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Related Experiment Videos

Bone level around endodontically treated teeth in periodontitis patients.

M F Timmerman1, G A Van der Weijden

  • 1Department of Periodontology, ACTA, Amsterdam, The Netherlands. m.timmerman@acta.nl

Journal of Clinical Periodontology
|July 22, 2006
PubMed
Summary

Endodontically treated teeth in periodontitis patients showed significantly more marginal bone loss compared to their untreated contralateral counterparts. This finding highlights potential long-term periodontal implications of root canal treatment.

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Area of Science:

  • Dental Science
  • Periodontology
  • Endodontics

Background:

  • Periodontal disease is a major cause of tooth loss.
  • Endodontic treatment aims to preserve teeth but may have long-term effects.
  • Assessing marginal bone levels is crucial for evaluating periodontal health.

Purpose of the Study:

  • To compare marginal bone levels in endodontically treated teeth versus their untreated contralateral teeth.
  • To investigate the association between endodontic treatment and periodontal bone loss.
  • To identify potential risk factors for bone loss in treated teeth.

Main Methods:

  • Retrospective study of 286 patients aged 35+.
  • Compared 67 pairs of endodontically treated teeth and their contralateral untreated teeth.

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  • Radiographic assessment of mesial and distal bone levels, posts, and radiolucencies.

    • Main Results:

    • Endodontically treated teeth exhibited significantly more bone loss (mean difference 0.6 mm) than untreated teeth.
    • 14% of treated teeth showed periapical radiolucencies.
    • Interradicular radiolucency was more frequent in endodontically treated teeth (OR 2.1).

    Conclusions:

    • Teeth with endodontic treatment demonstrate increased marginal bone loss in periodontitis patients.
    • Endodontic procedures may be associated with greater periodontal compromise.
    • Further research is needed to understand the mechanisms and clinical implications.