UNC School of Dentistry - The University of North Carolina at ...

#63 Outcome Study of Gutta-Percha and ResilonTM Filled Root Canals: A Radiographic andClinical AnalysisA. TEHRANY 1 , E.M. RIVERA 1 , F.B. TEIXEIRA 2 , and D.J. CAPLAN 31 University of North Carolina, Chapel Hill, 2 University of Texas Dental School, San Antonio, 3 University of Iowa,Iowa City, IAThe purpose of this study was to evaluate the clinical and radiographic outcome of teeth diagnosed as havingNecrotic Pulp with Chronic Apical Periodontitis when root canal treated and filled with ResilonTM. It washypothesized that endodontically treated teeth filled with ResilonTM would have similar clinical and radiographicoutcomes of success as those found in previous studies utilizing gutta-percha as the filling material. Patientsreceived standardized endodontic treatment by undergraduate dental students in a university setting; 45 teeth wererecalled after a minimum of 12 months. A clinical assessment based on symptoms and diagnostic tests and aradiographic assessment comparing pre-operative and follow-up radiographs using the Periapical Index wereperformed. The teeth were classified as healed, healing or not healed. Patients presenting with complaints of pain,the presence of swelling and/or sinus tract, sensitivity to percussion and/or palpation, attachment loss greater than5mm, tooth mobility greater than +1 and/or a periapical radiolucency on the radiograph that was equal to or largerthan the initial pre-operative image were classified as not healed. Patients who presented with none of the aboveand a decreased size of the periapical radiolucency were classified as healing and those with complete resolutionof the periapical radiolucency were classified as healed. Initial findings indicate that endodontically treated teethfilled with ResilonTM show outcomes of success similar to previous studies employing gutta-percha. Anadditional finding indicated that teeth classified as not healed showed a tendency to be attributed to delay and/orlack of a permanent coronal restoration following root canal therapy.#64 The Impact of Caregiver Oral Health Literacy on Children’s Oral Health OutcomesE.K. MILLER, J.Y. LEE, D DeWalt and W.F. VANN Jr.Departments of Pediatric Dentistry and Medicine, UNC Schools of Medicine and DentistryThis investigation is a prospective cross-sectional study that will assess the relationship of the primary caregiver’soral health literacy and the child’s oral health outcomes. This investigation will discern the role of literacy in oralhealth outcomes and will determine if parental literacy skills are related to poor oral health knowledge, behaviorsand children’s oral health status or if disparities still remain among individuals with equivalent literacy levels. Thespecific aims are 1) to examine the relationship between oral health literacy and oral health behaviors, oral healthknowledge and the primary caregiver’s reports of the child’s oral health status and 2) to examine literacy as apredictor of a) minimal or no disease versus b) advanced disease requiring 3-4 restoration appointments. Indisentangling the relationships between literacy, behavior, knowledge, and outcomes, this investigation will be thefirst to provide a framework needed to design programs to improve caregiver-provider health communication andmore effective caregiver oral health education and anticipatory guidance, and ultimately improve children’s oralhealth status.40