TY - JOUR
T1 - Apical periodontitis and related risk factors
T2 - cross-sectional study
AU - Correia-Sousa, Joana
AU - Madureira, Ana Raquel
AU - Carvalho, Manuel Fontes
AU - Teles, Ana Moura
AU - Pina-Vaz, Irene
N1 - Funding Information:
This work was supported by grant R01 OH354-03 from the Center for Disease Control/National Institutes of Occupational Safety and Health (CDC/NIOSH). We thank MSgt Jim McCafferty, Capt Jennifer Riedel, Capt Gayl Siegel, Dan Pollard, and Dr John O'Lear for their excellent technical assistance.
Publisher Copyright:
© 2015 Sociedade Portuguesa de Estomatologia e Medicina Dentária.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Objectives: The aim of this cross-sectional study was to investigate an association between the prevalence of root-filled teeth (RFT) or apical periodontitis (AP) and some systemic conditions or smoking habits in an adult Portuguese population. Methods: Medical histories, including age, gender, presence of cardiovascular disease (CVD), diabetes mellitus (DM), allergies, smoking status, and endodontic treatment data of 421 patients (10,540 teeth) were recorded. The prevalence of root filled teeth and the periapical status were assessed through panoramic radiographies. Periapical status was classified according to the Periapical index and AP was defined as PAI-score ≥3. Statistic analysis was performed with PASW Statistics 20.0 using qui-square tests, odds-ratio and confidence intervals (95%). Results: The overall prevalence of AP and RFT was 2.2% and 4.2%, respectively. RFT increased the possibility of having AP (p< 0.0001). Men's group showed a higher percentage of teeth with AP (p< 0.0001), less RFT (p = 0.05) and more residual roots (2.3%). Smoking increased the probability of having AP (p = 0.002) and RFT (p = 0.045). A positive correlation was observed between RFT and DM (p = 0.040). No statistically significant difference was found between AP and CVD, DM or allergies neither between RTF and CVD or allergies. Conclusions: The higher prevalence of AP and/or RFT in smoker subjects and in diabetic patients can suggest a relationship between oral and systemic health. More epidemiological studies are required before definitive conclusions can be made.
AB - Objectives: The aim of this cross-sectional study was to investigate an association between the prevalence of root-filled teeth (RFT) or apical periodontitis (AP) and some systemic conditions or smoking habits in an adult Portuguese population. Methods: Medical histories, including age, gender, presence of cardiovascular disease (CVD), diabetes mellitus (DM), allergies, smoking status, and endodontic treatment data of 421 patients (10,540 teeth) were recorded. The prevalence of root filled teeth and the periapical status were assessed through panoramic radiographies. Periapical status was classified according to the Periapical index and AP was defined as PAI-score ≥3. Statistic analysis was performed with PASW Statistics 20.0 using qui-square tests, odds-ratio and confidence intervals (95%). Results: The overall prevalence of AP and RFT was 2.2% and 4.2%, respectively. RFT increased the possibility of having AP (p< 0.0001). Men's group showed a higher percentage of teeth with AP (p< 0.0001), less RFT (p = 0.05) and more residual roots (2.3%). Smoking increased the probability of having AP (p = 0.002) and RFT (p = 0.045). A positive correlation was observed between RFT and DM (p = 0.040). No statistically significant difference was found between AP and CVD, DM or allergies neither between RTF and CVD or allergies. Conclusions: The higher prevalence of AP and/or RFT in smoker subjects and in diabetic patients can suggest a relationship between oral and systemic health. More epidemiological studies are required before definitive conclusions can be made.
KW - Apical periodontitis
KW - Diabetes mellitus
KW - Risk factors
KW - Smoking
KW - Periodontite apical
KW - Diabetes mellitus
KW - Fumar
KW - Fatores de risco
UR - http://www.scopus.com/inward/record.url?scp=84954321482&partnerID=8YFLogxK
U2 - 10.1016/j.rpemd.2015.08.004
DO - 10.1016/j.rpemd.2015.08.004
M3 - Article
AN - SCOPUS:84954321482
SN - 1646-2890
VL - 56
SP - 226
EP - 232
JO - Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial
JF - Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial
IS - 4
ER -
