Factores asociados al fracaso endodóntico a través del análisis radiográfico.

Abstract

Introduction: Endodontics plays a crucial role in dental preservation, yet failures persist as a clinical challenge. This study addresses the importance of analyzing and diagnosing these failures to enhance patients' quality of life. Objective: To determine radiographic factors linked to endodontic failure through a comprehensive analysis of X-rays. Materials and Methods: An observational and retrospective study at the Catholic University of Santiago de Guayaquil analyzed clinical records and X-rays of failed endodontic treatments. The sample consisted of 103 cases based on inclusion criteria. Results: 64.1% of patients were females, with 67.9% of maxillary teeth. Most lacked significant personal history. Issues like apical leakage (82.5%) and underfilling (78.6%) were notable. Restoration phase quality showed deficiencies, with 76.7% lacking coronal sealing. Conclusion: The study reveals worrisome trends, emphasizing the need to improve endodontic diagnosis and treatment quality. Further research and specific actions are urged to optimize treatment efficacy and longevity, benefiting patients.