Prevalence and risk factors of Apical periodontitis in endodontically treated teeth: cross-sectional study in an Adult Moroccan subpopulation

Prevalence and risk factors of Apical periodontitis in endodontically treated teeth: cross-sectional study in an Adult Moroccan subpopulation

The present study aimed at investigating the prevalence of Apical periodontitis in a Moroccan Adult subpopulation with a non-surgical root canal treatment and to assess associated risk factors including endodontic treatment quality, periodontal health status, coronal restoration cavity design and qu...

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Published in:BMC oral health Vol. 21; no. 1; p. 124
Main Authors: El Ouarti, Imane, Chala, Sanaa, Sakout, Majid, Abdallaoui, Faiza
Format: Journal Article
Language:English
Published: England BioMed Central Ltd 17-03-2021
BioMed Central
BMC
Subjects:
Adult
Apical periodontitis
Complications and side effects
Composite materials
Cross-Sectional Studies
Demographic aspects
Dental Restoration, Permanent
Dentistry
Dentition
Diabetes
Diagnosis
Disease
Endodontic treatment
Endodontics
Epidemiology
Gingiva
Gum disease
Humans
Multivariate analysis
Patients
Periapical Periodontitis - epidemiology
Periodontitis
Prevalence
Risk Factors
Root Canal Obturation
Root canal therapy
Root Canal Therapy - adverse effects
Root canals
Statistical analysis
Teeth
Tooth, Nonvital - epidemiology
Morocco
Endodontic treatment
Risk factors
Apical periodontitis
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Summary:The present study aimed at investigating the prevalence of Apical periodontitis in a Moroccan Adult subpopulation with a non-surgical root canal treatment and to assess associated risk factors including endodontic treatment quality, periodontal health status, coronal restoration cavity design and quality. A total of 358 endodontically treated teeth were evaluated after more than 1-year period in a Moroccan subpopulation according to predetermined criteria. Studied parameters were assessed clinically and radiographically. The association between coronal restoration quality, cavity design, periodontal status, root canal filling quality, coronal restoration related features, presence or absence of the opposing dentition and the periapical status was determined. Data were analyzed using chi-square test, odds ratio and logistic regression. The present study revealed that gingival health, coronal restoration with CL II cavity design, and root canal filling quality influenced periapical status of endodontically treated teeth. Multivariate analysis showed that this association was statistically significant for gingival inflammation (95% CI 1.08-3.91, OR 2.05, p = 0.02), inadequate coronal restoration (95% CI 1.16-4.04, OR 2.16, p = 0.01), inadequate root canal filling length and homogeneity (95% CI 1.24-3.01, OR 1.93, P = 0.004), (95% CI 1.41-4.44, OR 2.50, p = 0.002) respectively. The present study revealed that inadequate coronal restorations especially with large proximal margins (CL II cavity design) and gingival inflammation increased the risk of apical periodontitis in endodontically treated teeth. Prevalence of Apical periodontitis in the present study was 72.1%.
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ISSN:1472-6831
1472-6831
DOI:10.1186/s12903-021-01491-6