A cone beam computed tomographic evaluation of root canal treatment quality using periapical and endodontic status scale

Sagar Jatish Shah; Gaurav Kulkarni; Naren Ramachandran; Padmini Chandrasekhar; Rajesh Satyanarain Podar; Shishir Singh

doi:10.4103/srmjrds.srmjrds_31_21

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ORIGINAL ARTICLE

Year : 2021 | Volume : 12 | Issue : 3 | Page : 122-127

A cone beam computed tomographic evaluation of root canal treatment quality using periapical and endodontic status scale

Sagar Jatish Shah¹, Gaurav Kulkarni², Naren Ramachandran³, Padmini Chandrasekhar², Rajesh Satyanarain Podar⁴, Shishir Singh⁵
¹ PG Student, Department of Conservative, Dentistry and Endodontics, Terna Dental College, Navi Mumbai, Maharashtra, India
² Reader, Department of Conservative, Dentistry and Endodontics, Terna Dental College, Navi Mumbai, Maharashtra, India
³ Lecturer, Department of Conservative, Dentistry and Endodontics, Terna Dental College, Navi Mumbai, Maharashtra, India
⁴ Professor, Department of Conservative, Dentistry and Endodontics, Terna Dental College, Navi Mumbai, Maharashtra, India
⁵ Professor and Head, Department of Conservative, Dentistry and Endodontics, Terna Dental College, Navi Mumbai, Maharashtra, India

Correspondence Address:
Dr. Sagar Jatish Shah
Department of Conservative Dentistry and Endodontics, Terna Dental College, Navi Mumbai
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/srmjrds.srmjrds_31_21

Background: Cone beam computed tomography (CBCT) is a three-dimensional digital imaging which provides an image that can be viewed in multiple planes thus providing a better understanding of the anatomy of the root canal. Aim: This study aimed to evaluate the endodontic treatment quality of root-filled teeth and to determine the relationship between endodontic technical errors and complications. Materials and Methods: One hundred and fifty-two root canals were evaluated by CBCT from December 2017 to January 2019. Three endodontists assessed the root canals for the presence of technical errors and treatment complications using the periapical and endodontic status scale. Chi-square test and descriptive analyses were performed. Results: Sixty-one (40.4%) root canals had periapical radiolucency followed by 45 (29.8%) root canals with short obturations. Sixty-nine root canals (45.7%) and 45 (29.8%) root canals had nonhomogenous root canal filling and coronal seal (CS), respectively. Statistically significant association was seen with the length of the root canal filling, homogeneity, CS, and complications (P < 0.05). Conclusions: There was high prevalence of apical radiolucency in root-filled teeth. The presence of short obturations, poor CS, and nonhomogenous obturation led to higher prevalence of endodontic complications.

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