Long-term outcome of non-surgical root canal treatment: a retrospective analysis

详细信息    查看全文

• 作者：Chiara Pirani ; Stefano Chersoni ; Lucio Montebugnoli ; Carlo Prati
• 关键词：Root canal treatment ; Periapical healing ; Periapical radiolucency ; Root canal filling ; Survival
• 刊名：Odontology
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：103
• 期：2
• 页码：185-193
• 全文大小：745 KB
• 参考文献：1.Sj?gren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990;16:498-04.PubMed View Article
  2.Stoll R, Betke K, Stachniss V. The influence of different factors on the survival of root canal fillings: a 10-year retrospective study. J Endod. 2005;31:783-0.PubMed View Article
  3.Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature—Part 1. Effects of study characteristics on probability of success. Int Endod J. 2007;40:921-9.PubMed View Article
  4.Ng YL, Mann V, Rahbaran S, Lewsey J, Gulabivala K. Outcome of primary root canal treatment: systematic review of the literature—Part 2. Influence of clinical factors. Int Endod J. 2007;41:6-1.PubMed
  5.Kirkevang LL, V?th M, H?rsted-Bindslev P, Bahrami G, Wenzel A. Risk factors for developing apical periodontitis in a general population. Int Endod J. 2007;40:290-.PubMed View Article
  6.Imura N, Pinheiro ET, Gomes B, Zaia AA, Ferraz CCR, Souza-Filho FJ. The outcome of endodontic treatment: a retrospective study of 2000 cases performed by a specialist. J Endod. 2007;33:1278-2.PubMed View Article
  7.Tavares PBL, Bonte E, Boukpessi T, Siqueira JF, Lasfargues JJ. Prevalence of apical periodontitis in root canal-treated teeth from an urban French population: influence of the quality of root canal fillings and coronal restorations. J Endod. 2009;35:810-.PubMed View Article
  8.Chugal NM, Clive JM, Sp?ngberg LS. A prognostic model for assessment of the outcome of endodontic treatment: effect of biologic and diagnostic variables. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91:342-2.PubMed View Article
  9.Ng YL, Mann V, Gulabivala K. Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J. 2010;43:171-9.PubMed View Article
  10.Lumley PJ, Lucarotti PSK, Burke FJT. Ten-year outcome of root fillings in the General Dental Service in England and Wales. Int Endod J. 2008;41:577-5.PubMed View Article
  11.European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J. 2006;39:921-0.View Article
  12.Molven O, Halse A, Fristad I, Mac-Donald-Jankowski D. Periapical changes following root-canal treatment observed 20-7?years postoperatively. Int Endod J. 2002;35:784-0.PubMed View Article
  13.Hannahan JP, Eleazer PD. Comparison of success of implants versus endodontically treated teeth. J Endod. 2008;34:1302-.PubMed View Article
  14.Gesi A, Hakeberg M, Warfvinge J, Bergenholtz G. Incidence of periapical lesions and clinical symptoms after pulpectomy-A clinical and radiographic evaluation of 1- versus 2-session treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:379-8.PubMed View Article
  15.Prati C, Selighini M, Ferrieri P, Mongiorgi R. Scanning electron microscopic evaluation of different endodontic procedures on dentin morphology of human teeth. J Endod. 1994;20:174-.PubMed View Article
  16.Friedman S, Abitbol S, Lawrence HP. Treatment outcome in endodontics: the Toronto Study. Phase I: initial treatment. J Endod. 2003;29:787-3.PubMed View Article
  17.de Chevigny C, Dao TT, Basrani BR, Marquis V, Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study—phase 4: initial treatment. J Endod. 2008;34:258-3.PubMed View Article
  18.?rstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol. 1986;2:20-4.PubMed View Article
  19.Molander A, Warfvinge J, Reit C, Kvist T. Clinical and radiographic evaluation of one- and two-visit endodontic treatment of asymptomatic necrotic teeth with apical periodontitis: a randomized clinical trial. J Endod. 2007;33:1145-.PubMed View Article
  20.von Arx T, Jensen SS, H?nni S. Clinical and radiographic assessment of various predictors for healing outcome 1?year after periapical surgery. J Endod. 2007;33:123-.View Article
  21.Mindiola MJ, Mickel AK, Sami C, Jones JJ, Lalumandier JA, Nelson SS. Endodontic treatment in an American Indian population: a 10-year retrospective study. J Endod. 2006;32:828-2.PubMed View Article
  22.Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J Endod. 2009;35:930-.PubMed View Article
  23.Wu MK, Shemesh H, Wesselink PR. Limitations of previously published systematic reviews evaluating the outcome of endodontic treatment. Int Endod J. 2009;42:656-6.PubMed View Article
  24.Ricucci D, Siqueira JF Jr, Bate AL, Pitt Ford TR. Histologic investigation of root canal-treated teeth with apical periodontitis: a retrospective study from twenty-four patients. J Endod. 2009;35:493-02.PubMed View Article
  25.Kojima K, Inamoto K, Nagamatsu K, et al. Success
• 作者单位：Chiara Pirani (1)
  Stefano Chersoni (1)
  Lucio Montebugnoli (2)
  Carlo Prati (1)
  
  1. Department of Biomedical and Neuromotor Sciences (DIBINEM), School of Dentistry, Endodontic Clinical Section, Alma Mater Studiorum, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy
  2. Department of Biomedical and Neuromotor Sciences (DIBINEM), School of Dentistry, Oral Pathology Section, Alma Mater Studiorum, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy
  
• 刊物类别：Medicine
• 刊物主题：Dentistry
  
• 出版者：Springer Japan
• ISSN：1618-1255

文摘

This study investigated the long-term clinical outcome of root canal treatment. 240 root-treated teeth (n?=?61 patients) were initially classified on the basis of radiographic presence/absence of initial apical periodontitis (IAP) and clinical data. The final outcome measure was the periapical healing (healed/disease). The outcome at 6-?months was correlated with the outcome at 10?years following treatment. Prognostic factors for the periapical healing were assessed. Extraction data were recorded. Univariate and multivariate logistic regression analysis was used to identify risk indicators for apical periodontitis (AP) development. Chi-square analysis was performed to evaluate a possible relationship between the 6-?months outcome and the final outcome related to IAP. Mean observation time was 14?±?3.7?years. Survival rate was 84.6?% and healing rate was 79?% (10-9 years). Predictors of outcome (p?<?.05) were considered statistically significant. Multivariate logistic regression analysis showed that initial pulpal and periapical status and the quality of root canal filling as assessed two-dimensionally were independent predictors of outcome. The 6-?months evaluation appears to be an indicator for the final outcome of primary root canal treatment both in the presence and in the absence of IAP. An initial radiolucency associated with an unsatisfactory quality and extent of root canal filling significantly diminishes the possibility of achieving long-term radiographic success. For those with uncertain healing at 6-?months (91?%), clinicians should consider the high healing rate when estimating the prognosis and adjust the decision making accordingly.