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BMC Oral Health
Published in: BMC Oral Health 1/2018

Open Access 01-12-2018 | Research article

Factors that cause endodontic failures in general practices in Japan

Authors: Mikiyo Yamaguchi, Yuichiro Noiri, Yoshihiro Itoh, Shungo Komichi, Kyoko Yagi, Reo Uemura, Haruna Naruse, Saori Matsui, Nanako Kuriki, Mikako Hayashi, Shigeyuki Ebisu

Published in: BMC Oral Health | Issue 1/2018

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Abstract

Background

Bacterial biofilms that develop on root surfaces outside apical foramens have been found to be associated with refractory periapical periodontitis. However, several other factors cause endodontic failures apart from extraradicular biofilms. The aim of this study was to identify the factors causing endodontic failures in general practices in Japan.

Methods

Patients diagnosed as having refractory periapical periodontitis by general practitioners and who requested endodontic treatment at Osaka University Dental Hospital were selected by checking medical records from April 2009 to March 2013. Factors causing endodontic failures were identified.

Results

A total of 103 teeth were selected, and 76 teeth completed root-canal treatment. Tooth extractions were required for 18 teeth after or without endodontic treatment. Six teeth required apicoectomy after endodontic treatment. One tooth needed hemisection. One tooth needed intentional replantation. One tooth needed adhesion and replantation. The main causes of treatment failure were open apices (24 teeth), perforation (18 teeth), and root fracture (13 teeth). In six teeth with open apices that required apicoectomy or extraction, extraradicular biofilms may have been related to endodontic failure.

Conclusions

Most endodontic cases diagnosed with refractory periapical periodontitis by general practitioners were compromised by any other factors rather than extraradicular biofilms.
Appendix
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Literature
1.
de Chevigny C, Dao TT, Basrani BR, Marquis V, Farzaneh M, Abitbol S, et al. Treatment outcome in endodontics: the Toronto study—phases 4: initial treatment. J Endod. 2008;34:258–63.CrossRefPubMed
2.
de Chevigny C, Dao TT, Basrani BR, Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study—phases 3 and 4: orthograde retreatment. J Endod. 2008;34:131–7.CrossRefPubMed
3.
Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58:589–99.CrossRefPubMed
4.
Tronstad L, Barnett F, Riso K, Slots J. Extraradicular endodontic infections. Endod Dent Traumatol. 1987;3:86–90.CrossRefPubMed
5.
Sunde PT, Olsen I, Debelian GJ, Tronstad L. Microbiota of periapical lesions refractory to endodontic therapy. J Endod. 2002;28:304–10.CrossRefPubMed
6.
Wayman BE, Murata SM, Almeida RJ, Fowler CB. A bacteriological and histological evaluation of 58 periapical lesions. J Endod. 1992;18:152–5.CrossRefPubMed
7.
Signoretti FG, Gomes BP, Montagner F, Jacinto RC. Investigation of cultivable bacteria isolated from longstanding retreatment-resistant lesions of teeth with apical periodontitis. J Endod. 2013;39:1240–4.CrossRefPubMed
8.
9.
Sunde PT, Tronstad L, Eribe ER, Lind PO, Olsen I. Assessment of periradicular microbiota by DNA-DNA hybridization. Endod Dent Traumatol. 2000;16:191–6.CrossRefPubMed
10.
Sunde PT, Olsen I, Göbel UB, Theegarten D, Winter S, Debelian GJ, et al. Fluorescence in situ hybridization (FISH) for direct visualization of bacteria in periapical lesions of asymptomatic root-filled teeth. Microbiology. 2003;149:1095–102.CrossRefPubMed
11.
Handal T, Caugant DA, Olsen I, Sunde PT. Bacterial diversity in persistent periapical lesions on root-filled teeth. J Oral Microbiol. 2009;1:1946.CrossRef
12.
Subramanian K, Mickel AK. Molecular analysis of persistent periradicular lesions and root ends reveals a diverse microbial profile. J Endod. 2009;35(7):950.CrossRefPubMed
13.
Noiri Y, Ehara A, Kawahara T, Takemura N, Ebisu S. Participation of bacterial biofilms in refractory and choronic periapical periodontitis. J Endod. 2002;28:679–83.CrossRefPubMed
14.
Noguchi N, Noiri Y, Narimatsu M, Ebisu S. Identification and localization of extraradicular biofilm-forming bacteria associated with refractory endodontic pathogens. Appl Environ Microbiol. 2005;71:8738–43.CrossRefPubMedPubMedCentral
15.
Ricucci D, Siqueira JF Jr, Lopes WS, Vieira AR, Rôças IN. Extraradicular infection as the cause of persistent symptoms: a case series. J Endod. 2015;41:265–73.CrossRefPubMed
16.
Ricucci D, Candeiro GT, Bugea C, Siqueira SJFJR. Complex apical intraradicular infection and extraradicular mineralized biofilms as the cause of wet canals and treatment failure: report of 2 cases. J Endod. 2016;42:509–15.CrossRefPubMed
17.
Eckerborn M, Magnusson T. Evaluation of technical quality of endodontic treatment: reliability of intraoral radiographs. Dent Traumatol. 1997;13:259–64.CrossRef
18.
Abella F, Patel S, Duran-Sindreu F, Mercadé M, Bueno R, Roig M. Evaluating the periapical status of teeth with irreversible pulpitis by using cone-beam computed tomography scanning and periapical radiographs. J Endod. 2012;38:1588–91.CrossRefPubMed
19.
Karabucak B, Bunes A, Chehoud C, Kohli MR, Setzer F. Prevalence of apical periodontitis in endodontically treated premolars and molars with untreated canal: a cone-beam computed tomography study. J Endod. 2016;42:538–41.CrossRefPubMed
20.
Baldassari-Cruz LA, Lilly JP, Rivera EM. The influence of dental operating microscope in locating the mesiolingual canal orifice. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:190–4.CrossRefPubMed
21.
Kulild JC, Peters DD. Incidence and configuration of canal systems in the mesiobuccal root of maxillary first and second molars. J Endod. 1990;16(7):311.CrossRefPubMed
22.
Stropko JJ. Canal morphology of maxillary molars: clinical observations of canal configurations. J Endod. 1990;25:446–50.CrossRef
23.
24.
Metadata
Title
Factors that cause endodontic failures in general practices in Japan
Authors
Mikiyo Yamaguchi
Yuichiro Noiri
Yoshihiro Itoh
Shungo Komichi
Kyoko Yagi
Reo Uemura
Haruna Naruse
Saori Matsui
Nanako Kuriki
Mikako Hayashi
Shigeyuki Ebisu
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2018
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-018-0530-6

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