Radiographic assessment of the quality of dental restorations and their relationship with periodontal radiographic changes
INTRODUCION: The quality of dental restorations can be directly related to the maintenance of periodontal health. Particularly in relation to the contour of interproximal restorations, radiographs allow the assessment of possible excess or lack of proximal contact of restorative materials.
OBJECTIVE: To evaluate the frequency of adequate and inadequate restorations, the type of restorative material and the relationship of these parameters with periodontal alterations.
METHODS: One hundred digital panoramic radiographs were evaluated, with interproximal restorations being observed on these examinations, classifying them according to the material used and the quality of interproximal restoration and the presence of periodontal alterations. The
possible correlation between these parameters was evaluated.
RESULTS: The frequency of adequate restorations was 48% of restored proximal surfaces. Among the inadequate restorations, 46.2% and 53.8% were over-contour and lack of proximal contact, respectively. The restorations were metallic in 64% of cases.
CONCLUSIONS: Over-contour were more common among metal restorations and lack of proximal contact was more frequent among non-metal restorations. The presence of restorations was associated with increased prevalence of periodontal alterations.
Valderhaug J, Birkeland JM. Periodontal conditions in patients 5 years following insertion of fixed prostheses. Pocket depth and loss of attachment. J Oral Rehabil. 1976;3:237-43. https://doi.org/10.1111/j.1365-2842.1976.tb00949.x
Oliveira Júnior L. Guia prático de dentística e prótese dentária. Goiânia: Edição do autor; 2007.
Baratieri LN. Odontologia Restauradora - fundamentos e possibilidades. São Paulo: Santos; 2015.
Mjör I a, Qvist V. Marginal failures of amalgam and composite restorations. J Dent. 1997;25:25-30. https://doi.org/10.1016/S0300-5712(95)00119-0
Kirkevang LL, Ørstavik D, Hörsted-Bindslev P, Wenzel A. Periapical status and quality of root fillings and coronal restorations in a Danish population. Int Endod J. 2000;33:509-15. https://doi.org/10.1046/j.1365-2591.2000.00381.x
Hommez GMG, Coppens CRM, De Moor RJG. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J. 2002;35:680-9. https://doi.org/10.1046/j.1365-2591.2002.00546.x
Matthews DC, Tabesh M. Detection of localized tooth-related factors that predispose to periodontal infections. Periodontol 2000. 2004;34:136-50. https://doi.org/10.1046/j.0906-6713.2003.003429.x
Siqueira JF, Rôças IN, Alves FRF, Campos LC. Periradicular status related to the quality of coronal restorations and root canal fillings in a Brazilian population. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2005;100:369-74. https://doi.org/10.1016/j.tripleo.2005.03.029
Gencoglu N, Pekiner FN, Gumru B, Helvacioglu D. Periapical status and quality of root fillings and coronal restorations in an adult Turkish subpopulation. Eur J Dent. 2010;4:17-22.
Block PL. Restorative margins and periodontal health: a new look at an old perspective. J Prosthet Dent. 1987;57:683-9. https://doi.org/10.1016/0022-3913(87)90363-5
Akkaya N, Kansu Ö, Kansu H, Çağirankaya L, Arslan U. Comparing the accuracy of panoramic and intraoral radiography in the diagnosis of proximal caries. Dentomaxillofacial Radiol. 2006;35:170-4. https://doi.org/10.1259/dmfr/26750940
White SC, Pharoah MJ. Radiologia Oral: Princípios e Interpretação. Rio de Janeiro: Elsevier; 2015.
Rushton VE, Horner K. The use of panoramic radiology in dental practice. J Dent. 1996;24:185-201. https://doi.org/10.1016/0300-5712(95) 00055-0
Dumitrescu AL, Teslaru S, Mocanu V. The influence of restorations on periodontal health. Rev Med Chir Soc Med Nat Iasi. 2009;113:575-8.
Yusof Z. Proximal tooth surface quality and periodontal status. J Oral Rehabil. 1991;18:95-102. https://doi.org/10.1111/j.1365-2842.1991.tb00035.x
Farias B de C, Barros FC, Araújo AC da S, Gusmão ES, Almeida ECB de, Cimões R. Avaliação da condição periodontal adjacente a superfícies proximais restauradas em material resinoso, comparativamente a superfícies não restauradas. RGO (Porto Alegre). 2008;56:245-51.
Kamburoğlu K, Kolsuz E, Murat S, Yüksel S, Özen T. Proximal caries detection accuracy using intraoral bitewing radiography, extraoral bitewing radiography and panoramic radiography. Dentomaxillofacial Radiol. 2012; 41:450-9. https://doi.org/10.1259/dmfr/30526171
Farman AG. There are good reasons for selecting panoramic radiography to replace the intraoral full-mouth series. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:653-4. https://doi.org/10.1067/moe.2002.129766
Thomas MF, Ricketts DN, Wilson RF. Occlusal caries diagnosis in molar teeth from bitewing and panoramic radiographs. Prim Dent Care. 2001; 8:63-9. https://doi.org/10.1308/135576101322647908
Ricketts DN, Whaites EJ, Kidd EA, Brown JE, Wilson RF. An evaluation of the diagnostic yield from bitewing radiographs of small approximal and occlusal carious lesions in a low prevalence sample in vitro using different film types and speeds. Br Dent J. 1997;182:51-8. https://doi.org/10.1038/sj.bdj.4809298
Moura LB, Blasco MAP, Damian MF. Exames radiográficos solicitados no atendimento inicial de pacientes em uma Faculdade de Odontologia brasileira. Rev Odontol da UNESP. 2014;43:252-7. https://doi.org/10.1590/rou.2014.046
Martínez Beneyto Y, Alcaráz Banos M, Pérez Lajarin L, Rushton VE. Clinical justification of dental radiology in adult patients: a review of the literature. Med Oral Patol Oral Cir Bucal. 2007;12:244-51.
Shahab S, Kavosi a., Nazarinia H, Mehralizadeh S, Mohammadpour
M, Emami M. Compliance of Iranian dentists with safety standards of oral radiology. Dentomaxillofacial Radiol. 2012;41:159-64. https://doi.org/10.1259/dmfr/29207955
Kantor ML. Radiographic examination of comprehensive care patients in U.S. and Canadian dental schools. Oral Surg Oral Med Oral Pathol. 1988; 65:778-81. https://doi.org/10.1016/0030-4220(88)90029-1
Rushton VE, Horner K, Worthington H V. Routine panoramic radiography of new adult patients in general dental practice: Relevance of diagnostic yield to treatment and identification of radiographic selection criteria. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:488-95. https://doi.org/10.1067/moe.2002.121994
Bohay RN, Stephens RG, Kogon SL. Survey of radiographic practices of general dentists for the dentate adult patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:526-31. https://doi.org/10.1016/S1079-2104(05)80140-4
Lins RDAU, Alves RD, Lucena KCR, Pequeno MT. O relevante papel do fumo como fator modificador da resposta imune na doença periodontal. Rev bras odontol. 2005;62:128-31.
Peruzzo DC, Benatti BB, Antunes IB, Andersen ML, Sallum E a., Casati MZ, et al. Chronic Stress May Modulate Periodontal Disease: A Study in Rats. J Periodontol. 2008;79:697-704. https://doi.org/10.1902/jop.2008.070369
Bastos MTAA, Lovadino JR, Almeida JV de, Martins LRM, Navarro MF de L. Resinas compostas em dentes posteriores. Rev odontol Univ Säo Paulo. 1987;1:42-5.
Tveit AB, Espelid I. Radiographic diagnosis of caries and marginal defects in connection with radiopaque composite fillings. Dent Mater. 1986;2: 159-62. https://doi.org/10.1016/S0109-5641(86)80027-6
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