SavedAdd your journal

Journals / Selcuk Dental Journal / 2026 / Volume: 13 Issue: 1

Evaluation of Periapical Health of Root Canal-Treated Permanent First Molars in Children: A Retrospective Study

Dolu Kaya(NEVSEHIR HACI BEKTAS VELI UNIVERSITY, FACULTY OF DENTISTRY)0000-0001-8466-2391
Ulku Sermet Elbay(KOCAELI UNIVERSITY, FACULTY OF DENTISTRY)0000-0002-3239-6746
Gül Uçar(KOCAELI UNIVERSITY, FACULTY OF DENTISTRY)0000-0002-1064-207X
Seda Aydemir Mutlu(ISTANBUL ATLAS UNIVERSITY, FACULTY OF DENTISTRY)0000-0003-2299-2138
Pages
—
Publication Date
2026-04-27
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Furthermore, further research is needed to support the literature because root canal treatment requires high technical precision and may be challenging to perform, especially in pediatric patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background: This study aims to radiographically examine the periapical condition of permanent first molars that have undergone root canal treatment in pediatric patients, the quality of their coronal restorations and root canal treatments, and the factors that affect treatment success.
📊
Key Findings & Data:Methods: Panoramic radiographs of children aged 6–12 who visited the Department of Pediatric Dentistry at Kocaeli University Faculty of Dentistry for routine oral examinations between 2020 and 2024 were examined.
💡
Conclusion & Impact:Furthermore, further research is needed to support the literature because root canal treatment requires high technical precision and may be challenging to perform, especially in pediatric patients.
🔬Design:Research Article
📍Scope:2020 Verileri
⚙️Variables:Endodontics · Evaluation · Panoramic Radiography

Abstract

Background: This study aims to radiographically examine the periapical condition of permanent first molars that have undergone root canal treatment in pediatric patients, the quality of their coronal restorations and root canal treatments, and the factors that affect treatment success. Methods: Panoramic radiographs of children aged 6–12 who visited the Department of Pediatric Dentistry at Kocaeli University Faculty of Dentistry for routine oral examinations between 2020 and 2024 were examined. The 235 permanent first molars that had undergone root canal treatment in 196 patients were evaluated radiologically regarding the quality of root canal treatment (root canal filling level/homogeneity) and coronal restoration, as well as the periradicular health status. The data obtained were analyzed using the Chi-Square test, with p<0.05 considered statistically significant. Results: Radiologically evaluated root canal-treated teeth were found to have diseased periapical tissues in 62.1% of cases. Root canal filling was inadequate in 65.1% of teeth, while 53.2% had non-homogeneous root canal filling. Forty-four point seven percent of the coronal restorations were evaluated as adequate. A significantly higher incidence of periapical disease was observed in the mandible. A statistically significant relationship was found between the quality of root canal treatment and the periradicular condition with coronal restoration (p<0.05). Conclusions: In this study evaluating pediatric patients, inadequate root canal filling quality and coronal restorations jeopardize the prognosis of root canal-treated teeth. Furthermore, further research is needed to support the literature because root canal treatment requires high technical precision and may be challenging to perform, especially in pediatric patients.

🔖

Cite This Article

Kaya, D., Elbay, U. S., Uçar, G., Mutlu, S. A., *, D. K. (2026). Evaluation of Periapical Health of Root Canal-Treated Permanent First Molars in Children: A Retrospective Study. Selcuk Dental Journal, Volume: 13 Issue: 1. https://doi.org/10.15311/selcukdentj.1739670

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (41)

  1. Martínez-Salas C, Bucchi C. Vital pulp therapies versus conventional endodontics for the treatment of mature teeth with pulp inflammation: A systematic review. Saudi Endodontic Journal. 2024;14(1):1-9.
  2. Zang HL, Zhang Y, Hao XW, Yang L, Liang YH. Cost-effectiveness analysis: nonsurgical root canal treatment versus single-tooth implant. BMC Oral Health. 2023;23(1):489.
  3. American Academy of Pediatric Dentistry. Pulp therapy for primary and immature permanent teeth. Ref Man Pediatr Dent. 2014:353-61.
  4. Oglah FS, Zeidan BM, Gholam MK. Evaluation of endodontic treatment in three specialized private clinics in Baghdad (retrospective study). Mustansiria Dent J. 2011;8(3):233-6.
  5. Berman LH, Hargreaves KM, Rotstein I. Pathways of the pulp. 12th ed. Elsevier, St Louis, Missouri; 2021.
  6. Loftus JJ, Keating AP, McCartan BE. Periapical status and quality of endodontic treatment in an adult Irish population. Int Endod J. 2005;38(2):81-6.
  7. Hilmi A, Patel S, Mirza K, Galicia JC. Efficacy of imaging techniques for the diagnosis of apical periodontitis: A systematic review. Int Endod J. 2023;56:326-39.
  8. Zhang MM, Jiang LM, Liang YH. The trend of radiographic healing after root canal treatment in teeth with apical periodontitis based on cone-beam computed tomography: A 4-year longitudinal study. J Dent. 2024;146:105071.
  9. Yılmaz Z, Görduysus MÖ. Endodontik tedavilerin kalitesi ile periapikal durum arasındaki ilişkinin Periapikal İndeks Skorlama (PAI) yöntemi ile değerlendirilmesi. Hacettepe Diş Hek Fak Derg. 2007;31(4):96-104.
  10. Kang S, Ha SW, Kim U, Kim S, Kim E. (2020). A one-year radiographic healing assessment after endodontic microsurgery using cone-beam computed tomographic scans. J Clin Med. 2020;9(11):3714.
  11. Hoen MM, Pink FE. Contemporary endodontic retreatments: an analysis based on clinical treatment findings. J Endod. 2002;28:834-6.
  12. Kaya Üreyen B, Keçeci AD. Kök kanal tedavisi başarısızlıklarında retreatment uygulamaları. SÜ Diş Hek Fak Derg. 2006;13(4):1-6.
  13. Demiryürek EÖ, Gürel M, Göktürk H, Yılmaz F. Kök kanal tedavisinin yenilenme (retreatment) insidansına etki eden faktörlerin değerlendirilmesi: Retrospektif çalışma. Ondokuz Mayıs Üniversitesi Diş Hek Fak Derg. 2010;11(2):52-7.
  14. Alves dos Santos GN, Faria-e-Silva AL, Ribeiro VL, Pelozo LL, Candemil AP, Oliveira ML et al. Is the quality of root canal filling obtained by cone-beam computed tomography associated with periapical lesions? A systematic review and meta-analysis. Clin Oral Investig. 2022;26(8):5105-16.
  15. Georgopoulou MK, Spanki-Voredani AP, Pantazis N. Periapical status and quality of root canal fillings and coronal restorations in a Greek population. Quintessence Int. 2008;29:85-92.
  16. Moreno JO, Alves FR, Goncalves LS. Periradicular status and quality of root canal fillings and coronal restorations in an urban Colombian population. J Endod. 2013;39:600-4.
  17. Siqueira JF, Rocas IN, Alves FRF. Periradicular status related to the quality of coronal restorations and root canal fillings in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:369-74.
  18. Popoola BO, Ayebameru OE, Olanloye OM. Endodontic treatment in children: a five-year retrospective study of cases seen at the University College Hospital, Ibadan, Nigeria. Ann Ibd Pg Med. 2018;16(2):136-41.
  19. Güler Ç, Gürbüz T, Yılmaz Y. İki farklı kök kanal şekillendirme yöntemi, irrigasyon solüsyonu ve dolgu maddesi kullanılarak kök kanal tedavisi yapılan çocuklarda gingival kriterlerin değerlendirilmesi. Atatürk Üniv Diş Hek Fak Derg. 2009;19(3):168-76.
  20. Al-Madi EM, Al Saleh SA, Bukhary SM, Al-Ghofaily MM. Endodontic and restorative treatment patterns of pulpally involved immature permanent posterior teeth. Int J Dent. 2020;2020:9016926.
  21. Duggal M, Tong HJ, Al-Ansary M, et al. Interventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric Dentistry. Eur Arch Paediatr Dent. 2017;18(3):139-51.
  22. Garip G, Nur BG, Altunsoy M, Ok E. Süt dişlerinde nikel titanyum döner aletlerinin kullanımının değerlendirilmesi. Atatürk Üniv Diş Hek Fak Derg. 2015;25(2):249-57.
  23. Hecksher F, Vidigal B, Coelho P, Otoni D, Alvarenga C, Nunes E. Endodontic treatment in artificial deciduous teeth through manual and mechanical instrumentation: a pilot study. Int J Clin Pediatr Dent. 2019;12(1):15-7.
  24. Tekin A, Hepşenoğlu YE, Erşahan Ş, Arıkan NS. Technical quality of root canal treatment performed by undergraduate students using rotary instruments versus hand instruments: a retrospective study. Selcuk Dent J. 2023;10(2):468-73.
  25. Yusufoğlu Sİ, Sarıçam E. Comparison of endodontic treatment qualities of molar teeth performed by endodontists and practitioners: a radiographic analysis. Selcuk Dent J. 2021;8:127-32.
  26. Dhafar W, Sabbagh HJ, Albassam A, Turkistani J, Zaatari R, Almalik M et al. Outcomes of root canal treatment of first permanent molars among children in Jeddah, Saudi Arabia: a retrospective cohort study. Heliyon. 2022;8(10):e11104
  27. Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J. 1995;28:12-8.
  28. Ørstavik D. Reliability of the periapical index scoring system. Scand J Dent Res. 1988;96(2):108-11.
  29. Çaparlar CÖ, Dönmez A. Bilimsel araştırma nedir, nasıl yapılır? Turk J Anaesthesiol Reanim. 2016;44:212-8.
  30. Taşsöker M, Akgünlü F. Radiographic evaluation of periapical status and frequency of endodontic treatment in a Turkish population: a retrospective study. J Istanbul Univ Fac Dent. 2016;50(2):10-6.
  31. Estrela C, Bueno MR, Leles CR, Azevedo B, Azevedo JR. Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis. J Endod. 2008;34(3):273-9.
  32. Stera G, Giusti M, Magnini A, Calistri L, Izzetti R, Nardi C. Diagnostic accuracy of periapical radiography and panoramic radiography in the detection of apical periodontitis: a systematic review and meta-analysis. Radiol Med. 2024;129(11):1682-95.
  33. Suparno NR, Faizah A, Nafisah AN. (2023). Assessment of panoramic radiograph errors: an evaluation of patient preparation and positioning quality at soelastri dental and oral hospital. Open Dent J. 2023;17:1-9.
  34. Keskin C, Uzun İ, Kalyoncuoğlu E, Güler B, Özyürek T. Koronal restorasyon ve kök kanal dolgularının kalitesi ile tedavi sonrası apikal periodontitis ilişkisinin retrospektif incelenmesi. Ondokuz Mayıs Üniversitesi Diş Hek Fak Derg. 2012;13(3):15-21.
  35. 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;112:136-42.
  36. Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J. 2002;35:680-9.
  37. Tronstad L, Asbjørnsen K, Døving L, Pedersen I, Eriksen HM. Influence of coronal restorations on the periapical health of endodontically treated teeth. Endod Dent Traumatol. 2000;16:218-21.
  38. Sari Ş, Durutürk L. Radiographic evaluation of periapical healing of permanent teeth with periapical lesions after extrusion of AH Plus sealer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(3):e54-e59.
  39. Murphy WK, Kaugars GE, Collett WK, Dodds RN. Healing of periapical radiolucencies after nonsurgical endodontic therapy. Oral Surg Oral Med Oral Pathol. 1991;71(5):620-4.
  40. Huumonen S, Ørstavik D. (2013). Radiographic follow-up of periapical status after endodontic treatment of teeth with and without apical periodontitis. Clin Oral İnvestig. 2013:17(9):2099-104.
  41. Andreasen JO, Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth. Munksgaard, Copenhagen; 1994. p. 61.