Outcome of Root Canal Treatments Provided by Endodontic Postgraduate Students. A Retrospective Study

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ID: 112413
2020
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Abstract
The aim of this study was to assess the preoperative, intraoperative, and postoperative factors that influenced complete periapical healing in teeth that underwent primary root canal treatment (RCT), in patients treated by postgraduate students in endodontics. Factors were retrieved and compared with the periapical status during the follow-up visit. Healing was considered as the absence of clinical and radiological symptoms. Variables significantly associated by the chi-squared test were included in a logistic regression model (LRM). Preoperative factors associated with healing were: American Society of Anesthesiology (ASA) status (p = 0.01); the absence of preoperative pain (p = 0.04); positive response to pulp tests; when the RCT cause was caries, pain, abscess, or sinus tract; probing depth <4 mm; the absence of mobility; absence or <4 mm periapical lesion (p < 0.01). In the LRM, the factors included were: absence or <4 mm periapical lesion; probing depths <4 mm; RCT caused by caries, pain, abscess, or sinus tract; the tooth was not a bridge abutment. Postoperative factors were: teeth with direct restoration; teeth that did not act as a support for a fixed prosthetic restoration; the favorable condition of the coronal restoration (p < 0.01). In the LRM, only the status of the coronal restoration was included. Preoperative conditions and the adequate fit of the coronal restoration influenced the outcome of RCT.
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Authors Carmen Llena;Teodora Nicolescu;Salvadora Perez;Silvia Gonzalez de Pereda;Ana Gonzalez;Iris Alarcon;Angela Monzo;José Luis Sanz;Maria Melo;Leopoldo Forner;Llena, Carmen;Nicolescu, Teodora;Perez, Salvadora;Gonzalez de Pereda, Silvia;Gonzalez, Ana;Alarcon, Iris;Monzo, Angela;Sanz, José Luis;Melo, Maria;Forner, Leopoldo;
Journal journal of clinical medicine
Year 2020
DOI
10.3390/jcm9061994
URL
https://doi.org/10.3390/jcm9061994
Keywords
success root canal treatment apical periodontitis intraoperative factors postoperative factors preoperative factors

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