Evidence map›Paper›PMID 32078100›Full record

ArticleOdontology2020

Predicting the outcome of initial non-surgical endodontic procedures by periapical status and quality of root canal filling: a cohort study.

Claudia García-Guerrero, Cindy Estefanía Delgado-Rodríguez, Nicolás Molano-González, Gerardo Antonio Pineda-Velandia, Dairo Javier Marín-Zuluaga, Maria Carolina Leal-Fernandez, James L Gutmann

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In one paragraph

Article in Odontology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Claudia García-GuerreroSchool of Dentistry, Basic Sciences Department, Endodontics Postgraduate Program Director. Research Group INVENDO, Universidad Nacional de Colombia, Carrera 45#26-85, 111111, Bogotá, Colombia. ccgarciag@unal.edu.co.ORCID http://orcid.org/0000-0002-3547-6338
Cindy Estefanía Delgado-RodríguezResearch Group INVENDO, Basic Sciences and Oral Medicine Department, School of Dentistry, Universidad Nacional de Colombia, Bogotá, Colombia.
Nicolás Molano-GonzálezClinical Research Group, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia.
Gerardo Antonio Pineda-VelandiaStatistics Department, Universidad Nacional de Colombia, Bogotá, Colombia.
Dairo Javier Marín-ZuluagaDivision of Gerodontology, Department of Restorative Dentistry, School of Dentistry, Universidad Nacional de Colombia, Bogotá, Colombia.
Maria Carolina Leal-FernandezPostgraduate Program in Endodontics, School of Dentistry, Pontificia Universidad Javeriana, Bogotá, Colombia.
James L GutmannDepartment of Endodontics, Nova Southeastern University College of Dental Medicine, Davie Fl., USA.

Funding

Dirección de Investigación, Universidad Nacional de Colombia 201010026625
6 · The paper itself

Abstract

To assess the previous periapical status and the quality of root canal filling as predictors of the outcome in initial non-surgical endodontic procedures. A retrospective cohort study was designed in which the presence of a previous periapical lesion was determined radiographically. The quality of the root filling was evaluated in terms of homogeneity, taper, and apical extension. The response variable was dichotomized to success and failure. Bivariate analyzes and a mixed generalized linear model interpreted the association between the explanatory variables and the outcome of the initial non-surgical endodontic procedures. A total of 349 roots were evaluated, and a failure rate of 13.18% was established. Poor filling quality was determined in 8.3% of the roots. As a main result, the presence of a preoperative periapical lesion did not determine a significant risk to the failure of the initial treatment. Unlike, a poor quality of the obturation determined association with an unfavorable outcome like this: (1) homogeneity (OR 2.32; p = 0.0181); (2) taper (OR 5.8; p = 0.0); and, (3) extension (OR 3.41; p = 0.0). Therefore, a significant association between inadequate quality of the root filling and failure of the primary non-surgical endodontic procedures was found. Short length of filling was highly associated with failure. The presence of previous periapical lesion was not found to be a significant predictor for treatment outcomes.

Indexed as

Dental Pulp CavityPeriapical PeriodontitisCohort StudiesRetrospective StudiesRoot Canal ObturationRoot Canal TherapyTreatment OutcomeDental radiographNon-surgical endodonticsPeriapical lesionPrognosisRoot canal obturation

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.