Authors: Valdet Iseini, Lidija Popovska, Arber Xheladini

DOI: To be acquired

Keywords: Rooth canal filling, radicular post, cavity, apical part, periodontium.

ABSTRACT

Introduction: Endodontic therapy is often initiated in teeth with a large carious lesion or fracture, in order to eliminate the root canal infection and prevent advanced contamination. These teeth are often restored with a posts and crown. As a result of preparation of the posts space, there is often damage to the remaining part of the apical filling.
Aim: The aim of the paper is to analyze the quality of post space based on its performance and condition of the quality of the filling and periodontium.
Materials and methods: This paper includes 300 periapical X-rays of teeth on which are posts placed. The teeth are divided into three groups depending on the type of posts placed. Group 1 fabricated post with screw; group 2 fabricated posts shaped cylinder that is cemented and group 3 teeth with cast posts. We has made a form for each group where the quality of the filling, the gap between the post and the filling, the location of the post in the root canal and the condition of the periodontium are recorded.
Results: From the analyzed periapical recordings, 102 (34%) had adequate filling, 159 (53%) had inadequate filling, and 39 (13%) lacked filling.The ideal filling does not differ much in terms of the type of peg. In case of inadequate filling, the most common was group 1. 67 (42.2%). Group 3. 26 (66.7%) is present where charging is missing. There was an empty space between the peg and the filling at 231 (77%). Properly placed peg in the channel was at 234 (78%). Healthy periodontium 89 (30%), 108 (36%) with slightly altered periodontium, 76 (25%) had a small lesion, and 27 (9%) had a cyst or granuloma, and osteosclerosis was not observed in any of the cases.
Conclusion: : The results show that 66% had intact periodontium (30% healthy and 36% slightly enlarged), 25% had a small lesion, and 9% had a large cyst or granuloma. Remaining filling in the canal is a major factor affecting the health of the apical periodontium. The biggest disturbance is obtained when preparing for a post cast. And according to the position, the factory posts are more likely to be incorrectly placed.