Relationship of Periapical Radiolucencies with the Quality of Root Canal Treatment: A CBCT Study on an Iranian Population

Abdollahi, Maryam; Bolbolian, Marjan; Tofangchiha, Maryam; Rasti, Pooya; Keshavarzi, Zahra; Alizadeh, Ahad; Reda, Radolfo; Testarelli, Luca

doi:10.15517/kryhrr53

Autores/as

Maryam Abdollahi Department of Orthodontics, Dental School, Qazvin University of Medical Sciences, Qazvin, Iran. Autor/a https://orcid.org/0009-0008-7251-6838
Marjan Bolbolian Associate Professor, Department of Endodontics, Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin, Iran. Autor/a https://orcid.org/0000-0002-9064-5122
Maryam Tofangchiha Professor, Department of Oral and Maxillofacial Radiology, Qazvin University of Medical Sciences, Qazvin, Iran. Autor/a https://orcid.org/0000-0002-5515-2189
Pooya Rasti Department of Prosthodontics, Dental School, Qazvin University of Medical Sciences, Qazvin, Iran. Autor/a https://orcid.org/0009-0000-8998-2685
Zahra Keshavarzi Department of Orthodontics, Dental School, qazvin University of Medical Sciences, qazvin Autor/a https://orcid.org/0009-0004-0987-1416
Ahad Alizadeh Assistant Professor, Medical Microbiology Research Center, Qazvin University of Medical Sciences, Qazvin, Iran. Autor/a https://orcid.org/0000-0002-0385-463X
Radolfo Reda Department of Oral and Maxillofacial Science, Sapienza University of Rome, 00161, Rome, Italy. Autor/a https://orcid.org/0000-0003-1532-6524
Luca Testarelli Department of Oral and Maxillofacial Science, Sapienza University of Rome, 00161, Rome, Italy. Autor/a https://orcid.org/0000-0003-3904-3000

DOI:

https://doi.org/10.15517/kryhrr53

Palabras clave:

Tomografía computarizada de haz cónico; Terapia del conducto radicular; Periodontitis periapical; Granuloma periapical.

Resumen

Este estudio tuvo como objetivo evaluar la relación de las radiolucidez periapicales (PA) con la calidad del tratamiento del conducto radicular (RCT) mediante tomografías computarizadas de haz cónico (CBCT) de una población iraní. Este estudio transversal se realizó en 200 dientes tratados endodónticamente en exploraciones CBCT recuperadas de una clínica de radiología en Qazvin, Irán. Las vistas sagitales, coronales y axiales fueron evaluadas por un endodoncista y un estudiante de odontología de último año capacitado para detectar errores en el procedimiento del conducto radicular y la presencia/ausencia de radiolucidez PA en los respectivos dientes. La asociación de las lesiones PA con la edad, el sexo, la mandíbula, el tipo de diente, la presencia/ausencia de restauración coronal y la calidad del RCT se analizó mediante el modelo de regresión logística (alfa=0,05). La frecuencia de RCT de mala calidad fue del 75,3 % en los dientes con radiolucidez PA y del 15,5 % en los dientes sin ella. Se encontró una asociación significativa entre la calidad de la tomografía computarizada de haz cónico y las radiolucencias de la PA (P<0,001). La ausencia de restauración coronal también tuvo una asociación significativa con la presencia de radiolucencias de la PA (P<0,001). De los errores de procedimiento, la perforación, la obturación insuficiente y excesiva, la baja densidad de obturación (huecos) y el transporte del conducto se asociaron significativamente con la presencia de radiolucencias de la PA (P<0,05). La calidad de la tomografía computarizada de haz cónico tuvo una asociación significativa con el desarrollo de radiolucencias de la PA, de modo que los errores de procedimiento y la ausencia de restauración coronal se asociaron con una frecuencia significativamente mayor de lesiones de la PA.

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