Prevalence of periapical radiolucent lesions in endodontically-treated teeth with intraradicular posts: a cross-sectional CBCT study
Abstract Background The literature has reported contradictory findings regarding the association of Intra-radicular posts (IRPs) presence and periapical radiolucent lesions (PRLs) prevalence in endodontically treated teeth (ETT). Considering this, the study aimed to investigate the association betwe...
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2025-01-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-024-05394-0 |
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| author | Badi Alotaibi Muhammad Qasim Javed Abdullah Alsallomi Hanin Alsalhi Roqayah Aljuailan Hanan Alharbi |
| author_facet | Badi Alotaibi Muhammad Qasim Javed Abdullah Alsallomi Hanin Alsalhi Roqayah Aljuailan Hanan Alharbi |
| author_sort | Badi Alotaibi |
| collection | DOAJ |
| description | Abstract Background The literature has reported contradictory findings regarding the association of Intra-radicular posts (IRPs) presence and periapical radiolucent lesions (PRLs) prevalence in endodontically treated teeth (ETT). Considering this, the study aimed to investigate the association between IRPs presence and PRLs prevalence. Methods A cross-sectional study was conducted to compare PRLs prevalence in ETT with and without IRPs. CBCT images were utilized, and the teeth with at least 2 mm of remaining gutta-percha apical to the post-end were included. Two calibrated assessors assessed the PRLs presence. A stepwise backward binomial logistic regression was conducted to evaluate the effect of age, post presence, gender, tooth position (anterior/posterior), and arch location (maxillary/mandibular) on the likelihood of periapical radiolucency presence. The null hypothesis is that the presence of IRPs does not influence the prevalence of PRLs. Results Teeth with IRPs showed significantly higher PRLs prevalence. However, there were insignificant differences in PRLs prevalence with respect to IRPs type or remaining gutta-percha length. The model, including all five predictors, demonstrated significant fit (χ²(7) = 22.528,p = .002), explaining 14.5% of the variance in the presence of radiolucency (Nagelkerke R²). The Hosmer-Lemeshow test showed no evidence of a lack of fit (χ²(8) = 11.550,p = .172), supporting the model’s adequacy. The model correctly classified 67.3% of cases, with a sensitivity of 54.5%, specificity of 75.4%, positive predictive value (PPV) of 58.3%, and negative predictive value (NPV) of 72.4%. Among the predictors, post presence was the only statistically significant variable (B = 1.300,p < .001,]OR = 3.670,95%CI[1.985–6.785]). Conclusions A higher prevalence of PRLs was noted among the ETT with IRPs. Within the limitations of this study, we recommend that clinicians should carefully weigh the risks and benefits of using IRPs during the restoration of ETT. |
| format | Article |
| id | doaj-art-44a81f197a504cc8abccf80763513662 |
| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | BMC Oral Health |
| spelling | doaj-art-44a81f197a504cc8abccf807635136622025-01-12T12:42:20ZengBMCBMC Oral Health1472-68312025-01-0125111110.1186/s12903-024-05394-0Prevalence of periapical radiolucent lesions in endodontically-treated teeth with intraradicular posts: a cross-sectional CBCT studyBadi Alotaibi0Muhammad Qasim Javed1Abdullah Alsallomi2Hanin Alsalhi3Roqayah Aljuailan4Hanan Alharbi5Department of Conservative Dental Sciences, College of Dentistry, Qassim UniversityDepartment of Conservative Dental Sciences, College of Dentistry, Qassim UniversityCollege of Dentistry, Qassim UniversityDepartment of Conservative Dental Sciences, College of Dentistry, Qassim UniversityDepartment of Conservative Dental Sciences, College of Dentistry, Qassim UniversityDepartment of Conservative Dental Sciences, College of Dentistry, Qassim UniversityAbstract Background The literature has reported contradictory findings regarding the association of Intra-radicular posts (IRPs) presence and periapical radiolucent lesions (PRLs) prevalence in endodontically treated teeth (ETT). Considering this, the study aimed to investigate the association between IRPs presence and PRLs prevalence. Methods A cross-sectional study was conducted to compare PRLs prevalence in ETT with and without IRPs. CBCT images were utilized, and the teeth with at least 2 mm of remaining gutta-percha apical to the post-end were included. Two calibrated assessors assessed the PRLs presence. A stepwise backward binomial logistic regression was conducted to evaluate the effect of age, post presence, gender, tooth position (anterior/posterior), and arch location (maxillary/mandibular) on the likelihood of periapical radiolucency presence. The null hypothesis is that the presence of IRPs does not influence the prevalence of PRLs. Results Teeth with IRPs showed significantly higher PRLs prevalence. However, there were insignificant differences in PRLs prevalence with respect to IRPs type or remaining gutta-percha length. The model, including all five predictors, demonstrated significant fit (χ²(7) = 22.528,p = .002), explaining 14.5% of the variance in the presence of radiolucency (Nagelkerke R²). The Hosmer-Lemeshow test showed no evidence of a lack of fit (χ²(8) = 11.550,p = .172), supporting the model’s adequacy. The model correctly classified 67.3% of cases, with a sensitivity of 54.5%, specificity of 75.4%, positive predictive value (PPV) of 58.3%, and negative predictive value (NPV) of 72.4%. Among the predictors, post presence was the only statistically significant variable (B = 1.300,p < .001,]OR = 3.670,95%CI[1.985–6.785]). Conclusions A higher prevalence of PRLs was noted among the ETT with IRPs. Within the limitations of this study, we recommend that clinicians should carefully weigh the risks and benefits of using IRPs during the restoration of ETT.https://doi.org/10.1186/s12903-024-05394-0Coronal restorationCone beam computed tomographyEndodonticsIntraradicular postsPeriapical lesionsTreatment outcome |
| spellingShingle | Badi Alotaibi Muhammad Qasim Javed Abdullah Alsallomi Hanin Alsalhi Roqayah Aljuailan Hanan Alharbi Prevalence of periapical radiolucent lesions in endodontically-treated teeth with intraradicular posts: a cross-sectional CBCT study BMC Oral Health Coronal restoration Cone beam computed tomography Endodontics Intraradicular posts Periapical lesions Treatment outcome |
| title | Prevalence of periapical radiolucent lesions in endodontically-treated teeth with intraradicular posts: a cross-sectional CBCT study |
| title_full | Prevalence of periapical radiolucent lesions in endodontically-treated teeth with intraradicular posts: a cross-sectional CBCT study |
| title_fullStr | Prevalence of periapical radiolucent lesions in endodontically-treated teeth with intraradicular posts: a cross-sectional CBCT study |
| title_full_unstemmed | Prevalence of periapical radiolucent lesions in endodontically-treated teeth with intraradicular posts: a cross-sectional CBCT study |
| title_short | Prevalence of periapical radiolucent lesions in endodontically-treated teeth with intraradicular posts: a cross-sectional CBCT study |
| title_sort | prevalence of periapical radiolucent lesions in endodontically treated teeth with intraradicular posts a cross sectional cbct study |
| topic | Coronal restoration Cone beam computed tomography Endodontics Intraradicular posts Periapical lesions Treatment outcome |
| url | https://doi.org/10.1186/s12903-024-05394-0 |
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