Epidemiologic characterization of endodontic diagnosis and treatment
DOI:
https://doi.org/10.22370/asd.2020.1.1.2116Keywords:
Endodontics, diagnosis, BMPAbstract
Objetive: To characterize the endodontic diagnosis and treatments performed during 2008-2011 at School of Dentistry, University of Andrés Bello, Chile.
Methos: Case series study comprising 632 endodontics clinical records, corresponding to 506 patients. Variables included were clinical and radiographic features of the tooth anatomy, and variables related to treatment. Statistics analysis was performed through Stata 11 software. For multivariate analysis, logistic regression model was used, including adjusted Odd ratio; p<0.05 was considered significative.
Results: The most frequent diagnosis were pulp necrosis and asymptomatic irreversible pulpitis. Endodontic treatments were more common in women, in upper maxilla, in molars and premolars; in general, the main biomechanical preparation technique is manual and hybrid, except in molars, where mechanized technique is more common; the most used master apical file was file #40, and in upper incisors, #60; lateral condensation obturation technique was the most frequently used. A good prognosis was related with lateral and vertical obturation technique, and absence of soft tissue alterations.
Conclusions: This study brought relevant information about working lengths for each root canal for each tooth type. It related tooth type with the technique used for the coronal two-thirds preparation and its instruments, obturation technique and informed about the master file used for each root canal, by means of cross tables. Also, it builds an estimation model for the postoperative prognosis
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References
Wu MK, Shemesh H, Wesselink PR. Limitations of previously published systematic reviews evaluating the outcome of endodontic treatment. Int Endod J. 2009; 42(8):656-66.
Hollanda, A.C, Alencar, A.G, Estrela, C.R, Bueno M.R; Estrela, C. Prevalence of Endodontically Treated Teeth in a Brazilian Adult Population. Braz Dent J. 2008; 19(4): 313-317.
León P, Ilabaca MJ, Alcota M, González FE. Frecuencia de periodontitis apical en tratamientos endodónticos de pregrado. Rev. Clin. Periodoncia Implantol. Rehabil. Oral, 2011; 4(3); 126-129.
Scavo R., Martinez R., Zmener O., DiPietro S., Grana D., Pameijer C.Frequency and distribution of teeth requiring endodontic therapy in an Argentine population attending a specialty clinic in endodontics. Int Dent J. 2011; 61: 257–260.
AAE Consensus Conference Recommended Diagnostic Terminology. J Endod, 2009; 35 (12): 1634.
Gonzales A, Quintana M, Matta C, Maldonado M. Frecuencia de diagnósticos y tratamientos pulpares según indicadores de la demanda realizados en una clínica dental universitaria. Rev. Estomatol Herediana 2005; 15 (2): 150 - 154.
Gulsahi K, Gulsahi A, Ungor M, Genc Y. Frequency of root-filled teeth and prevalence of apical periodontitis in an adult Turkish population. Int Endod J. 2008; 41, 78–85.
Jiménez-Pinzón A, Segura-EgeaJ-J, PoyatoFerrera M, Velasco-Ortega E, Rios-Santos JV. Prevalence of apical periodontitis and frecuency of root- filled teeth in an adult Spanish population. Int Endod J, 2004; 37, 167-173.
Quadros I., Gomes B., Zaia A., Ferraz C., Souza-Filho F. Evaluation of Endodontic Treatments Performed by Students in a Brazilian Dental School. J Dent Ed. 2005; 69(10).
Al-Omari MA, Hazaa A, and Haddad F. Frequency and distribution of root filled teeth and apical periodontitis in a Jordanian subpopulation Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111:e59-65.
Georgopoulou MK, Spanaki-Voreadi AP, Pantazis N, Kontakiotis EG. Frequency and distribution of root filled teeth and apical periodontitis in a Greek population. Int Endod J. 2005; 38:105–111.
Hull TE, Robertson PB, Steiner JC, Michael A. Patterns of Endodontic Care for a Washington State Population. J Endod, 2003; 29(9).
Cohen, Stephen & Hargreaves, Kenneth M. VIAS DE LA PULPA. 9°Edición. Editorial Elsevier Mosby. Madrid. 2008.
Haapasalo M., Endal U., Zandi H. & Coil J.Eradication of endodontic infection by instrumentation and irrigation solutions.Endodontic Topics 2005, 10, 77– 102.
Leonardo MR. Endodoncia, tratamiento de conductos radiculares. Principios técnicos y biológicos. Volumen 1. Ed.Latinoamericana, 2005.
I. Soares, F. Goldberg. Endodoncia. Técnica y fundamentos. 2003.
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