Izvorni znanstveni članak
https://doi.org/10.15644/asc55/1/7
Coronal Restoration as a Predictor of Periapical Disease in Non-Endodontically Treated Teeth
Romana Peršić Bukmir
orcid.org/0000-0002-5325-6726
; Zavod za endodonciju i restaurativnu stomatologiju Kliničkoga bolničkog centra Rijeka, Fakultet dentalne medicine Sveučilišta u Rijeci, Hrvatska
Ema Paljević
orcid.org/0000-0002-9900-8621
; Zavod za endodonciju i restaurativnu stomatologiju Kliničkoga bolničkog centra Rijeka, Fakultet dentalne medicine Sveučilišta u Rijeci, Hrvatska
Sonja Pezelj-Ribarić
; Zavod za oralnu medicinu i parodontologiju Kliničkoga bolničkog centra Rijeka; Fakultet dentalne medicine Sveučilišta u Rijeci, Hrvatska
Ivana Brekalo Pršo
; Zavod za endodonciju i restaurativnu stomatologiju Kliničkoga bolničkog centra Rijeka, Fakultet dentalne medicine Sveučilišta u Rijeci, Hrvatska
Sažetak
Objectives: To compare the frequency of apical periodontitis (AP) in non-endodontically treated teeth restored with full coverage crowns, amalgam and resin composite fillings, and to disclose the association of type and quality of coronal restoration with periapical disease. Material and methods: The cross-sectional study involved 597 subjects who attended the Dental Clinic of the Clinical Hospital Centre, Rijeka, Croatia for the first time. Data were collected by means of a clinical and radiological survey. The following data were recorded for all permanently restored non-endodontically treated teeth: the type, the quality of coronal restoration according to clinical and radiographic criteria for marginal integrity as well as the recurrent caries presence, periapical status and marginal bone loss. Chi-square tests were used to analyze the difference in periapical status regarding the type and the quality of restoration. The multivariate logistic regression analysis was used to assess the effect of explanatory tooth-specific variables on periapical status. Results: There was no significant difference in the proportion of AP with regards to the type and material of adequate quality coronal restorations (χ 2 =5.000, P=0.082). The regression analysis revealed significant positive associations with outcome variable (AP) for crowns (OR=3.39; P<0.001), recurrent caries (OR=4.67; P<0.001) and premolar teeth (OR=1.73; P=0.002). Conclusion: If the quality of restorations is adequate, there is no difference in the periapical status of non-endodontically treated teeth regarding the type and material of coronal restoration.
Ključne riječi
MeSH terms: Tooth Crown; Permanent Dental Restoration; Dental Amalgam; Composite Resins; Periapical Periodontitis. Author keywords: Composite Resins; Crowns; Dental Amalgam; Dental Caries; Periapical Periodontitis
Hrčak ID:
254138
URI
Datum izdavanja:
20.3.2021.
Posjeta: 1.738 *