ABSTRACT
AIM: This observational cohort study aimed: (i) to determine retrospectively after a 1- to 12-year follow-up period, the strength and independence of the association of various patient-, tooth- and treatment-related prognostic variables with the outcome of root canal treatment in patients with pre-therapeutic apical periodontitis; and (ii) to establish the concordance between those predictors evaluated by both cone-beam computed tomography (CBCT) and digital periapical radiography (DPR). METHODOLOGY: The study cohort included 125 teeth in 84 individuals. The postoperative clinical signs/symptoms, plus DPR/CBCT-PAI estimations, were used to determine the healing outcome. For statistical analysis, results were dichotomized into completely healed periapical structures versus persistent disease cases. The association between candidate predictor variables with persistent disease was analysed individually and adjusted for confounders using a multivariate binary logistic regression model. RESULTS: The success rate was 53.6%. After logistic regression analysis, mandibular tooth location, periapical lesion size >10 mm, poor quality of the coronal restoration, lack of magnification/illumination, lack of disinfection of gutta-percha, time elapsed to definitive coronal restoration >1 week and poor density of root canal filling remained as robust predictors of failures. Concordance between DPR and CBCT scores varied from moderate to almost perfect agreement. CONCLUSIONS: The findings of this study suggest that several tooth- and treatment-related predictor variables, including tooth location, periapical radiolucency size, quality of the coronal restoration, magnification/illumination, disinfection of gutta-percha, time elapsed to definitive coronal restoration, as well as, the density of root canal filling may act strongly and independently for determining the root canal treatment outcome in teeth with pre-therapeutic apical periodontitis.
Subject(s)
Dental Pulp Cavity , Periapical Periodontitis , Cohort Studies , Cone-Beam Computed Tomography , Humans , Prognosis , Retrospective Studies , Root Canal TherapyABSTRACT
Partial discharges measurement is one of the most useful tools for condition monitoring of high-voltage (HV) equipment. These phenomena can be measured on-line in radiofrequency (RF) with sensors such as the Vivaldi antenna, used in this paper, which improves the signal-to-noise ratio by rejecting FM and low-frequency TV bands. Additionally, the power ratios (PR), a signal-processing technique based on the power distribution of the incoming signals in frequency bands, are used to characterize different sources of PD and electromagnetic noise (EMN). The calculation of the time length of the pulses is introduced to separate signals where the PR alone do not give a conclusive solution. Thus, if several EM sources could be previously calibrated, it is possible to detect pulses corresponding to PD activity.
ABSTRACT
La Central de Esterilización, como centro productor del hospital, está sometida a diferentes normas y leyes que garantizan la seguridad de los pacientes y la calidad de la atención sanitaria. En la medida en que la Central de Esterilización es unidad funcional y un proveedor interno de productos sanitarios, dee adoptar un sistema de garantía de calidad de producción equivalente a la que la normativa exige al resto de proveedores
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