Apical periodontitis and related risk factors: Cross-sectional study

Correia-Sousa, Joana; Madureira, Ana Raquel; Carvalho, Mário de; Teles, Ana Moura; Pina‐Vaz, Irene

doi:10.1016/j.rpemd.2015.08.004

Cited by 18 publications

(23 citation statements)

References 72 publications

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“…The results of this study, however, were in contrast with those of other studies which found an association between the prevalence of apical periodontitis and smoking status (Correia-Sousaa et al, 2015, Kirkevang and Wenzel, 2003, Lopez-Lopez et al, 2012, Bukmir et al, 2016, Segura-Egea et al, 2011, Segura-Egea et al, 2008). Such difference is due the type of radiographs, panoramic radiographs were used to assess the periapical status by Lopez-Lopez et al, 2012, Correia-Sousaa et al, 2015, while periapical radiographs were used by Segura-Egea et al, 2011, Segura-Egea et al, 2008. Bukmir et al (2016) examined the periapical status using both panoramic and periapical radiographs.…”

Section: Discussioncontrasting

confidence: 99%

“…Prevalence of periapical lesions in smokers compared to non-smokers has been previously investigated. Some studies found increased prevalence among smokers (Correia-Sousaa et al, 2015, Kirkevang and Wenzel, 2003, Lopez-Lopez et al, 2012, Bukmir et al, 2016, Segura-Egea et al, 2011, Segura-Egea et al, 2008), while others found no significant association between smoking and apical periodontitis (Bahammam, 2012, Bergström et al, 2004, Rodriguez et al, 2013). However, all the aforementioned studies examined the periapical status using periapical or panoramic radiographs, which are both two-dimensional radiographs.…”

Section: Introductionmentioning

confidence: 99%

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Comparative analysis of prevalence of apical periodontitis in smokers and non-smokers using cone-beam computed tomography

Balto

Alabdulaaly

Bahammam

et al. 2019

The Saudi Dental Journal

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ObjectiveThe aim of this study was to compare the prevalence and size of periapical lesions among smokers and non-smokers using cone-beam computed tomography (CBCT).Materials and methodsRetrievable CBCT datasets for 46 male patients ≥18 years during a consecutive period from 2008 to 2016 were examined. The medical, smoking history and other clinical findings (signs of previous dental trauma; Decayed Missing Filled Teeth (DMFT) scores; the percentage of root filled teeth; and oral hygiene status) were obtained. Periapical status of all included teeth was assessed by CBCT images. Statistical analysis was conducted using t-test, Pearson correlation and multiple regression.ResultsThe prevalence of apical periodontitis was 13.93% in smokers and 14.26% in non-smokers with no significant difference (p = 0.936). The mean of the average size of lesions between the two groups were almost comparable, 3.50 mm in smokers and 2.89 mm in non-smokers (p = 0.567). Pearson correlation and multiple regression analysis showed that the percentage of lesion present and the average lesion size were not correlated to any independent variable.ConclusionsWhile smoking is considered a risk factor for marginal periodontitis, there was no difference between smokers and non-smokers in terms of apical periodontitis.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparative analysis of prevalence of apical periodontitis in smokers and non-smokers using cone-beam computed tomography

Balto

Alabdulaaly

Bahammam

et al. 2019

The Saudi Dental Journal

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“…The prevalence of apical periodontitis is highly correlated with poorly endodontically treated teeth, persisting or emerging as post-treatment apical periodontitis [1,2]. Nonsurgical root canal retreatment is often the first choice to manage secondary endodontic infections.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Cytotoxicity of Binary Mixtures as Root Canal Filling Solvents

et al. 2020

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Objectives: This study reports the efficacy of two solvent mixtures on the dissolution of gutta-percha and AH Plus sealer, together with the cytotoxicity. Methods: Methyl ethyl ketone (MEK), orange oil, tetrachloroethylene, MEK/tetrachloroethylene (1:1), MEK/orange oil (1:1), and chloroform (control) were tested. Twelve groups (n = 15) of standardized stainless-steel molds filled with softened gutta-percha cones and twelve (n = 15) filled with AH Plus were immersed in the corresponding mixture or individual solvent, in an ultrasonic bath, for either 2 or 5 min. The effect of the solvents was assessed qualitatively by a topographical analysis (scanning electron microscopy) and chemical analysis (Fourier transform infrared spectroscopy), and quantitatively by a weight loss and viscoelastic property (dynamic mechanical analysis) evaluation. The cytotoxicity was assessed on MG63 human osteoblastic cells. Results: The mixtures did not show the formation of new compounds. Both presented significantly higher efficacies compared to their individual solvents, suggesting a synergistic effect. Their dissolution efficacy was similar to that of chloroform, showing high cytocompatibility. Conclusions: The proposed strategy, incorporating ultrasound agitation and profiting from the synergy of adequate solvents, might enhance root canal cleanliness allowing a single-step procedure to dissolve gutta-percha and the sealer remnants, while assuring cytocompatibility with the periapical tissues.

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“…tients was significantly higher than among those without addiction (7.2% vs. 5.2%). Analyses carried out by Segura-Ege et al [30] in Spain, and by Correia-Sousa et al [35] in Portugal, also revealed this correlation, although in both countries the values of this parameter were lower: in Spain -5% and 3%, and in Portugal -3% and 1.9%, respectively. Definitely more frequent periapical lesions occurred in Croatia, where 13% of teeth with changes were observed among smokers and 10% among non-smokers [5].…”

Section: Discussionmentioning

confidence: 66%

The influence of tobacco smoking on dental periapical condition in a sample of an adult population of the Łódź region, Poland

Sopińska

Bołtacz-Rzepkowska

2020

Int J Occup Med Environ Health

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Objectives: Epidemiological studies show that apical periodontitis (AP), alongside tooth decay, is the most common oral disease. The aim of the study was to evaluate the influence of smoking on the prevalence of AP in the population of the Łódź region, Poland. Material and Methods: The study involved 815 first-time, randomly selected patients reporting to the Central Teaching Hospital of the Medical University of Lodz. The studied group was a systematic sample of the population admitted for treatment in 2016. The study consisted of a questionnaire and a radiological part. Each patient filled out a questionnaire containing demographic data, and an interview regarding smoking and diabetes. The radiological part of the study included the analysis of panoramic radiographs which showed the periapical status, and the presence and quality of root canal treatment. Results: Teeth with AP were observed more frequently in patients addicted to tobacco either at the time of the study or in the past (group 1)-7.2% than in people who had never smoked (group 2)-5.2% (p < 0.0005). In the teeth without root canal treatment, AP was observed more frequently in group 1-3.5% than in group 2-1.9% (p < 0.0005). A statistically significant difference was found in the percentage of endodontically treated teeth between group 1 and group 2 (10.7% vs. 9.6%) (p = 0.017). However, no difference was observed in the frequency of AP in the endodontically treated teeth in both groups (37.6% vs. 35.8%) (p = 0.451). Conclusions: Smokers are a group facing an increased risk of AP and, therefore, there is a need for an early detection and treatment of caries and its complications in this group of patients. The multifactorial etiology of AP indicates the necessity to undertake further studies on the effect of smoking on the periapical status.

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Apical periodontitis and related risk factors: Cross-sectional study

Cited by 18 publications

References 72 publications

Comparative analysis of prevalence of apical periodontitis in smokers and non-smokers using cone-beam computed tomography

Comparative analysis of prevalence of apical periodontitis in smokers and non-smokers using cone-beam computed tomography

Efficacy and Cytotoxicity of Binary Mixtures as Root Canal Filling Solvents

The influence of tobacco smoking on dental periapical condition in a sample of an adult population of the Łódź region, Poland

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