http://doi. org/10.24873/j. rpemd. 2020.11. 721

作者: Bruna Pauli Schmitt , Luis André Mendonça Mezzomo , Lucas da Fonseca Roberti Garcia , João Carlos Antunes Sampaio Fernandes , Paula Cristina dos Santos Vaz Fernandes

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摘要: Objective: This study retrospectively correlated metallic cast retainers’ length with the quality of the remaining apical sealing.Methods: A total of 320 periapical radiographs were analyzed by two independent, calibrated examiners. The retainers’ length was classified as adequate, short, and long (2/3,< 2/3, and> 2/3 of the root length, respectively). The quality of the remaining apical sealing was assessed considering three aspects: lateral compaction, distance to the root apex, and amount of remaining filling material. A chi-square test at a 5% significance level was used for statistical analysis.Results: Of the 443 intracanal retainers assessed, 14.9% were adequate, 82.4% short, and 2.7% long. Regarding endodontic treatment aspects, 76.1% were inadequate in at least one aspect, whereas approximately 50% were incorrect in all aspects analyzed (p= 0.0003). When both prosthetic and endodontic aspects were considered, 5.9% of the treatments were considered appropriate, 16.9% clinically acceptable, and 77.2% inadequate.Conclusions: Suitable retainers were 2.5 times more frequent in teeth with adequate endodontic treatment. The low frequency of appropriate intracanal retainers suggests inappropriate endodontic treatment.

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