Incidência e qualidade de obturações de canais radiculares em estudantes de graduação em Odontologia

COSTA, Beethoven Estevão; LIMA, Giovanna Morais de; TONELLI, Stéphanie Quadros; NUNES, Eduardo; SILVEIRA, Frank Ferreira

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RGO - Revista Gaúcha de Odontologia

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Sumário

ORIGINAL • Rev Gaúch. Odontol. 67 • 2019 • https://doi.org/10.1590/1981-863720190005720180088 copiar

Incidência e qualidade de obturações de canais radiculares em estudantes de graduação em Odontologia

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivo:

O objetivo deste estudo foi avaliar a incidência do tratamento endodôntico e a qualidade das obturações de canais radiculares numa população de estudantes de odontologia brasileiros. O estudo foi semelhante a estudos prévios realizados há 10, 20, 30 e 40 anos.

Métodos:

Um total de 407 estudantes de odontologia foi avaliado por meio de questionários para identificação de tratamentos endodônticos, sendo cada tratamento radiografado para a análise da presença de radioluscência periapical e a qualidade da obturação endodôntica.

Resultados:

Foram encontrados 40 canais radiculares obturados, sendo 32 (80%) com adequada obturação, sete (17,5%) com subobturação e um (2,5%) sobreobturado.

Conclusão:

Este estudo mostrou uma baixa prevalência de tratamento endodôntico em estudantes de odontologia, e os tratamentos avaliados apresentaram alta qualidade, com poucos casos sugerindo lesões periapicais.

Termos de indexação
Estudantes de Odontologia; Endodontia; Obturação do canal radicular; Radiografia; Tratamento endodôntico

Authors	Population	Patients (n)	Teeth (n)	RTF (n)	Prevalence RFT (%)	PR in RFT (%)	IF (%)
Cleen et al.⁹9 De Cleen MJ, Schuurs AH, Wesselink PR, Wu MK. Periapical status and prevalence of endodontic treatment in an adult Dutch population. Int Endod J. 1993;26(2):112-9. https://doi:10.1111/j.1365-2591.1993.tb00552.x https://doi.org/10.1111/j.1365-2591.1993...	Dutch	184	4196	97	2,30	6	50,6
Buckley & Spångberg¹⁰10 Buckley M, Spångberg LS. The prevalence and technical quality of endodontic treatment in an American subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(1):92-100. https://doi:10.1016/s1079-2104(05)80081-2 https://doi.org/10.1016/s1079-2104(05)80...	American	208	5272	291	5,50	31,10	42
Weiger et al.¹¹11 Weiger R, Hitzler S, Hermle G, Löst C. Periapical status, quality of root canal fillings and estimated endodontic treatment needs in an urban German population. Endod Dent Traumatol. 1997;13(2):69-74. https://doi:10.1111/j.1600-9657.1997.tb00013.x https://doi.org/10.1111/j.1600-9657.1997...	German	323	7897	215	2,70	61	86
Sidaravicius et al.¹²12 Sidaravicius B, Aleksejuniene J, Eriksen HM. Endodontic treatment and prevalence of apical periodontitis in an adult population of Vilnius, Lithuania. Endod Dent Traumatol. 1999;15(5):210-215. https://doi:10.1111/j.1600-9657.1999.tb00776.x https://doi.org/10.1111/j.1600-9657.1999...	Lithuania	147	3892	586	15	35	36,40
De Moor et al.¹³13 De Moor RJ, Hommez GM, De Boever JG, Delmé KI, Martens GE. Periapical health related to the quality of root canal treatment in a Belgian population. Int Endod J. 2000;33(2):113-120. https://doi:10.1046/j.1365-2591.2000.00295.x https://doi.org/10.1046/j.1365-2591.2000...	Belgian	206	4617	314	6,80	40,40	56,70
Boucher et al.¹⁴14 Boucher Y, Matossian L, Rilliard F, Machtou P. Radiographic evaluation of the prevalence and technical quality of root canal treatment in a French subpopulation. Int Endod J. 2002;35(3):229-238. https://doi:10.1046/j.1365-2591.2002.00469.x https://doi.org/10.1046/j.1365-2591.2002...	French	208	5373	1026	19,10	27	29,70
Lupi-Pegurier et al.¹⁶16 Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J. 2005;38(4):238-245. https://doi:10.1111/j.1365-2591.2005.00942.x https://doi.org/10.1111/j.1365-2591.2005...	French	344	7561	1429	18,90	31,50	68,80
Kabak & Abbott¹⁶16 Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J. 2005;38(4):238-245. https://doi:10.1111/j.1365-2591.2005.00942.x https://doi.org/10.1111/j.1365-2591.2005...	Belarusian	1423	31312	6339	20	45	52,30
Loftus et al.¹⁷17 Loftus JJ, Keating AP, McCartan BE. Periapical status and quality of endodontic treatment in an adult Irish population. Int Endod J. 2005;38(2):81-86. https://doi:10.1111/j.1365-2591.2004.00902.x https://doi.org/10.1111/j.1365-2591.2004...	Irish	302	7427	149	2	25	52,60
Peciuliene et al.¹⁸18 Peciuliene V, Rimkuviene J, Maneliene R, Ivanauskaite D. Apical periodontitis in root filled teeth associated with the quality of root fillings. Stomatologija. 2006;8(4):122-126. https://doi:10.1007/978-3-319-57250-5 https://doi.org/10.1007/978-3-319-57250-...	Unspecific	83	2186	283	13	43,10	71,40
Sunay et al.¹⁹19 Sunay H, Tanalp J, Dikbas I, Bayirli G. Cross-sectional evaluation of the periapical status and quality of root canal treatment in a selected population of urban Turkish adults. Int Endod J. 2007;40(2):139-145. https://doi:10.1111/j.1365-2591.2007.01217.x https://doi.org/10.1111/j.1365-2591.2007...	Turkish	375	8863	470	5,30	53,50	91
Asgary et al.²⁰20 Asgary S, Shadman B, Ghalamkarpour Z, Shahravan A, Ghoddusi J, Bagherpour A, et al. Periapical Status and Quality of Root canal fillings and coronal restorations in Iranian population. Iran Endod J. 2010;5(2):74-82.	Iranian	1064	28463	1013	3,50	52	57,70
Covello et al.²¹21 Covello F, Franco V, Schiavetti R, Clementini H, Mannocci Um, Ottria G, et al. Prevalence of apical periodontitis and quality of endodontic treatment in an Italian adult population. Implantol Oral (Roma). 2010;3(4):9-14.	Italian	384	9423	1076	11,41	41,60	59,48
Kamberi et al.²²22 Kamberi B, Hoxha V, Stavileci M, Dragusha E, Kuçi A, Kqiku L. Prevalence of apical periodontitis and endodontic treatment in a Kosovar adult population. BMC Oral Health. 2011;11(32):1-6. https://doi:10.1186/1472-6831-11-32. https://doi.org/10.1186/1472-6831-11-32....	Kosovar	193	4131	95	2,30	12,30	46,30
Matijević et al.²³23 Matijević J, Cizmeković Dadić T, Prpic Mehicic G, Ani I, Slaj M, Jukić Krmek S. Prevalence of apical periodontitis and quality of root canal fillings in population of Zagreb, Croatia: a cross-sectional study. Croat Med J. 2011;52(6):679-687. https://doi:10.3325/cmj.2011.52.679 https://doi.org/10.3325/cmj.2011.52.679...	Croatian	1462	38440	3279	8,53	8,50	66,80
Özbaş et al.²⁴24 Özbaş H, Aşcı S, Aydın Y. Examination of the prevalence of periapical lesions and technical quality of endodontic treatment in a Turkish subpopulation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(1):136-142. https://doi:10.1016/j.tripleo.2011.01.010. https://doi.org/10.1016/j.tripleo.2011.0...	Turkish	438	11542	179	1,55	37,99	77,95
Peters et al.²⁵25 Peters LB, Lindeboom JA, Elst ME, Wesselink PR. Prevalence of apical peri-odontitis relative to endodontic treatment in an adult Dutch population: a re-peated cross-sectional study. Oral Surg Oral Med Oral Pathol Oral Radiol En-dod. 2011;111(4):523-8. https://doi:10.1016/j.tripleo.2010.10.035. https://doi.org/10.1016/j.tripleo.2010.1...	Dutch	178	4594	224	4,80	24,10	55,80
Mukhaimer et al.²⁶26 Mukhaimer R, Hussein E, Orafi I. Prevalence of apical periodontitis and quali-ty of root canal treatment in an adult Palestinian sub-population. Saudi Dent J. 2012;24(3-4):149-155. https://doi:10.1016/j.sdentj.2012.02.001. https://doi.org/10.1016/j.sdentj.2012.02...	Palestine	258	6482	855	1,31	15,10	74,50
Jersa & Kundzina²⁷27 Jersa I, Kundzina R. Periapical status and quality of root fillings in a selected adult Riga population. Stomatologija. 2013;15(3):73-77.	Riga	312	7065	1255	17,76	31	77,29
Ureyen Kaya et al.²⁸28 Ureyen Kaya B, Kececi AD, Guldas HE, Orhan H. A retrospective radiographic study of coronal-periapical status and root canal filling quality in a selected adult Turkish population. Med Princ Pract. 2013;22(4):334-339. https://doi:10.1159/000346940 https://doi.org/10.1159/000346940...	Turkish	1000	23268	753	2,60	15,80	59
Di Filippo et al.²⁹29 Di Filippo G, Sidhu SK, Chong BS. Apical periodontitis and the technical quality of root canal treatment in an adult sub-population in London. Br Dent J. 2014;216(10):E22. https://doi:10.1038/sj.bdj.2014.404 https://doi.org/10.1038/sj.bdj.2014.404...	London	136	3396	115	3,38	38,70	44,30
Ilić et al. (2014)³⁰30 Ilić J, Vujašković M, Tihaček-Šojić L, Milić-Lemić A. Frequency and quality of root canal fillings in an adult Serbian population. Srp Arh Celok Lek. 2014;142(11-12):663-668.	Serbian	153	3526	440	12,50	51,80	55,90
Kirkevang et al.³¹31 Kirkevang LL, Vaeth M, Wenzel A. Ten-year follow-up of root filled teeth: a ra-diographic study of a Danish population. Int Endod J. 2014;47(10):980-988. https://doi:10.1111/iej.12245 https://doi.org/10.1111/iej.12245...	Danish	327	8666	404	12	42	75
Archana et al.³²32 Archana D, Gopikrishna V, Gutmann JL, Savadamoorthi KS, Kumar AR, Na-rayanan LL. Prevalence of periradicular radiolucencies and its association with the quality of root canal procedures and coronal restorations in an adult urban Indian population. J Conserv Dent. 2015;18(1):34-38. https://doi:10.4103/0972-0707.148888 https://doi.org/10.4103/0972-0707.148888...	Indian	1340	30298	1234	4,07	37,40	61,70
Oginni et al.³³33 Oginni AO, Adeleke AA, Chandler NP. Root canal treatment and prevalence of apical periodontitis in a nigerian adult subpopulation: a radiographic study. Oral Health Prev Dent. 2015;13(1):85-90. https://doi:10.3290/j.ohpd.a31661 https://doi.org/10.3290/j.ohpd.a31661...	Nigerian	756	21468	2597	12,20	41	40
Mean of studies	-	472,16	11574	988	8,34	34	59,56

	n	%
Treated root canals	40	100%
Completely filled	32	80%
With periapical reaction	0	0%
No periapical reaction	32	100%
Incompletely filled	7	17.5%
With periapical reaction	2	28.57%
No periapical reaction	5	71.43%
Over-filled	1	2.5%
With periapical reaction	0	0%
No periapical reaction	1	100%

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[1] Correspondência para / Correspondence to: FF SILVEIRA. E-mail: frankfoui@uol.com.br.