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  • Title: Evaluation of the relationship between obturation length and presence of apical periodontitis by CBCT: an observational cross-sectional study.
    Author: de Sousa Gomide Guimarães MRF, Samuel RO, Guimarães G, Nalin EKP, Bernardo RT, Dezan-Júnior E, Cintra LTA.
    Journal: Clin Oral Investig; 2019 May; 23(5):2055-2060. PubMed ID: 30238413.
    Abstract:
    OBJECTIVE: The aim of this study was to evaluate the relationship between length of root canal obturation (RCO) and the presence of apical periodontitis (AP) in different dental groups using cone-beam computed tomography (CBCT) analysis. MATERIALS AND METHODS: A total of 392 roots with canal treatment performed for more than 4 years were evaluated using CBCT. Distances from the apex to the tip of filling material were measured and classified as more than 2 mm short of the apex, approximately 1-2 mm short of the apex, at the apex, and beyond the apex. Odds ratio, confidence interval, and the χ2 test were used for statistical analyses. RESULTS: The frequency of AP was significantly greater in molars than in the other tooth groups (p < 0.05). Moreover, RCO that ended 1-2 mm short of the apex was associated with a lower prevalence of AP in molars and premolars (p < 0.05) and in anterior teeth (p < 0.1) when compared with RCO at the apex, more than 2 mm short of the apex, or beyond the apex. When the RCO reached the apex, there was no difference in the presence of AP among dental groups (p > 0.05). CONCLUSION: The length of RCOs can influence the presence of AP, with molars showing a higher prevalence. RCOs ending 1-2 mm short of the apex are associated with an absence of AP. CLINICAL RELEVANCE: The length of obturation is related to the presence of apical peridontitis and consequently to the success of endodontic treatment.
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