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Submitted: 04 Aug 2023
Revision: 16 Sep 2023
Accepted: 18 Sep 2023
ePublished: 29 Dec 2023
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Avicenna J Dent Res. 2023;15(4): 163-166.
doi: 10.34172/ajdr.1745

Scopus ID: 85184441071
  Abstract View: 615
  PDF Download: 329

Original Article

Assessment of Periapical Status in Posterior Root Canal-Treated Teeth Using Cone Beam Computed Tomography in the Iranian Population

Maryam Foroozandeh 1 ORCID logo, Azita Ehsani 2* ORCID logo, Salman Khazaei 3 ORCID logo

1 Department of Oral and Maxillofacial Radiology, Dental School, Hamadan University of Medical Sciences, Hamadan, Iran
2 Dental and Maxillofacial Radiology, Department of Oral and Maxillofacial Radiology, Dental School, Hamadan University of Medical Sciences, Hamadan, Iran
3 Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
*Corresponding Author: Azita Ehsani, Email: a.ehsani92@gmail.com

Abstract

Background: Periapical radiolucency occurs due to root canal infections. In this respect, effective root canal treatment and appropriate coronal restoration can aid in preventing these lesions. Thus, the present study aimed to assess the periapical status in posterior root canal-treated teeth by cone-beam computed tomography (CBCT) in the Iranian population.

Methods: The CBCT images of 210 patients (475 endodontically treated molars and premolars) referred to the Hamadan Dental School (from 2020 to 2022) were evaluated in this observational study. The images were obtained by a NewTom 3G CBCT device (NewTom, Verona, Italy) with an FOV of 6×6 inches at 110 kVp and varying milliampers and exposure times according to the patient’s age and body size. They were observed by two maxillofacial radiologists who recorded the periapical status, coronal seal, and endodontic treatment quality of root canal-treated teeth. The Chi-square test was used for data analysis (P≤0.05). Finally, the periapical lesion was determined, along with its association with gender, type of tooth, endodontic treatment quality, and appropriate restoration.

Results: The results revealed no significant association between periapical radiolucency and gender. The prevalence of periapical lesions was higher in males aged 25–50 years, but no significant correlation was found in this regard. There was no significant relationship between tooth type and the presence of periapical lesions, while it had the highest prevalence in maxillary molars. Endodontic treatment quality and coronal restoration showed significant correlations with the presence of periapical radiolucency.

Conclusion: There was no significant association between the presence of periapical radiolucency and gender and age. The prevalence of periapical lesions was higher in males. Cases with poor endodontic treatment and poor restoration demonstrated the highest prevalence of periapical lesions.


Please cite this article as follows: Foroozandeh M, Ehsani A, Khazaei S. Assessment of periapical status in posterior root canal-treated teeth using cone beam computed tomography in the Iranian population. Avicenna J Dent Res. 2023; 15(4):163-166. doi:10.34172/ajdr.1745
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