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Apical Periodontitis in Root-Filled Teeth pp 7–19Cite as

Incidence, Frequency, and Prevalence

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Abstract

Epidemiological studies may provide important information on frequency and prevalence of apical periodontitis and root-filled teeth. They may also present data on outcome of endodontic treatment in community dental care along with determining factors. Results from epidemiological studies can be used to generate hypotheses to be tried in clinical studies in which causal relationships may be established.

The prevalence of apical periodontitis in root-filled teeth is high and statistically determined by root filling quality and, to a lesser extent, restoration quality. The long-term retention of root-filled teeth may be dependent on the restoration.

Data on incidence of apical periodontitis in root-filled teeth or exacerbation of apical periodontitis in root-filled teeth are scarce or lacking due to methodological difficulties.

As our world continues to generate unimaginable amounts of data, more data lead to more correlations, and more correlations can lead to more discoveries.

Hans Rosling (1948–2017) was a Professor of International Health, Department of Public Health Sciences/Global Health (IHCAR), Karolinska Institute, and founder of the Gapminder Foundation.

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References

  1. Petersson K. Endodontic status of mandibular premolars and molars in an adult Swedish population. A longitudinal study 1974–1985. Endod Dent Traumatol. 1993;9(1):13–8.

    Article  PubMed  Google Scholar 

  2. Kirkevang LL, Vaeth M, Hörsted-Bindslev P, Wenzel A. Longitudinal study of periapical and endodontic status in a Danish population. Int Endod J. 2006;3:100–7.

    Article  Google Scholar 

  3. Brynolf I. A histological and roentgenological study of the periapical region of human upper incisors. Odontol Revy. 1967;18(Suppl 11):1–176.

    Google Scholar 

  4. Ahlqwist M, Halling A, Hollender L. Rotational panoramic radiography in epidemiological studies of dental health. Comparison between panoramic radiographs and intraoral full mouth surveys. Swed Dent J. 1986;10(1–2):73–84.

    PubMed  Google Scholar 

  5. Paes da Silva Ramos Fernandes LM, Ordinola-Zapata R, Húngaro Duarte MA, Alvares Capelozza AL. Prevalence of apical periodontitis detected in cone beam CT images of a Brazilian subpopulation. Dentomaxillofac Radiol. 2013;42:80179163.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Dutta A, Smith-Jack F, Saunders WP. Prevalence of periradicular periodontitis in a Scottish subpopulation found on CBCT images. Int Endod J. 2014;4:854–63.

    Article  Google Scholar 

  7. Reit C, Hollender L. Radiographic evaluation of endodontic therapy and the influence of observer variation. Scand J Dent Res. 1983;91:205–12.

    PubMed  Google Scholar 

  8. Reit C, Gröndahl HG. Application of statistical decision theory to radiographic diagnosis of endodontically treated teeth. Scand J Dent Res. 1983;91:213–8.

    PubMed  Google Scholar 

  9. Reit C. The influence of observer calibration on radiographic periapical diagnosis. Int Endod J. 1987;20:75–81.

    Article  PubMed  Google Scholar 

  10. Örstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol. 1986;2:20–34.

    Article  PubMed  Google Scholar 

  11. Strindberg LZ. The dependence of the results of pulp therapy on certain factors. Acta Odontol Scand. 1956;14(Suppl 21):1–175.

    Google Scholar 

  12. Tavares PB, Bonte E, Boukpessi T, Siqueira JF Jr, Lasfargues JJ. Prevalence of apical periodontitis in root canal-treated teeth from an urban French population: influence of the quality of root canal fillings and coronal restorations. J Endod. 2009;35:810–3.

    Article  PubMed  Google Scholar 

  13. Tarcin B, Gumru B, Iriboz E, Turkaydin DE, Ovecoglu HS. Radiologic assessment of periapical health: comparison of 3 different index systems. J Endod. 2015;41:1834–8.

    Article  PubMed  Google Scholar 

  14. Frisk F, Hugoson A, Hakeberg M. Technical quality of root fillings and periapical status in root filled teeth in Jönköping, Sweden. Int Endod J. 2008;41:958–68.

    Article  PubMed  Google Scholar 

  15. Kirkevang LL, Vaeth M, Wenzel A. Ten-year follow-up observations of periapical and endodontic status in a Danish population. Int Endod J. 2012;45(9):829–39.

    Article  PubMed  Google Scholar 

  16. Eckerbom M, Andersson JE, Magnusson T. A longitudinal study of changes in frequency and technical standard of endodontic treatment in a Swedish population. Endod Dent Traumatol. 1989;5:27–31.

    Article  PubMed  Google Scholar 

  17. Frisk F, Hakeberg M. A 24-year follow-up of root filled teeth and periapical health amongst middle aged and elderly women in Göteborg, Sweden. Int Endod J. 2005;38(4):246–54.

    Article  PubMed  Google Scholar 

  18. Gillen BM, Looney SW, LS G, Loushine BA, Weller RN, Loushine RJ, Pashley DH, Tay FR. Impact of the quality of coronal restoration versus the quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis. J Endod. 2011;37:895–902.

    Article  PubMed  Google Scholar 

  19. Frisk F, Hugosson A, Kvist T. Is apical periodontitis in root filled teeth associated with the type of restoration? Acta Odontol Scand. 2015;73(3):169–75.

    Article  PubMed  Google Scholar 

  20. Walter C, Rodriguez FR, Taner B, Hecker H, Weiger R. Association of tobacco use and periapical pathosis—a systematic review. Int Endod J. 2012;45(12):1065–73.

    Article  PubMed  Google Scholar 

  21. Segura-Egea JJ, Jiménez-Pinzón A, Ríos-Santos JV, Velasco-Ortega E, Cisneros-Cabello R, Poyato-Ferrera M. High prevalence of apical periodontitis amongst type 2 diabetic patients. Int Endod J. 2005;38:564–9.

    Article  PubMed  Google Scholar 

  22. Kirkevang LL, Wenzel A. Risk indicators for apical periodontitis. Community Dent Oral Epidemiol. 2003;31:59–67.

    Article  PubMed  Google Scholar 

  23. Frisk F, Hakeberg M. Socio-economic risk indicators for apical periodontitis. Acta Odontol Scand. 2006;64:123–8.

    Article  PubMed  Google Scholar 

  24. Petersson K, Håkansson R, Håkansson J, Olsson B, Wennberg A. Follow-up study of endodontic status in an adult Swedish population. Endod Dent Traumatol. 1991;7(5):221.

    Article  PubMed  Google Scholar 

  25. Kirkevang LL, Vaeth M, Wenzel A. Ten-year follow-up of root filled teeth: a radiographic study of a Danish population. Int Endod J. 2014;47:980–8.

    Article  PubMed  Google Scholar 

  26. Zhong Y, Garcia R, Kaye EK, Cai J, Kaufman JS, Trope M, Wilcosky T, Caplan DJ. Association of endodontic involvement with tooth loss in the Veterans Affairs Dental Longitudinal Study. J Endod. 2010;36:1943–9.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Vire DE. Failure of endodontically treated teeth: classification and evaluation. J Endod. 1991;17:338–42.

    Article  PubMed  Google Scholar 

  28. Zadik Y, Sandler V, Bechor R, Salehrabi R. Analysis of factors related to extraction of endodontically treated teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(5):e31.

    Article  PubMed  Google Scholar 

  29. Touré B, Faye B, Kane AW, Lo CM, Niang B, Boucher Y. Analysis of reasons for extraction of endodontically treated teeth: a prospective study. J Endod. 2011;37:1512–5.

    Article  PubMed  Google Scholar 

  30. Caplan DJ, Weintraub JA. Factors related to loss of root canal filled teeth. J Public Health Dent. 1997;57:31–9.

    Article  PubMed  Google Scholar 

  31. Aquilino SA, Caplan DJ. Relationship between crown placement and the survival of endodontically treated teeth. J Prosthet Dent. 2002;87:256–63.

    Article  PubMed  Google Scholar 

  32. Landys-Borén D, Jonasson P, Kvist T. Long-term survival of endodontically treated teeth at a public dental specialist clinic. J Endod. 2015;41:176–81.

    Article  PubMed  Google Scholar 

  33. Fransson H, Dawson VS, Frisk F, Bjørndal L, EndoReCo, Kvist T. Survival of root-filled teeth in the Swedish adult population. J Endod. 2016;42:216–20.

    Article  PubMed  Google Scholar 

  34. Bergenholtz G, Malmcrona E, Milthon R. Endodontic treatment and periapical state. I. Radiographic study of frequency of endodontically treated teeth and frequency of periapical lesions. Tandlakartidningen. 1973 Jan;65(2):64–73.

    PubMed  Google Scholar 

  35. Bołtacz-Rzepkowska E, Pawlicka H. Radiographic features and outcome of root canal treatment carried out in the Łódź region of Poland. Int Endod J. 2003 Jan;36(1):27–32.

    Article  PubMed  Google Scholar 

  36. 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 Mar;35(3):229–38.

    Article  PubMed  Google Scholar 

  37. 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 Jan;79(1):92–100.

    Article  PubMed  Google Scholar 

  38. Chen CY, Hasselgren G, Serman N, Elkind MS, Desvarieux M, Engebretson SP. Prevalence and quality of endodontic treatment in the Northern Manhattan elderly. J Endod. 2007 Mar;33(3):230–4.

    Article  PubMed  Google Scholar 

  39. Da Silva K, Lam JM, Wu N, Duckmanton P. Cross-sectional study of endodontic treatment in an Australian population. Aust Endod J. 2009 Dec;35(3):140–6.

    Article  PubMed  Google Scholar 

  40. 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 Mar;26(2):112–9.

    Article  PubMed  Google Scholar 

  41. 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 Mar;33(2):113–20.

    Article  PubMed  Google Scholar 

  42. Dugas NN, Lawrence HP, Teplitsky PE, Pharoah MJ, Friedman S. Periapical health and treatment quality assessment of root-filled teeth in two Canadian populations. Int Endod J. 2003 Mar;36(3):181–92.

    Article  PubMed  Google Scholar 

  43. Eckerbom M, Andersson JE, Magnusson T. Frequency and technical standard of endodontic treatment in a Swedish population. Endod Dent Traumatol. 1987 Oct;3(5):245–8.

    Article  PubMed  Google Scholar 

  44. Eckerbom M, Flygare L, Magnusson T. A 20-year follow-up study of endodontic variables and apical status in a Swedish population. Int Endod J. 2007 Dec;40(12):940–8.

    Article  PubMed  Google Scholar 

  45. Eriksen HM, Bjertness E. Prevalence of apical periodontitis and results of endodontic treatment in middle-aged adults in Norway. Endod Dent Traumatol. 1991 Feb;7(1):1–4.

    Article  PubMed  Google Scholar 

  46. Eriksen HM, Berset GP, Hansen BF, Bjertness E. Changes in endodontic status 1973–1993 among 35-year-olds in Oslo, Norway. Int Endod J. 1995 May;28(3):129–32.

    Article  PubMed  Google Scholar 

  47. Estrela C, Leles CR, Hollanda AC, Moura MS, Pécora JD. Prevalence and risk factors of apical periodontitis in endodontically treated teeth in a selected population of Brazilian adults. Braz Dent J. 2008;19(1):34–9.

    Article  PubMed  Google Scholar 

  48. Georgopoulou MK, Spanaki-Voreadi AP, Pantazis N, Kontakiotis EG. Frequency and distribution of root filled teeth and apical periodontitis in a Greek population. Int Endod J. 2005 Feb;38(2):105–11.

    Article  PubMed  Google Scholar 

  49. Gulsahi K, Gulsahi A, Ungor M, Genc Y. Frequency of root-filled teeth and prevalence of apical periodontitis in an adult Turkish population. Int Endod J. 2008 Jan;41(1):78–85.

    PubMed  Google Scholar 

  50. Hollanda AC, de Alencar AH, Estrela CR, Bueno MR, Estrela C. Prevalence of endodontically treated teeth in a Brazilian adult population. Braz Dent J. 2008;19(4):313–7.

    Article  PubMed  Google Scholar 

  51. Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J. 2002 Aug;35(8):680–9.

    Article  PubMed  Google Scholar 

  52. Huumonen S, Vehkalahti MM, Nordblad A. Radiographic assessments on prevalence and technical quality of endodontically-treated teeth in the Finnish population, aged 30 years and older. Acta Odontol Scand. 2012 May;70(3):234–40.

    Article  PubMed  Google Scholar 

  53. 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 Nov–Dec;142(11–12):663–8.

    PubMed  Google Scholar 

  54. Jersa I, Kundzina R. Periapical status and quality of root fillings in a selected adult Riga population. Stomatologija. 2013;15(3):73–7.

    PubMed  Google Scholar 

  55. Jiménez-Pinzón A, Segura-Egea JJ, Poyato-Ferrera M, Velasco-Ortega E, Ríos-Santos JV. Prevalence of apical periodontitis and frequency of root-filled teeth in an adult Spanish population. Int Endod J. 2004 Mar;37(3):167–73.

    Article  PubMed  Google Scholar 

  56. Kabak Y, Abbott PV. Prevalence of apical periodontitis and the quality of endodontic treatment in an adult Belarusian population. Int Endod J. 2005 Apr;38(4):238–45.

    Article  PubMed  Google Scholar 

  57. Kalender A, Orhan K, Aksoy U, Basmaci F, Er F, Alankus A. Influence of the quality of endodontic treatment and coronal restorations on the prevalence of apical periodontitis in a Turkish Cypriot population. Med Princ Pract. 2013;22(2):173–7.

    Article  PubMed  Google Scholar 

  58. 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 Nov 29;11:32.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Kirkevang LL, Hörsted-Bindslev P, Ørstavik D, Wenzel A. Frequency and distribution of endodontically treated teeth and apical periodontitis in an urban Danish population. Int Endod J. 2001 Apr;34(3):198–205.

    Article  PubMed  Google Scholar 

  60. Kim S. Prevalence of apical periodontitis of root canal-treated teeth and retrospective evaluation of symptom-related prognostic factors in an urban South Korean population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Dec;110(6):795–9.

    Article  PubMed  Google Scholar 

  61. Loftus JJ, Keating AP, McCartan BE. Periapical status and quality of endodontic treatment in an adult Irish population. Int Endod J. 2005 Feb;38(2):81–6.

    Article  PubMed  Google Scholar 

  62. Lupi-Pegurier L, Bertrand MF, Muller-Bolla M, Rocca JP, Bolla M. Periapical status, prevalence and quality of endodontic treatment in an adult French population. Int Endod J. 2002 Aug;35(8):690–7.

    Article  PubMed  Google Scholar 

  63. Marques MD, Moreira B, Eriksen HM. Prevalence of apical periodontitis and results of endodontic treatment in an adult, Portuguese population. Int Endod J. 1998 May;31(3):161–5.

    Article  PubMed  Google Scholar 

  64. 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 Dec 15;52(6):679–87.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Moreno JO, Alves FR, Gonçalves LS, Martinez AM, Rôças IN, Siqueira JF Jr. Periradicular status and quality of root canal fillings and coronal restorations in an urban Colombian population. J Endod. 2013 May;39(5):600–4.

    Article  PubMed  Google Scholar 

  66. 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):122–6.

    PubMed  Google Scholar 

  67. Persić R, Kqiku L, Brumini G, Husetić M, Pezelj-Ribarić S, Brekalo Prso I, Städtler P. Difference in the periapical status of endodontically treated teeth between the samples of Croatian and Austrian adult patients. Croat Med J. 2011 Dec 15;52(6):672–8.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Peters LB, Lindeboom JA, Elst ME, Wesselink PR. Prevalence of apical periodontitis relative to endodontic treatment in an adult Dutch population: a repeated cross-sectional study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Apr;111(4):523–8.

    Article  PubMed  Google Scholar 

  69. Petersson K, Lewin B, Hakansson J, Olsson B, Wennberg A. Endodontic status and suggested treatment in a population requiring substantial dental care. Endod Dent Traumatol. 1989 Jun;5(3):153–8.

    Article  PubMed  Google Scholar 

  70. Petersson K, Fransson H, Wolf E, Håkansson J. Twenty-year follow-up of root filled teeth in a Swedish population receiving high-cost dental care. Int Endod J. 2016 Jul;49(7):636–45.

    Article  PubMed  Google Scholar 

  71. Saunders WP, Saunders EM, Sadiq J, Cruickshank E. Technical standard of root canal treatment in an adult Scottish sub-population. Br Dent J. 1997 May 24;182(10):382–6.

    Article  PubMed  Google Scholar 

  72. 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 Feb;40(2):139–45.

    Article  PubMed  Google Scholar 

  73. Skudutyte-Rysstad R, Eriksen HM. Endodontic status amongst 35-year-old Oslo citizens and changes over a 30-year period. Int Endod J. 2006 Aug;39(8):637–42.

    Article  PubMed  Google Scholar 

  74. Sidaravicius B, Aleksejuniene J, Eriksen HM. Endodontic treatment and prevalence of apical periodontitis in an adult population of Vilnius, Lithuania. Endod Dent Traumatol. 1999 Oct;15(5):210–5.

    Article  PubMed  Google Scholar 

  75. Touré B, Kane AW, Sarr M, Ngom CT, Boucher Y. Prevalence and technical quality of root fillings in Dakar, Senegal. Int Endod J. 2008 Jan;41(1):41–9.

    PubMed  Google Scholar 

  76. Terças AG, de Oliveira AE, Lopes FF, Maia Filho EM. Radiographic study of the prevalence of apical periodontitis and endodontic treatment in the adult population of São Luís, MA, Brazil. J Appl Oral Sci. 2006 Jun;14(3):183–7.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Tolias D, Koletsi K, Mamai-Homata E, Margaritis V, Kontakiotis E. Apical periodontitis in association with the quality of root fillings and coronal restorations: a 14-year investigation in young Greek adults. Oral Health Prev Dent. 2012;10(3):297–303.

    PubMed  Google Scholar 

  78. Tsuneishi M, Yamamoto T, Yamanaka R, Tamaki N, Sakamoto T, Tsuji K, Watanabe T. Radiographic evaluation of periapical status and prevalence of endodontic treatment in an adult Japanese population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Nov;100(5):631–5.

    Article  PubMed  Google Scholar 

  79. 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 Apr;13(2):69–74.

    Article  PubMed  Google Scholar 

  80. Ödesjö B, Helldén L, Salonen L, Langeland K. Prevalence of previous endodontic treatment, technical standard and occurrence of periapical lesions in a randomly selected adult, general population. Endod Dent Traumatol. 1990 Dec;6(6):265–72.

    Article  PubMed  Google Scholar 

  81. 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 Jul;112(1):136–42.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Endodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden

    Fredrik Frisk DDS, PhD

  2. Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden

    Fredrik Frisk DDS, PhD

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Correspondence to Fredrik Frisk DDS, PhD .

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  1. Department of Endodontology, University of Gothenburg The Sahlgrenska Academy, Gothenburg, Sweden

    Thomas Kvist

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Frisk, F. (2018). Incidence, Frequency, and Prevalence. In: Kvist, T. (eds) Apical Periodontitis in Root-Filled Teeth. Springer, Cham. https://doi.org/10.1007/978-3-319-57250-5_2

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