A. Canan BMC Oral Health Research Article BACKGROUND: To evaluate the incidence of flare-ups and identify the risk factors including age, gender, tooth type, number of root canals, initial diagnosis, the type of irrigation regimen, treatment modality and the number of visits, in patients who received root canal treatment from January 2002 to January 2008. METHODS: Records of 1819 teeth belonging to 1410 patients treated by 1 endodontics specialist during 6-year period were kept. Patient, tooth, and treatment characteristics were evaluated and the relationships between these characteristics and flare-ups were studied. Statistical analysis was carried out by using Pearson Chi-square test, Fisher’s Exact test, and Binary Logistic regression analyses. RESULTS: The incidence of flare-ups was 59 (3.2 %) out of 1819 teeth that received endodontic therapy. Pulpal necrosis without periapical pathosis was the most common indication for flare-up (6 %) (p < 0.01). Teeth undergoing multiple visits had a higher risk of developing flare-ups compared to those with single appointments (OR: 3.14, CI: 1.414–7.009, p < 0.01). There were also no statistically significant differences in the incidence of flare-ups regarding to age, gender, tooth type, number of root canals, treatment modality, and the irrigation solutions that used during the treatment. CONCLUSIONS: The incidence of flare-up is minimal when teeth are treated in one visit. Absence of a periapical lesion in necrotic teeth is a significant risk factor for flare-ups. BioMed Central 2015-11-14 /pmc/articles/PMC4647657/ /pubmed/26577095 http://dx.doi.org/10.1186/s12903-015-0135-2 Text en © Onay et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Onay, Emel Olga
Ungor, Mete
Yazici, A. Canan
The evaluation of endodontic flare-ups and their relationship to various risk factors
title The evaluation of endodontic flare-ups and their relationship to various risk factors
title_full The evaluation of endodontic flare-ups and their relationship to various risk factors
title_fullStr The evaluation of endodontic flare-ups and their relationship to various risk factors
title_full_unstemmed The evaluation of endodontic flare-ups and their relationship to various risk factors
title_short The evaluation of endodontic flare-ups and their relationship to various risk factors
title_sort evaluation of endodontic flare-ups and their relationship to various risk factors
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4647657/
https://www.ncbi.nlm.nih.gov/pubmed/26577095
http://dx.doi.org/10.1186/s12903-015-0135-2
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