Root Canal Treatment and Apical Periodontitis in a Brazilian Population with Type 1 Diabetes Mellitus: A Cross-sectional Paired Study
| Autor: | Diandra Costa Arantes, Francisco Ivison Rodrigues Limeira, Daniela Pita de Melo, Patrícia Meira Bento, Cláudia Silami de Magalhães, Carla de Souza Oliveira |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty endocrine system diseases Cross-sectional study Logistic regression law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Internal medicine Diabetes mellitus Prevalence medicine Humans General Dentistry Periodontitis Type 1 diabetes Periapical periodontitis business.industry nutritional and metabolic diseases 030206 dentistry Odds ratio medicine.disease Root Canal Therapy Cross-Sectional Studies Diabetes Mellitus Type 1 030104 developmental biology Dental Pulp Cavity business human activities Brazil Periapical Periodontitis |
| Zdroj: | Journal of Endodontics. 46:756-762 |
| ISSN: | 0099-2399 |
| DOI: | 10.1016/j.joen.2020.02.010 |
| Popis: | Introduction This study radiographically analyzed the prevalence of root canal treatment (RCT) and apical periodontitis (AP) in type 1 diabetes mellitus (T1DM) and nondiabetic individuals and its association with the history/current status of T1DM. Methods In a cross-sectional paired study, the radiographic records of 50 individuals with T1DM and 100 age- and sex-matched nondiabetic subjects were examined. The presence of RCT and AP was evaluated. Information regarding the history and current status of T1DM was collected from the medical records of each patient. Results One or more RCTs were found in 76% and 44% of diabetic and nondiabetic subjects, respectively (P = .000). AP in 1 or more teeth was found in most T1DM patients (58%) and in 15% of the control subjects (P = .000). One or more RCTs associated with AP were found in 52% and 8% of T1DM and nondiabetic subjects, respectively (P = .000). Bivariate logistic regression analyses suggested that RCT (odds ratio [OR] = 10.435, P = .000), AP (OR = 3.508, P = .011), and RCT + AP (OR = 7.220, P = .000) were significantly associated with the presence of T1DM. Multivariate logistic regression showed that among T1DM individuals, there is an association between 11–15 years of diagnosis time and at least 1 RCT (OR = 46.316, P = .038) and an association between T1DM control and at least 1 tooth with AP (OR = 15.611, P = .016). Conclusions RCT, AP, and RCT with AP were more prevalent in individuals with T1DM than in nondiabetic individuals. RCT and AP were associated with the presence of T1DM, specifically RCT with diagnostic time and AP with glycemic control. |
| Databáze: | OpenAIRE |
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