Browsing by Subject "tooth"

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    The effect of root and bone visualization on perceptions of the quality of orthodontic treatment simulations
    (2016-05) Brownrigg, Danae
    Introduction: Technological advances in three-dimensional imaging of the dentition have provided orthodontists with more diagnostic information than ever. This study evaluated the effect of root and bone visibility on perceptions of the quality of treatment simulations to assess how the use of advanced imaging such as cone-beam computed tomography (CBCT) may influence treatment planning decisions. Methods: An online survey was used to present 141 orthodontists with setups (digital models of teeth) generated for 10 patients in 2 different types of view: with and without bone and roots as modeled from a cone-beam computed tomography scan. Using a 100-point visual analog scale, the orthodontists were asked to rate the quality of the setups from poor to ideal, and, if applicable, to identify features of concern that led them to giving a setup a less than ideal rating. Results: The quality ratings were significantly lower when roots and bone were visible in the setups (P<0.0001). Buccolingual inclination and periodontal concerns were selected significantly more often as reasons for a less-than-ideal rating when roots and bone were shown, whereas occlusal relationship, overjet, occlusal contacts, and archform were selected significantly more often as reasons for a less-than-ideal rating when roots and bone were not shown. The odds of selecting periodontal concerns as a reason for a less-than-ideal setup rating were 331 times greater when roots and bones were visible than when they were not. Conclusions: Additional diagnostic information derived from CBCT scans affects orthodontists’ perceptions of the overall case quality, which may influence their treatment planning decisions.
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    Frequency of Nonodontogenic Pain after Endodontic Therapy: A Systematic Review and Meta-Analysis
    (Elsevier, 2010-09) Nixdorf, DR; Moana-Filho, EJ; Law, AS; McGuire, LA; Hodges, JS; John, MT
    INTRODUCTION: Little is known about ill-defined pain that persists after endodontic procedures, including an estimate of the problem's magnitude. We conducted a systematic review of prospective studies that reported the frequency of nonodontogenic pain in patients who had undergone endodontic procedures. METHODS: Nonodontogenic pain was defined as dentoalveolar pain present for 6 months or more after endodontic treatment without evidence of dental pathology. Endodontic procedures reviewed were nonsurgical root canal treatment, retreatment, and surgical root canal treatment. Studies were searched in four databases electronically, complemented by hand searching. A summary estimate of nonodontogenic tooth pain frequency was derived using random-effects meta-analysis. RESULTS: Of 770 articles retrieved and reviewed, 10 met inclusion criteria, and nine had data on both odontogenic and nonodontogenic causes of pain. A total of 3,343 teeth were enrolled within the included studies and 1,125 had follow-up information regarding pain status. We identified 48 teeth with nonodontogenic pain and estimated a 3.4% (95% confidence interval, 1.4%-5.5%) frequency of occurrence. In nine articles containing data regarding both odontogenic and nonodontogenic causes of tooth pain, 56% (44/78) of all cases were thought to have a nonodontogenic cause. CONCLUSIONS: Nonodontogenic pain is not an uncommon outcome after root canal therapy and may represent half of all cases of persistent tooth pain. These findings have implications for the diagnosis and treatment of painful teeth that were previously root canal treated because therapy directed at the tooth in question would not be expected to resolve nonodontogenic pain.