Prevalence of apical periodontitis and quality of root canal treatment in an adult Saudi population

Abstract

Objectives:To determine the health status of periradicular tissue and the quality of root canal fillings in an adult Saudi population attending dental clinics for the first time.Methods:This cross sectional study was conducted in the dental clinics at King Saud University, Riyadh and other dental centers (Jeddah, Najran, and Albaha City), Kingdom of Saudi Arabia between year 2010 and 2012. Good-quality panoramic radiographs of 926 Saudi subjects (540 males and 386 females)were analyzed based on the gender, age, health status, smoking habits, periapical status of the endodontically treated teeth, technical quality of the root canal fillings, and the presence or absence of coronal restoration. Data were calibrated and statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS Inc., Chicago, IL, USA) version 17.Results:Of the 25,028 teeth examined, 1,556 teeth (6.2%) had apical periodontitis (AP). Male subjects aged over 55 years and females between 36 and 45 years had higher AP. A total of 36 diabetic and 87 smokers subjects had AP. The AP was more common in male diabetics than female (p=0.383), and in female smokers more than male (p=0.44). Only 42.2% of male and 57.7% of female teeth had adequate root canal treatment.Conclusions:Apical periodontitis was significantly related to diabetes, smoking, and inadequate endodontic treatment.

Apical Periodontitis and Diabetes Mellitus Type 2: A Systematic Review and Meta-Analysis

“…Only four articles met the inclusion criteria: 2 studies in animals [38,39] and 2 studies in humans [40,41]. Finally, 21 article were included, 10 studies in animals [22][23][24][25][26][27][28][29]38,39], 10 studies in humans [30][31][32][33][34][35][36][37]40,41] and 1 systematic review [11] (Figure 1).…”

“…The frequency of AP was more significant in patients with long-term DM than in those with short-term DM. Analysis of the levels of evidence in human studies showed 10 articles, classified as the following: 6 cross-sectional studies descriptive type, representing 60% of the articles included [31,33,35,37,40,41]; three prospective studies 30% [30,34,36] and 1 retrospective study 10% [32]. In these studies, 2088 patients were analyzed, in which the n value was highly variable: 1214 patients [30], 291 patients [35], 90 patients [31], 62 patients [32], 83 patients [33], 46 patients [36], 100 patients [40], 80 patients [34], and 122 patients [41].…”

“…Figure 2a shows the results of the meta-analysis from the data extracted from the studies [31,35] assessing the prevalence of teeth with AP among patients with DM, indicating an odds ratio of 1.166 and a p value = 0.02 (95% CI: 1.018 to 1.336, heterogeneity I 2 = 4.06%, p = 0.30). Figure 2b demonstrates the results of the meta-analysis from the data extracted from the studies [34,36,37,40] assessing the prevalence of patients with AP and DM indicating an odds ratio of 1.552 and a p value = 0.807 (95% CI: 0.046 to 52.701, heterogeneity I 2 = 98.23%, p = < 0.001).…”

“…Regarding the level of evidence and degree of recommendation (OCEBM), a type B recommendation was found in all studies [30][31][32][33][34][35][36][37]40,41] and a level of evidence of 2b [30,34,36] and 3b in the rest of the investigations [31][32][33]35,37,40,41].…”

Association of Periapical Status of Endodontically Treated Teeth with Restoration and Root Canal Filling Quality

“…(8,(23)(24)(25)(26)(27)(28) For countries located in the Middle East, only limited information is available. (29,30) To the best of our knowledge, there are few studies evaluating the prevalence of apical periodontitis in root canaltreated teeth in the Iranian population; (31) therefore, the aim of the present descriptive, historical cohort study was to assess the coronal restoration status, root canal filling quality, periapical health condition, and related factors in endodontically treated teeth at the Dental Faculty of Islamic Azad University of Medical Sciences, Tehran, Iran, in 2011-12.…”