Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Endodontik Tedavi Görmüş Anterior Dişlerin Periapikal Radyolüsensi Prevalansının, Kök Kanal Tedavi Kalitesinin ve Restorasyonlarının Değerlendirilmesi: Kesitsel Klinik Araştırma
Evaluation of Periapical Radiolucency Prevalence, Quality of Root Canal Treatment and Restorations of Endodontically Treated Anterior Teeth: Cross-Sectional Clinical Study
Cihan KÜDENa, Seda Nur KARAKAŞb, Sevde Gül BATMAZb
aÇukurova Üniversitesi Diş Hekimliği Fakültesi, Endodonti ABD, Adana, Türkiye
bÇukurova Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Tedavisi ABD, Adana, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(4):862-9
doi: 10.5336/dentalsci.2022-92047
Article Language: TR
Full Text
ÖZET
 Amaç: Bu kesitsel çalışmanın amacı, Çukurova Üniversitesi Diş Hekimliği Fakültesi kliniklerine başvuran erişkin hastaların periradiküler radyolüsensi (PR) prevalansını, kök kanal dolum ve koronal restorasyonların kalitesini ve kök kanal dolumu ile PR prevalansı arasındaki ilişkiyi araştırarak değerlendirmektir. Gereç ve Yöntemler: Kliniklere başvuran 2.326 hasta arasından çalışma kriterlerine uygun olan 202 gönüllü hasta çalışmaya dâhil edilmiş ve toplam 310 anterior diş değerlendirilmiştir. Radyografik incelemeye alınan dişlerin kök kanal dolgusunun dansitesi, kök kanal dolumunun kök apeksine uzaklığı ve periapikal indeks (PAI) skoru 2 araştırmacı tarafından kaydedilmiştir. Modifiye Ryge kriterleri kullanılarak koronal restorasyonlar renk ve marjinal uyum açısından değerlendirilmiştir. Elde edilen verilerin istatistiksel analizleri ki-kare testi kullanılarak yapılmıştır ve Pearson korelasyon katsayısı hesaplanmıştır. Gözlemciler içi ve gözlemciler arası uyum kappa testi kullanılarak bulunmuştur (α=0,05). Bulgular: İncelenen tüm dişler arasından en fazla '2' PAI skoru %28,8 (89) oranı ile görülmüştür. Kök kanal dolumunun bitim noktasının apekse göre konumu ile PAI skoru arasında anlamlı bir ilişki bulunmuştur (p<0,0001). Koronal restorasyonların değerlendirilen dişler ile anatomik form açısından uyumluluk düzeyi %66,7 ve koronal restorasyonun kenar uyumu ise %40,3'lük bir oran olarak elde edilmiştir. Sonuç: Kısa ve dansitesi yetersiz kök dolguları da periapikal lezyonların varlığı üzerinde önemli bir etkiye sahipti. Anterior dişlerin restorasyon durumları ile PR prevalansı arasında bir ilişki bulunamamıştır.

Anahtar Kelimeler: Apikal periodontitis; kök kanal tedavisi; diş restorasyonu
ABSTRACT
 Objective: This cross-sectional study investigated the prevalence of periradicular radiolucency (PR) and the quality of root canal filling and coronal restorations and the relationship between root canal filling and PR prevalence in adult patients admitted to Çukurova University Dentistry clinics. Material and Methods: Among the 2,326 patients who applied to the clinics, 202 volunteer patients who met the study criteria were included in the study and a total of 310 anterior teeth were evaluated. In the radiographic evaluation, the density of the root canal filling, the distance of the root canal filling to the root apex and the periapical index (PAI) score were determined. Color and marginal compatibility of coronal restorations were evaluated using modified Ryge criteria. The statistical analyzes were performed using the chisquare test and Pearson correlation coefficient was calculated. Intraobserver and inter-observer agreement was calculated using the kappa test (α=0.05). Results: Among all the teeth examined, the highest '2' PAI score was seen with a rate of 28.8% (89). A significant correlation was found between the position of the end point of the root canal filling relative to the apex and the PAI score (p<0.0001). The compatibility level of the restorations with the teeth in terms of anatomical form was 66.7% and the marginal compatibility of the restoration was 40.3%. Conclusion: Root fillings with short and insufficient density had a significant effect on the presence of periapical lesions. No correlation was found between the restoration status of anterior teeth and the prevalence of PR.

Keywords: Apical periodontitis; root canal therapy; dental restoration
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