Outcome of non-surgical root canal treatment related to periodontitis and chronic disease medication among adults in age group of 60 years or more.
diabetes
outcome
periodontitis
root canal treatment
Journal
Gerodontology
ISSN: 1741-2358
Titre abrégé: Gerodontology
Pays: England
ID NLM: 8215850
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
06
08
2018
revised:
28
02
2019
accepted:
29
03
2019
pubmed:
27
4
2019
medline:
30
10
2019
entrez:
27
4
2019
Statut:
ppublish
Résumé
To assess the impact of non-endodontic factors like periodontitis and chronic disease medication (CDM) mostly affecting elderly people's health on the outcome of non-surgical root canal treatment (NSRCT). An increasing number of elderly people with high prevalence of marginal periodontitis and CDM benefit from adequate endodontic therapy, if irreversible pulpitis or apical periodontitis occurs. Only few data exist about the relevance of those non-endodontic factors on healing of endodontic lesions in a population 60 years or more. Of 177 patients aged 60 years or more with 212 NSRCTs performed between the year of 2010 and 2013, complete documentation was available for 112 teeth in 93 participants. Mean time between baseline and last follow-up was 38.93 months. The primary endodontic factors studied were the periapical index (PAI) of periapical health, quality of the root canal filling and of coronal restoration, periodontal probing depth (PPD, mm) and tooth mobility (TM, 0-3). Secondary non-endodontic factors included the presence of marginal periodontitis and CDM, in particular antidiabetics, antihypertensives and anticoagulants. Statistical analyses were performed using Chi-square test statistics and logistic regression analysis. Periodontitis and CDM had no effect on endodontic outcome. Chronic intake of anticoagulants showed a significant association with endodontic outcome. Root-filled teeth with preoperative periapical lesions had a significantly higher rate of endodontic failure than those without preoperative lesion. The overall success rate of NSRCT was 87.1% with 81 healed teeth. Periodontitis and CDM have no impact on the endodontic outcome of NSRCT in a population 60 years or more.
Sections du résumé
OBJECTIVE
OBJECTIVE
To assess the impact of non-endodontic factors like periodontitis and chronic disease medication (CDM) mostly affecting elderly people's health on the outcome of non-surgical root canal treatment (NSRCT).
BACKGROUND
BACKGROUND
An increasing number of elderly people with high prevalence of marginal periodontitis and CDM benefit from adequate endodontic therapy, if irreversible pulpitis or apical periodontitis occurs. Only few data exist about the relevance of those non-endodontic factors on healing of endodontic lesions in a population 60 years or more.
MATERIAL AND METHODS
METHODS
Of 177 patients aged 60 years or more with 212 NSRCTs performed between the year of 2010 and 2013, complete documentation was available for 112 teeth in 93 participants. Mean time between baseline and last follow-up was 38.93 months. The primary endodontic factors studied were the periapical index (PAI) of periapical health, quality of the root canal filling and of coronal restoration, periodontal probing depth (PPD, mm) and tooth mobility (TM, 0-3). Secondary non-endodontic factors included the presence of marginal periodontitis and CDM, in particular antidiabetics, antihypertensives and anticoagulants. Statistical analyses were performed using Chi-square test statistics and logistic regression analysis.
RESULTS
RESULTS
Periodontitis and CDM had no effect on endodontic outcome. Chronic intake of anticoagulants showed a significant association with endodontic outcome. Root-filled teeth with preoperative periapical lesions had a significantly higher rate of endodontic failure than those without preoperative lesion. The overall success rate of NSRCT was 87.1% with 81 healed teeth.
CONCLUSION
CONCLUSIONS
Periodontitis and CDM have no impact on the endodontic outcome of NSRCT in a population 60 years or more.
Types de publication
Journal Article
Langues
eng
Pagination
267-275Informations de copyright
© 2019 Gerodontology Association and John Wiley & Sons Ltd.
Références
Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol. 1965;20:340-349.
Sundqvist G. Ecology of the root canal flora. J Endod. 1992;18(9):427-430.
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. 2008;41(1):6-31.
Sjögren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990;16(10):498-504.
Smith CS, Setchell DJ, Harty FJ. Factors influencing the success of conventional root-canal therapy - a 5-year retrospective study. Int Endod J. 1993;26(6):321-333.
Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J. 1995;28(1):12-18.
Friedman S, Abitbol S, Lawrence HP. Treatment outcome in endodontics: the Toronto study. Phase 1: initial treatment. J Endod. 2003;29(12):787-793.
de Chevigny C, Dao TT, Basrani BR, et al. Treatment outcome in endodontics: the Toronto study-phase 4: initial treatment. J Endod. 2008;34(3):258-263.
Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Int Endod J. 2011;44(7):583-609.
Schilder H. Filling root canals in three dimensions. Dent Clin North Am. 1967;723-744.
Gutmann JL, Saunders WP, Saunders EM, Nguyen L. A assessment of the plastic Thermafil obturation technique. Part 1. Radiographic evaluation of adaptation and placement. Int Endod J. 1993;26(3):173-178.
Clinton K, Van Himel T. Comparison of a warm gutta-percha obturation technique and lateral condensation. J Endod. 2001;27(11):692-695.
Peng L, Ye L, Tan H, Zhou X. Outcome of root canal obturation by warm gutta-percha versus cold lateral condensation: a meta-analysis. J Endod. 2007;33(2):106-109.
Somma F, Cretella G, Carotenuto M, et al. Quality of thermoplasticized and single point root fillings assessed by micro-computed tomography. Int Endod J. 2011;44(4):362-369.
Sjögren U, Figdor D, Persson S, Sundqvist G. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J. 1997;30(5):297-306.
Duncan HF, Pitt Ford TR. The potential association between smoking and endodontic disease. Int Endod J. 2006;39(11):843-854.
Jaoui L, Machtou P, Ouhayoun JP. Long-term evaluation of endodontic and periodontal treatment. Int Endod J. 1995;28(5):249-254.
Wang C-H, Chueh L-H, Chen S-C, Feng Y-C, Hsiao CK, Chiang C-P. Impact of diabetes mellitus, hypertension, and coronary artery disease on tooth extraction after nonsurgical endodontic treatment. J Endod. 2011;37(1):1-5.
Morse DR, Esposito JV, Schoor RS, Williams FL, Furst ML. A review of aging of dental components and a retrospective radiographic study of aging of the dental pulp and dentin in normal teeth. Quintessence Int. 1991;22(9):711-720.
Kiefner P, Connert T, ElAyouti A, Weiger R. Treatment of calcified root canals in elderly people: a clinical study about the accessibility, the time needed and the outcome with a three-year follow-up. Gerodontology. 2017;34(2):164-170.
Shakiba B, Hamedy R, Pak JG, Barbizam JV, Ogawa R, White SN. Influence of increased patient age on longitudinal outcomes of root canal treatment: a systematic review. Gerodontology. 2017;34(1):101-109.
Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol. 1986;2(1):20-34.
Kirkevang LL, Ørstavik D, Hörsted-Bindslev P, Wenzel A. Periapical status and quality of root fillings and coronal restorations in a Danish population. Int Endod J. 2000;33(6):509-515.
Ricucci D, Russo J, Rutberg M, Burleson JA, Spangberg LS. A prospective cohort study of endodontic treatments of 1,369 root canals: results after 5 years. Oral Surg Oral Med Oral Pathol. 2011;112(6):825-842.
Ørstavik D. Time-course and risk analyses of the development and healing of chronic apical periodontitis in man. Int Endod J. 1996;29(3):150-155.
Davies A, Mannocci F, Mitchell P, Andiappan M, Patel S. The detection of periapical pathoses in root filled teeth using single and parallax periapical radiographs versus cone beam computed tomography - a clinical study. Int Endod J. 2015;48(6):582-592.
Davies A, Patel S, Foschi F, et al. The detection of periapical pathoses using digital periapical radiography and cone beam computed tomography in endodontically retreated teeth - part 2: a 1 year post-treatment follow-up. Int Endod J. 2016;49(7):623-635.
Kruse C, Spin-Neto R, Wenzel A, Kirkevang LL. Cone beam computed tomography and periapical lesions: a systematic review analysing studies on diagnostic efficacy by a hierarchical model. Int Endod J. 2015;48(9):815-828.
Marquis VL, Dao T, Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study. Phase III: initial treatment. J Endod. 2006;32(4):299-306.
Pirani C, Friedman S, Gatto MR, et al. Survival and periapical health after root canal treatment with carrier-based root fillings: five-year retrospective assessment. Int Endod J. 2017;51(Suppl 3):e178-e188.
Azim AA, Griggs JA, Huang GT. The Tennessee study: factors affecting treatment outcome and healing time following nonsurgical root canal treatment. Int Endod J. 2016;49(1):6-16.
Ng YL, Mann V, Gulabivala K. Outcome of secondary root canal treatment: a systematic review of the literature. Int Endod J. 2008;41(12):1026-1046.
Krug R, Krastl G, Jahreis M. Technical quality of a matching-taper single-cone filling technique following rotary instrumentation compared with lateral compaction after manual preparation: a retrospective study. Clin Oral Invest. 2017;21(2):643-652.
Siqueira JF Jr, Rocas IN, Alves FR, Campos LC. Periradicular status related to the quality of coronal restorations and root canal fillings in a Brazilian population. Oral Surg Oral Med Oral Pathol. 2005;100(3):369-374.
Ricucci D, Bergenholtz G. Bacterial status in root-filled teeth exposed to the oral environment by loss of restoration and fracture or caries-a histobacteriological study of treated cases. Int Endod J. 2003;36(11):787-802.
Craveiro MA, Fontana CE, de Martin AS, Bueno CE. Influence of coronal restoration and root canal filling quality on periapical status: clinical and radiographic evaluation. J Endod. 2015;41(6):836-840.
Simon JH, Glick DH, Frank AL. The relationship of endodontic-periodontic lesions. J Periodontol. 1972;43(4):202-208.
Rotstein I. Interaction between endodontics and periodontics. Periodontol 2000. 2017;74(1):11-39.
Sanders JJ, Sepe WW, Bowers GM, et al. Clinical evaluation of freeze-dried bone allografts in periodontal osseous defects. Part III. Composite freeze-dried bone allografts with and without autogenous bone grafts. J Periodontol. 1983;54(1):1-8.
Prichard JF. The diagnosis and management of vertical bony defects. J Periodontol. 1983;54(1):29-35.
Lima LA, Anderson GB, Wang MM, et al. Healing of intrabony defects and its relationship to root canal therapy. A histologic and histometric study in dogs. J Periodontol. 1997;68(3):240-248.
Paul BF, Hutter JW. The endodontic-periodontal continuum revisited: new insights into etiology, diagnosis and treatment. J Am Dent Assoc. 1997;128(11):1541-1548.
Nomura Y, Okada A, Kakuta E, Gunji T, Kajiura S, Hanada N. A new screening method for periodontitis: an alternative to the community periodontal index. BMC Oral Health. 2016;16(1):64.
Kim HD, Sukhbaatar M, Shin M, Ahn YB, Yoo WS. Validation of periodontitis screening model using sociodemographic, systemic, and molecular information in a Korean population. J Periodontol. 2014;85(12):1676-1683.
Page RC, Eke PI. Case definitions for use in population-based surveillance of periodontitis. J Periodontol. 2007;78(7 Suppl):1387-1399.
Obeid P, Bercy P. Effects of smoking on periodontal health: a review. Adv Ther. 2000;17(5):230-237.
Johannsen A, Susin C, Gustafsson A. Smoking and inflammation: evidence for a synergistic role in chronic disease. Periodontol 2000. 2014;64(1):111-126.
Dannewitz B, Zeidler A, Husing J, et al. Loss of molars in periodontally treated patients: results 10 years and more after active periodontal therapy. J Clin Periodontol. 2016;43(1):53-62.
Segura-Egea JJ, Martín-González J, Castellanos-Cosano L. Endodontic medicine: connections between apical periodontitis and systemic diseases. Int Endod J. 2015;48(10):933-951.
Delamaire M, Maugendre D, Moreno M, Le Goff M-C, Allannic H, Genetet B. Impaired leucocyte functions in diabetic patients. Diabet Med. 1997;14(1):29-34.
Aminoshariae A, Kulild JC, Mickel A, Fouad AF. Association between systemic diseases and endodontic outcome: a systematic review. J Endod. 2017;43(4):514-519.
Segura-Egea JJ, Martín-González J, Cabanillas-Balsera D, Fouad AF, Velasco-Ortega E, López-López J. Association between diabetes and the prevalence of radiolucent periapical lesions in root-filled teeth: systematic review and meta-analysis. Clin Oral Invest. 2016;20(6):1133-1141.
Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of non-surgical root canal treatment: part 2: tooth survival. Int Endod J. 2011;44(7):610-625.
Iacopino AM. Periodontitis and diabetes interrelationships: role of inflammation. Ann Periodontol. 2001;6(1):125-137.
Arya S, Duhan J, Tewari S, Sangwan P, Ghalaut V, Aggarwal S. Healing of apical periodontitis after nonsurgical treatment in patients with type 2 diabetes. J Endod. 2017;43(10):1623-1627.
Fouad AF, Burleson J. The effect of diabetes mellitus on endodontic treatment outcome: data from an electronic patient record. J Am Dent Assoc. 2003;134(1):43-51; quiz 117-118.
Sánchez-Domínguez B, López-López J, Jané-Salas E, Castellanos-Cosano L, Velasco-Ortega E, Segura-Egea JJ. Glycated hemoglobin levels and prevalence of apical periodontitis in type 2 diabetic patients. J Endod. 2015;41(5):601-606.
Ferreira MM, Carrilho E, Carrilho F. Diabetes mellitus and its influence on the success of endodontic treatment: a retrospective clinical study. Acta Med Port. 2014;27(1):15-22.
Marotta PS, Fontes TV, Armada L, Lima KC, Rôças IN, Siqueira JF. Type 2 diabetes mellitus and the prevalence of apical periodontitis and endodontic treatment in an adult Brazilian population. J Endod. 2012;38(3):297-300.