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Prevalence of Missed Canals and Their Association with Apical Periodontitis in Posterior Endodontically Treated Teeth: A CBCT Study
BACKGROUND: This study aimed to assess the prevalence of missed canals in endodontically treated teeth and their association with apical periodontitis in a Saudi Arabian population using CBCT. MATERIALS AND METHODS: A total of 208 CBCT radiographs were investigated. For each tooth, radiographs of ax...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8257386/ https://www.ncbi.nlm.nih.gov/pubmed/34257660 http://dx.doi.org/10.1155/2021/9962429 |
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author | Mashyakhy, Mohammed Hadi, Fatimah Ali Alhazmi, Hashimah Alhassan Alfaifi, Rawan Ali Alabsi, Fatimah Saleem Bajawi, Hashim Alkahtany, Mazen AbuMelha, Abdulaziz |
author_facet | Mashyakhy, Mohammed Hadi, Fatimah Ali Alhazmi, Hashimah Alhassan Alfaifi, Rawan Ali Alabsi, Fatimah Saleem Bajawi, Hashim Alkahtany, Mazen AbuMelha, Abdulaziz |
author_sort | Mashyakhy, Mohammed |
collection | PubMed |
description | BACKGROUND: This study aimed to assess the prevalence of missed canals in endodontically treated teeth and their association with apical periodontitis in a Saudi Arabian population using CBCT. MATERIALS AND METHODS: A total of 208 CBCT radiographs were investigated. For each tooth, radiographs of axial, coronal, and sagittal segments were acquired to appraise the external as well as the internal structure of the root canal system and apical area. In root canal-treated teeth, unfilled canals appearing from the cementoenamel junction to the apex were defined as missed untreated canals; and a periapical lesion was considered when disruption of the lamina dura was detected, and the low-density area associated with the radiographic apex was at least twice the width of the periodontal ligament space. The data were presented as frequencies and percentages. The Z-test was used to analyze the differences in proportions with the significance level set at P value <0.05. RESULTS: The overall prevalence of missed canals among endodontically treated teeth was 18%. The prevalence of missed canals was higher in maxillary first molars with 40.6%. The overall prevalence of apical periodontitis among teeth with missed canals was 90%. It was 84.2% in the maxilla and 100% in the mandible. The second mesiobuccal canal in the maxillary first molars and mesiobuccal and distobuccal canals in mandibular teeth were the most missed canals. CONCLUSION: Apical periodontitis in root canal-treated teeth with missed canals was high (90%), with most identified missed canals in maxillary and mandibular first molars. |
format | Online Article Text |
id | pubmed-8257386 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-82573862021-07-12 Prevalence of Missed Canals and Their Association with Apical Periodontitis in Posterior Endodontically Treated Teeth: A CBCT Study Mashyakhy, Mohammed Hadi, Fatimah Ali Alhazmi, Hashimah Alhassan Alfaifi, Rawan Ali Alabsi, Fatimah Saleem Bajawi, Hashim Alkahtany, Mazen AbuMelha, Abdulaziz Int J Dent Research Article BACKGROUND: This study aimed to assess the prevalence of missed canals in endodontically treated teeth and their association with apical periodontitis in a Saudi Arabian population using CBCT. MATERIALS AND METHODS: A total of 208 CBCT radiographs were investigated. For each tooth, radiographs of axial, coronal, and sagittal segments were acquired to appraise the external as well as the internal structure of the root canal system and apical area. In root canal-treated teeth, unfilled canals appearing from the cementoenamel junction to the apex were defined as missed untreated canals; and a periapical lesion was considered when disruption of the lamina dura was detected, and the low-density area associated with the radiographic apex was at least twice the width of the periodontal ligament space. The data were presented as frequencies and percentages. The Z-test was used to analyze the differences in proportions with the significance level set at P value <0.05. RESULTS: The overall prevalence of missed canals among endodontically treated teeth was 18%. The prevalence of missed canals was higher in maxillary first molars with 40.6%. The overall prevalence of apical periodontitis among teeth with missed canals was 90%. It was 84.2% in the maxilla and 100% in the mandible. The second mesiobuccal canal in the maxillary first molars and mesiobuccal and distobuccal canals in mandibular teeth were the most missed canals. CONCLUSION: Apical periodontitis in root canal-treated teeth with missed canals was high (90%), with most identified missed canals in maxillary and mandibular first molars. Hindawi 2021-06-28 /pmc/articles/PMC8257386/ /pubmed/34257660 http://dx.doi.org/10.1155/2021/9962429 Text en Copyright © 2021 Mohammed Mashyakhy et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Mashyakhy, Mohammed Hadi, Fatimah Ali Alhazmi, Hashimah Alhassan Alfaifi, Rawan Ali Alabsi, Fatimah Saleem Bajawi, Hashim Alkahtany, Mazen AbuMelha, Abdulaziz Prevalence of Missed Canals and Their Association with Apical Periodontitis in Posterior Endodontically Treated Teeth: A CBCT Study |
title | Prevalence of Missed Canals and Their Association with Apical Periodontitis in Posterior Endodontically Treated Teeth: A CBCT Study |
title_full | Prevalence of Missed Canals and Their Association with Apical Periodontitis in Posterior Endodontically Treated Teeth: A CBCT Study |
title_fullStr | Prevalence of Missed Canals and Their Association with Apical Periodontitis in Posterior Endodontically Treated Teeth: A CBCT Study |
title_full_unstemmed | Prevalence of Missed Canals and Their Association with Apical Periodontitis in Posterior Endodontically Treated Teeth: A CBCT Study |
title_short | Prevalence of Missed Canals and Their Association with Apical Periodontitis in Posterior Endodontically Treated Teeth: A CBCT Study |
title_sort | prevalence of missed canals and their association with apical periodontitis in posterior endodontically treated teeth: a cbct study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8257386/ https://www.ncbi.nlm.nih.gov/pubmed/34257660 http://dx.doi.org/10.1155/2021/9962429 |
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