Abstract
Background: Clinical epidemiological studies do not allow us to know the status of pulp and periapical disease of endodontic origin, information that can
be obtained analyzing panoramic radiographs, so as to provide prevention and counseling services in oral health. Objective: To determine the frequency
and characteristics of endodontic fndings in digital panoramic radiographs. Method: We analyzed 1500 digital panoramic radiographs of patients over 18.
Te following information was recorded: number of teeth in the mouth, number of teeth with endodontic treatment and condition, periapical radiolucent area,
fracture, resorption, broken instruments, perforations, pulp stones and hypercementosis. Results: * 48% of the radiographs showed at least one endodontic treatment. * 39.5% were endodontic treatments in a total of 1,594 teeth, of which 52.7% were underflled, 44.9% were in good condition and 2.5% were overflled. * 69% of the flled teeth were in the upper jaw. * 275 (18.3%) radiographs presented a periapical radiolucent area. * 4.4% of the radiographs showed at least one a tooth with resorption. No differences between men and women were detected for any of the fndings. Endodontic treatment and the presence of periapical radiolucent area increase signifcantly with age. Conclusion: pulp and periapical disease has a high prevalence in the population studied and requires better prevention mechanisms. Inadequate sealing of the canals is a variable to consider to avoid apical lesions, and to improve the prognosis of the tooth
References
2. Boykin MJ, Gilbert GH, Tilashalski KR, Shelton BJ. Incidence of endodontic treatment: a 48-month prospective study. J Endod. 2003; 29 (12): 806-9.
3. Pak JG, Fayazi S, White SN. Prevalence of periapical radiolucency and root canal treatment: a systematic review of cross-sectional studies. J Endod. 2012; 38 (9): 1170-6. doi: 10.1016/j. joen.2012.05.023.
4. Uruguay. Ministerio de Salud. IV Estudio Nacional de Salud Bucal (ENSAB IV). Tomo VII. Estudio Nacional de Salud Bucal. Bogotá: Ministerio de Salud de
Colombia; 2013. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENSABIV-Situacion-Bucal-Actual.pdf
5. Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in adult Belarusian population. Int Endod J. 2005; 38 (4): 238-45.
6. Huumonen S, Suominen AL, Vehkalahti MM.Prevalence of apical periodontitis in root flled teeth: fndings from a nationwide survey in Finland. Int Endod J. 2016; 25. doi: 10.1111/iej.12625.
7. Norderyd O, Koch G, Papias A, Köhler AA, Helkimo AN, Brahm CO, et al. Oral health of individuals aged 3-80 years in Jönköping, Sweden during 40 years (1973-2013). II. Review of clinical and radiographic fndings. Swed Dent J. 2015; 39 (2): 69-86.
8. Figdor D. Apical periodontitis: A very prevalent problem. Oral Surg Oral Med Oral Pathol. 2002; 94 (6): 651–52.
9. Berlinck T, Tinoco JM, Carvalho FL, Sassone LM, Tinoco EM. Epidemiological evaluation of apical periodontitis prevalence in an urban Brazilian population.
Braz Oral Res [internet]. 2015 [cited 23 feb 2017]; 29: 51. Available from: doi: 10.1590/1807-3107BOR-2015.vol29.0051.
10. Gumru B, Tarcin B, Iriboz E, Turkaydin DE, Unver T, Ovecoglu HS. Assessment of the periapical health of abutment teeth: A retrospective radiological study.
Niger J Clin Pract. 2015; 18 (4): 472-6. doi: 10.4103/1119-3077.151763.
11. De Moor RJ, Hommez GM, De Boever JG, Delmé KI, Martens GE. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J. 2000; 33 (2): 113-20.
12. Awad MA. Most radiolucent lesions of the jaw are classifed as granulomas and cysts in a U.S. population. J Evid Based Dent Pract. 2013; 13 (2): 70-1. doi: 10.1016/j.jebdp.2013.04.009.
13. Bahrami G, Vaeth M, Kirkevang LL, Wenzel A, Isidor F. Risk factors for tooth loss in an adult population: a radiographic study. J Clin Periodontol. 2008; 35 (12): 1059-65. doi: 10.1111/j.1600-051X.2008.01328.
14. Kirkevang LL, Vaeth M, Wenzel A. Tenyear follow-up of root flled teeth: a radiographic study of a Danish population. Int Endod J. 2014; 47 (10): 980-8. doi:
10.1111/iej.12245.
15. 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-flled teeth: systematic review and meta-analysis. Clin Oral Investig. 2016; 8. [Epub ahead of print]
16. An GK, Morse DE, Kunin M, Goldberger RS, Psoter WJ. Association of82 Webb Porto Diana, Barrientos Sanchez Silvia, Méndez De La Espriella Catalina, Rodriguez Ciodaro Adriana radiographically diagnosed apical periodontitis and cardiovascular disease: A hospital records-based study. J Endod. 2016; 42 (6): 916-20. doi: 10.1016/j.
joen.2016.03.011.
17. Karabucak B, Bunes A, Chehoud C, Kohli MR, Setzer F. Prevalence of apical periodontitis in endodontically treated premolars and molars with untreated canal:
A cone-beam computed tomography study. J Endod. 2016; 42 (4): 538-41. doi: 10.1016/j.joen.2015.12.026.
18. Moreno JO, Alves FR, Gonçalves LS, Martinez AM, Rôças IN, Siqueira JF. Periradicular status and quality of root canal fllings and coronal restorations in
an urban Colombian population. J Endodon. 2013; 39 (5): 600-4. doi: 10.1016/j.joen.2012.12.020.
19. de Freitas JC, Lyra OC, de Alencar AH, Estrela C. Long-term evaluation of apical root resorption after orthodontic treatment using periapical radiography
and cone beam computed tomography. Dental Press J Orthod [internet].2013 [cited 23 feb 2017]; 18 (4): 104-12. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512013000400015
20. Glendor U. Epidemiology of traumatic dental injuries--a 12 year review of the literature. Dent Traumatol. 2008; 24 (6): 603-11. doi: 10.1111/j.1600-9657.2008.00696.x.