Impact of diabetes mellitus, hypertension, and coronary artery disease on tooth extraction after nonsurgical endodontic treatment
| Autor: | Chih-Hao Wang, Shih-Chung Chen, Yen-Chen Anne Feng, Ling-Huey Chueh, Chun-Pin Chiang, Chuhsing Kate Hsiao |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Systemic disease medicine.medical_specialty Root canal Taiwan Dentistry Coronary Artery Disease Risk Assessment Coronary artery disease Diabetes Complications Young Adult stomatognathic system Internal medicine Diabetes mellitus Outcome Assessment Health Care Diabetes Mellitus Medicine Humans Prospective Studies Treatment Failure Prospective cohort study General Dentistry Aged Proportional Hazards Models Tooth Nonvital business.industry Proportional hazards model Hazard ratio Middle Aged medicine.disease Root Canal Therapy stomatognathic diseases medicine.anatomical_structure Hypertension Retreatment Tooth Extraction Female business Risk assessment Follow-Up Studies |
| Zdroj: | Journal of endodontics. 37(1) |
| ISSN: | 1878-3554 |
| Popis: | Limited prospective data are available on the long-term prognosis of teeth receiving nonsurgical root canal treatment (NSRCT) in patients with systemic diseases including diabetes mellitus (DM), hypertension (HT), and coronary artery disease (CAD). This prospective study aimed to elucidate the impact of systemic diseases on the risk of tooth extraction after NSRCT.A total of 49,334 NSRCT teeth were randomly selected from databank in October 2003 and were followed for 2 years for tooth extraction after NSRCT. Cox proportional hazards model was used to estimate the risk of tooth extraction after NSRCT.Of the 49,334 teeth, 1592 (3.2%) were extracted during the 2-year follow-up period, yielding a 2-year tooth retention rate of 96.8%. We found that DM (hazard ratio [HR], 1.79), HT (HR, 1.75), and CAD (HR, 1.70) were significant risk factors for tooth extraction after NSRCT (all P values.0001) in univariate Cox proportional analyses. After adjustment for age, gender, and tooth type in multivariate analyses, DM (HR, 1.29) and HT (HR, 1.18) remained as independent risk factors (both P values.05). Simultaneous possession of 2 diseases of DM, HT, and CAD was a significant and robust predictor for an increased long-term risk of tooth extraction after NSRCT (P for trend.001).An increased risk of tooth extraction after NSRCT is significantly associated with DM, HT, and CAD individually. Moreover, the constellation of systemic disease burden also manifests the importance in addition to other potential confounders. |
| Databáze: | OpenAIRE |
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