Apical periodontitis and glycemic control in type 2 diabetic patients: Cross-sectional study

Pérez‐Losada, Flor de Liz; López‐López, José; Martín-González, Jénifer; Jané‐Salas, Enric; Segura-Egea, Juan José; Estrugo‐Devesa, Albert

doi:10.4317/jced.57191

Cited by 6 publications

(16 citation statements)

References 40 publications

(59 reference statements)

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“…From Pérez‐Losada et al (2020)—‘The average glycated hemoglobin A1c (HbA1c) value was 7.0 ± 2.2%. Forty seven (21.8%) had HbA1c levels under 6.5% (mean ± standard deviation (SD) = 6.0 ± 2.2%), being considered well‐controlled patients, and 169 (78.2%) had an HbA1c level ≥6.5% (mean ± SD = 7.8 ± 2.24%), being considered poor controlled patients.…”

Section: Process Involved In Developing the Preferred Reporting Items...mentioning

confidence: 99%

PROBE 2023 guidelines for reporting observational studies in endodontics: Explanation and elaboration

Nagendrababu¹,

Duncan

Fouad

et al. 2023

Int Endodontic J

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Observational studies play a critical role in evaluating the prevalence and incidence of conditions or diseases in populations as well as in defining the benefits and potential hazards of health‐related interventions. There are currently no reporting guidelines for observational studies in the field of Endodontics. The Preferred Reporting Items for study Designs in Endodontology (PRIDE) team has developed and published new reporting guidelines for observational‐based studies called the ‘Preferred Reporting items for OBservational studies in Endodontics (PROBE) 2023’ guidelines. The PROBE 2023 guidelines were developed exclusively for the speciality of Endodontics by integrating and adapting the ‘STrengthening the Reporting of OBservational studies in Epidemiology (STROBE)’ checklist and the ‘Clinical and Laboratory Images in Publications (CLIP)’ principles. The recommendations of the Guidance for Developers of Health Research Reporting Guidelines were adhered to throughout the process of developing the guidelines. The purpose of this document is to serve as a guide for authors by providing an explanation for each of the items in the PROBE 2023 checklist along with relevant examples from the literature. The document also offers advice to authors on how they can address each item in their manuscript before submission to a journal. The PROBE 2023 checklist is freely accessible and downloadable from the PRIDE website (http://pride-endodonticguidelines.org/probe/).

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Section: Process Involved In Developing the Preferred Reporting Items...mentioning

confidence: 99%

PROBE 2023 guidelines for reporting observational studies in endodontics: Explanation and elaboration

Nagendrababu¹,

Duncan

Fouad

et al. 2023

Int Endodontic J

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show abstract

“…Three studies were excluded: one was included because it only included RFT [37], and two others were included because they did not provide data on RFT [38,39]. Finally, eight studies were selected for the systematic review and meta-analysis [11,[13][14][15][16]21,40,41].…”

Section: Selection Of the Studiesmentioning

confidence: 99%

“…Table 1 shows the main features of the included studies [11,[13][14][15][16]21,40,41]: sample size, age and sex distribution, type of diabetes suffered by the patients, radiographs used and the prevalence of RFT. Seven of them also provided data on the percentage of diabetic people with at least one RFT [11,[13][14][15]21,40,41].…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…On the other hand, several epidemiological studies on endodontic medicine have reported the high prevalence of AP among patients affected by some systemic diseases [7][8][9][10]. In the specific case of diabetes, there are many cross-sectional and case-control epidemiological studies that have found a higher prevalence of AP among diabetic patients [11][12][13][14][15][16]. Diabetes mellitus is characterized by an inadequate carbohydrate, lipidic and protein metabolism; its primary aspect is hyperglycemia [17,18].…”

Section: Introductionmentioning

confidence: 99%

“…Given the high prevalence of AP among diabetic patients [11,13,15,16,21,22], it can be expected that the prevalence of RFT is also high among those patients. However, several systematic reviews have concluded that diabetes is a major preoperative prognostic factor in root canal therapy [23][24][25], negatively influencing the treatment outcome and RFT survival rate [26,27].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Root Canal Treatments among Diabetic Patients: Systematic Review and Meta-Analysis

et al. 2023

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(1) Apical periodontitis (AP) is the inflammatory response of the periapical tissue to bacterial antigens and toxins arriving from inside the root canal after pulp necrosis. To control AP, it is necessary to interrupt the passage of antigens from the root canal to the periapex, which is achieved via a root canal treatment (RCT), which is the indicated endodontic therapy in cases of AP. The prevalence of root-filled teeth (RFT) is an indicator of the frequency of endodontic infections and the degree of dental care. Diabetes is associated with AP and has been identified as the main prognostic factor in RCT. The aim of this study was to carry out a systematic review with meta-analysis answering the following question: What is the prevalence of RFT among diabetic patients? (2) This study was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines 2020. A literature search was undertaken without limits on time or language until 12 January 2023 in PubMed-MEDLINE, Embase and Scielo. All studies reporting the prevalence of RFT among diabetic patients via radiographic examination; both panoramic and periapical radiographs were included. Meta-analyses were calculated with Open Meta Analyst software. The main outcome variable was the prevalence of RFT, calculated as the total number of RFT divided by the total number of teeth, which is expressed as a percentage. As a secondary outcome variable, the prevalence of diabetic patients with at least one RFT, expressed as a percentage, was also calculated. The quality of evidence of the included studies was analyzed according to the guidelines provided by the Centre for Evidence-Based Medicine in Oxford. The risk of bias was assessed using the Newcastle–Ottawa Scale, which was adapted for cross-sectional studies. To estimate the variance and heterogeneity amongst the trials, the Higgings I2 test was employed. (3) Eight studies fulfilled the inclusion criteria. Four studies were classified as having a high risk of bias, and four were classified as having a moderate risk of bias. The prevalence of RFT was estimated for 37,922 teeth and 1532 diabetic patients. The overall calculated prevalence of RFT among diabetic patients was 5.5% (95% CI = 4.1–6.9%; p < 0.001). The percentage of diabetics who had at least one RFT was 42.7% (95% CI = 23.9–61.4%; p < 0.001). (4) This systematic review and meta-analysis concluded that the prevalence of RFT among diabetic patients is 5.5%. More than 40% of diabetics have at least one RFT. In daily clinics, dentists should suspect that patients are undiagnosed diabetics when multiple RCT failures are observed in the same patient.

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The association between early maladaptive schemas and glycaemic control in patients with type 2 diabetes mellitus: A cross‐sectional study

Sayyadi,

Maleksaabet,

Gozashti

2023

Endocrino Diabet & Metabol

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IntroductionDiabetes is a disease with high prevalence and causes heavy economic burden. Mental and physical health are tied together and their interaction determines one's health or sickness. Early maladaptive schemas (EMSs) are suitable indicators of mental health. We investigated the association between EMSs and glycaemic control in type 2 diabetes mellitus (T2DM) patients.MethodsWe conducted a cross‐sectional study in 2021 on 150 patients with T2DM. We used two questionnaires a demographic data questionnaire, and a Young Schema Questionnaire 2 – Short Form for gathering the data. We also performed laboratory tests on our participants and used the results of fasting blood sugar and haemoglobin A1c to evaluate glycaemic control.ResultsMost of our participants were females (66%). Most of our patients were 41–60 years old (54%). There were only three single participants, and 86.6% of our individuals did not have a university degree. Total mean ± SD for EMSs score was 192.45 ± 55.66; self‐sacrifice (19.09 ± 4.64) and defectiveness/shame (8.72 ± 4.45) had the highest and lowest EMSs scores, respectively. None of the demographic data had any significant impact on EMSs scores or glycaemic control, but generally, younger patients with higher levels of education had better glycaemic control. Participants with higher scores for defectiveness/shame and insufficient self‐control had significantly worse glycaemic control.ConclusionMental and physical health are tied together, and paying attention to psychological aspects in prevention and management of physical disorders is crucial. EMSs, especially defectiveness/shame and insufficient self‐control are associated with glycaemic control of T2DM patients.

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Apical periodontitis and glycemic control in type 2 diabetic patients: Cross-sectional study

Cited by 6 publications

References 40 publications

PROBE 2023 guidelines for reporting observational studies in endodontics: Explanation and elaboration

PROBE 2023 guidelines for reporting observational studies in endodontics: Explanation and elaboration

Prevalence of Root Canal Treatments among Diabetic Patients: Systematic Review and Meta-Analysis

The association between early maladaptive schemas and glycaemic control in patients with type 2 diabetes mellitus: A cross‐sectional study

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