Abstract
Introduction:A significant number of endodontically treated teeth restored with posts have associated periapical lesions, and several authors have discussed the probable causes of the development of these. Attention has been focused on restorative procedures performed after endodontic treatment and their association with the prognosis of endodontic therapy because a number of root-filled teeth will require post- and core-retained restorations.Purpose:The purpose of this study was to evaluate, by examination of periapical radiographs, whether the placement of intra-radicular posts in endodontically treated teeth may act as a risk factor for development of periapical lesions.Material and Methods:This case-control study analyzed periapical radiographs of 72 endodontically treated teeth with coronal restorations. All radiographs were obtained from a single private practice. Specimens were assigned to 2 groups: Group 1 (control) was composed of teeth without periapical lesions and Group 2 (case) was composed of teeth with periapical lesions. The number of teeth with and without posts in each group was recorded. Three calibrated examiners analyzed the radiographs visually under X4 magnification.Results:In Group 1, 28 (65.1%) out of 43 teeth were restored with posts. In Group 2, 24 (82.8%) out of 29 teeth had intra-radicular posts. The interpretation of chi-square test showed that these percentages were not significantly different (x2=2.687; p=0.101). Odds ratio was 2.571 (0.8158.118), which indicates that there was no statistically significant association between periapical lesions and posts.Conclusion:Intra-radicular posts placed in endodontically treated teeth were not a significant risk factor for development of periapical lesions in the practice where the cohort of patients was treated.
Highlights
The goal of endodontic therapy is to clean, disinfect and obturate the root canals[4]
Attention has been focused on the restorative procedures conducted after endodontic treatment and their effects on case prognosis
Considering the large number of patients who present with endodontically treated teeth that require the placement of post- and core-retained restoration, the purpose of this study was to evaluate, by examination of periapical radiographs, whether the placement of intra-radicular posts in endodontically treated teeth may act as a risk factor for development of periapical lesions
Summary
The goal of endodontic therapy is to clean, disinfect and obturate the root canals[4]. Several types of restorations for endodontically treated teeth have been described[1,21,24,26]. These restorations should assure that the conditions achieved during root canal cleaning and shaping are maintained. Attention has been focused on the restorative procedures conducted after endodontic treatment and their effects on case prognosis. Such procedures may fail and microorganisms and their byproducts may reach the periradicular region and the adjacent alveolar bone[17]
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