Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지

The influence of periapical lesion on furcation involvement in mandibular molars

하악 대구치에서 치근단 병소가 치근 이개부 감염에 미치는 영향

  • Jang, Ji-Hye (Department of Periodontology, College of Dentistry, Chonbuk National University) ;
  • Seo, Sung-Chan (Department of Periodontology, College of Dentistry, Chonbuk National University) ;
  • Lee, Eun-Suk (Department of Periodontology, College of Dentistry, Chonbuk National University) ;
  • Kim, Hyung-Seop (Department of Periodontology, College of Dentistry, Chonbuk National University, Research Institute of Oral Bio-Science, Chonbuk National University)
  • 장지혜 (전북대학교 치과대학 치주과학교실) ;
  • 서성찬 (전북대학교 치과대학 치주과학교실) ;
  • 이은숙 (전북대학교 치과대학 치주과학교실) ;
  • 김형섭 (전북대학교 치과대학 치주과학교실, 전북대학교 구강생체과학 연구소)
  • Published : 2005.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of the study was to investigate the influence of an endodontic infection on presence of furcation involvement in periodontally-involved mandibular molars. All first and second mandibualr molars in 45 patients were selected if at least one was root-filled or had a possible periapical radiolucency. The sample consisted of patients from a referral population at a periodotnal clinic which represented an adult population with a mean age of 47.5 years (range 31 to 63) For mandibular molars with periapical destruction at both roots, frequency of horizontal furcation depth ${\geqq}$ 3 mm was significantly more compared to teeth without periapical destruction. Mean periodontal probing depth was significantly greater at mandibular molars with periapical destruction. It is suggested that a root canal infection in periodontitis-involved molars may potentiate periodontitis progression by spreading of endodontic pathgens through patent accessory canals and dentinal tubules. In conclusion, an endodontic infection in mandibular molars was found to be associated with additional attachment loss in the furcation area, and may thus be considered to be one of several risk factors influencing the prognosis of molars in periodontitis-prone patients.

Keywords

References

  1. 노명서, 이만섭, 권영혁. 치주질환 환자에서 치근이개부 병변의 발생빈도 및 심도에 관한 연구 대한치주과학회지 1990
  2. 진형국, 김현섭, 김병옥, 한경윤. 치근이개부병소를 지닌 하악대구치에 대한 치아형태학적 연구. 대한치주과학회지:Vol 26,No. 1,1996, 266-275
  3. Carranza FA, Newman MG, Takei HH. Clinical Periodontology 9th edition, The periodonticendodontic continuum. 840-850
  4. Chen SY, Wang HL. Glickman GN.: The influence of endodontic treatment upon periodontal wound healing. J Clin Periodontol 1997;24:449-456 https://doi.org/10.1111/j.1600-051X.1997.tb00211.x
  5. Dominick C, Larato, Furcation Involvement: Incidence and Distribution. J Periodontol 1970;41:499-501 https://doi.org/10.1902/jop.1970.41.9.499
  6. Ehnevid H, Jansson L, Lindskog S, Blomlof L. Periodontal healing in teeth with periapical lesions. A clinical retrospective study. J Clin Periodontol 1993;20:254-258 https://doi.org/10.1111/j.1600-051X.1993.tb00354.x
  7. Ehnevid H, Jansson L, Lindskog S, Blomlof L. Periodontal healing in relation to radiographic attachment and endodontic infection. J Periodontol 1993;64: 199-1204
  8. Ely Mandel, Pierre Machtou, Mahmoud Torabinejad. Clinical diagnosis and treatment of endodontic and periodontal lesions. Quintessence Int 1993;24:135-139
  9. Eriksen HM, Bjertness E. Prevalence of apical periodontitis and results of endodontic treatment in middle-aged adults in Norways. Endod Dent Traumatol 1991;7:1-4 https://doi.org/10.1111/j.1600-9657.1991.tb00174.x
  10. Femando Goldberg, Enrique J. Massone, IIson Soares, Adgar Z. Bittencourt. Accessory orifices: anatomical relationship between the pulp chamber floor and the furcation. J Endodontics 1987;13:176-181 https://doi.org/10.1016/S0099-2399(87)80136-X
  11. Frank J. Vertucci, Rodney Lee Anthony, Gainesville, Fla. A scanning electron microscopic investigation of accessory foramina in the furcation and pulp chamber floor of molar teeth. Oral Surg, Oral Med, Oral Pathol, 1986;62:319-326 https://doi.org/10.1016/0030-4220(86)90015-0
  12. Gerald W, Harrington, David R, Steiner & William F, Ammons, Jr : The periodontal-endodontic controversy Periodontology 2000, Vol. 30. 2002,123-130 https://doi.org/10.1034/j.1600-0757.2002.03012.x
  13. H.A.Ray, M. Trope. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. International Endodontic Journal 1995;28:12-18 https://doi.org/10.1111/j.1365-2591.1995.tb00150.x
  14. Haim Tal. Relationship between the depths of furcal defects and alveolar bone loss. J Periodontol 1982;53:631-634 https://doi.org/10.1902/jop.1982.53.10.631
  15. Hiroshi Miyashita, Gunnar Bergenholtz, Kerstin Grondahl, Jan L. Wennstrom. Impact of endodontic conditions on marginal bone loss J Periodontol 1998;69:158-164 https://doi.org/10.1902/jop.1998.69.2.158
  16. Home-Lay Wang, Frederick G. Burgett, Yu Shyr, The relationhip between restoration and furcation involvement on molar teeth. J Periodontol 1993;64:302-305 https://doi.org/10.1902/jop.1993.64.4.302
  17. Hommez G.M.G., Coppens C.R.M. & De Moor R.J.G. Periapical health related to the quality of coronal restorations and root fillings. International Endodontic Journal 2002;35:680-689 https://doi.org/10.1046/j.1365-2591.2002.00546.x
  18. James G. Burch, M.Sc, Stephen Hulen, Lexington, Ky. A study of the presence of accessory foramina and the topography of molar furcations. Oral Surg 1974;38:451-454 https://doi.org/10.1016/0030-4220(74)90373-9
  19. James L, Gutmann. Prevalence, location, and patency of accessory canals in the furcation region of permanent molars. J Periodontol 1978;49:21-26 https://doi.org/10.1902/jop.1978.49.1.21
  20. Jan Lindhe, Clinical periodontlogy and implant dentistry, fourth edition. 318-351
  21. Jansson L, Ehnevid H, Lindskog S, Blomlof L. Relationship between periapical and periodontal status. A clinical retrospective study. J Clin Periodontol 1993;20:117-123 https://doi.org/10.1111/j.1600-051X.1993.tb00325.x
  22. Jansson L, Ehnevid H, Lindskog S, Blomlof L. Radiographic attachment in periodontitis-prone teeth with endodontic infection. J Periodontol 1993;64:947-953 https://doi.org/10.1902/jop.1993.64.10.947
  23. Jansson L, Ehnevid H, Lindskog S, Blomlof L. The influence of endodontic infection on progression of marginal bone loss in periodontitis. J Clin Periodontol 1995;22:729-734 https://doi.org/10.1111/j.1600-051X.1995.tb00254.x
  24. Jansson L, Ehnevid H. The influence of endodontic infection on periodontal status in mandibular molars. J Periodontol 1998;69:1392-1396 https://doi.org/10.1902/jop.1998.69.12.1392
  25. Jen-Tai Jeremy Chen, James G. Burch, Frank M. Beck, John E. Horton. Periodontal attachment loss associated with proximal tooth restorations. J Prosth Dent 1987;57:416-420 https://doi.org/10.1016/0022-3913(87)90005-9
  26. Kerekes K, Olsen I. Similarites in the microfloras of root canals and deep periodontal pockets. Endod Dent Traumatol 1990;6:1-5 https://doi.org/10.1111/j.1600-9657.1990.tb00378.x
  27. Malcolm A. Perlich, Al Reader, Dennis W. Foreman. A scanning electron microscopic investigation of accessory foramens on the pulpal floor of human molars. J Endodontics 1981;9:402-406
  28. Petersson K, Hakansson R, Hakansson J, Olsson B, Wennberg A. Follow-up study of endodontic status in an adult Swedish population. Endod Dent Traumatol 1991;7:221-225 https://doi.org/10.1111/j.1600-9657.1991.tb00440.x
  29. R.S Hirsch, N.G. Clarke. Pulpal disease and bursts of periodontal attachment loss. International Endodontic Journal 1993;26:362-368 https://doi.org/10.1111/j.1365-2591.1993.tb00770.x
  30. Samuel Seltzer, Bender, Harold Nazimov, Irving Sinai. Pulpitis-induced interradicular periodontal changes in expermental animals. J Periodontol 1967;38:124-129
  31. Sanders JJ, Sepe WW, Bowers GM, Koch RW, Williams JE, Lekas JS, Mellonig JT, Pelleu GB, Gambill V. Clinical evaluation of freeze-dried bone allografts in periodontal ossous defects. J Periodontol 1983;54;1-8 https://doi.org/10.1902/jop.1983.54.1.1
  32. Schatzle M, Lang NP, Anerud A, Boysen H, Loe H. The influence of margins of restorations on the periodontal tissues over 26 years. J Clin Periodontol 2000;27:57-64
  33. Svardstrom G, Wennstrom JL. Prevalence of furcation involvements in patients referred for periodontal treatment. J Clin Periodontal 1996;23:1093-1099 https://doi.org/10.1111/j.1600-051X.1996.tb01809.x
  34. Williams G. Reeves. Restorative margin placement and periodontal health. J Prosth Dent 1991 ;66:733-736 https://doi.org/10.1016/0022-3913(91)90405-L
  35. Zehnder M, Gold SI, Hasselgren G. Pathologic interactions in pulpal and periodontal tissues. J Clin Periodontol 2002;29:663-671 https://doi.org/10.1034/j.1600-051X.2002.290801.x