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Periapical Status of Non-Root-Filled Teeth With Amalgam, Composite, or Crown Restorations: A Cross-Sectional Study
Aladdin Al-Qudah1, Diana Abdul Jawad1, Maram Jaradat1
1Department of Conservative Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
International Dental Journal
|December 21, 2022
Summary
Poor quality dental restorations significantly increase the risk of apical periodontitis (AP), a common condition in Jordanian dental patients. Improving restoration quality is crucial for better dental health outcomes.
Area of Science:
- Dental Science
- Endodontics
- Restorative Dentistry
Background:
- Periapical status (PAS) evaluation is crucial for assessing the health of teeth surrounding the root apex.
- Restored non-root-filled (RNRF) teeth represent a significant patient group in dental settings.
- Understanding factors influencing periapical disease in restored teeth is essential for clinical practice.
Purpose of the Study:
- To evaluate the periapical status (PAS) of restored non-root-filled (RNRF) teeth in patients at Jordan University of Science & Technology dental clinics.
- To determine the association between coronal restoration type and quality and the prevalence of periapical disease.
Main Methods:
- A cross-sectional study involving 491 participants with at least one restored non-root-filled tooth.
- Clinical examination and digital periapical radiographs were used to assess restoration quality and material.
- Chi-square and logistic regression analyses were employed to investigate associations between periapical status and demographic/restoration variables.
Main Results:
- A prevalence of 26.3% for apical periodontitis (AP) was found in the study sample.
- No significant differences in AP prevalence were noted based on restoration material (amalgam, composite, indirect).
- A strong association was observed between the quality of the restoration and the presence of AP (P < .001).
Conclusions:
- The high prevalence of AP highlights a clinical concern regarding dental health in Jordan.
- Teeth with inadequate restorations demonstrated a twofold increased likelihood of having AP.
- Enhanced dental health awareness and improved restoration quality are recommended for the Jordanian population.
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