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巴西成年人群中接受过根管治疗牙齿的患病率。

Prevalence of endodontically treated teeth in a Brazilian adult population.

作者信息

Hollanda Augusto César Braz, de Alencar Ana Helena Gonçalves, Estrela Cyntia Rodrigues de Araújo, Bueno Mike Reis, Estrela Carlos

机构信息

Dental School, Federal University of Goiás, Goiânia, GO, Brazil.

出版信息

Braz Dent J. 2008;19(4):313-7. doi: 10.1590/s0103-64402008000400005.

Abstract

This cross-sectional study examined the prevalence of endodontically treated teeth in 1,401 Brazilian adults. Panoramic radiographs were selected at the Radiological Center of Orofacial Images (CRIOF, Cuiabá, MT, Brazil) between August 2002 and September 2007. Three independent endodontists discussed interpretation criteria and classified specimens according to the following data: presence of root canal treatment, which was defined as partially or completely filled canal space, regardless of whether filling ended at the radiographic apex or not; presence of intracanal post; and associated apical periodontitis. Odds ratio, logistic regression and a chi-square test were used for statistical analyses. Significance level was set at p<0.05. Of 29,467 teeth evaluated, 6,313 (21.4%) were treated endodontically. Endodontic treatment was most frequent in maxillary premolars and molars, whereas mandibular incisors showed the lowest prevalence. Most endodontically treated teeth were found in people aged 46 to 60 years (47.6%, p<0.001) and the prevalence increased with age in this age range. Females (61.9%, p<0.001) showed a higher prevalence of teeth with root fillings than males. The present study found a higher prevalence of endodontically treated teeth in a Brazilian adult population compared to the prevalence reported in epidemiological studies conducted in other countries.

摘要

这项横断面研究调查了1401名巴西成年人中接受过根管治疗的牙齿的患病率。在2002年8月至2007年9月期间,从巴西马托格罗索州库亚巴市口腔颌面影像放射中心(CRIOF)选取了全景X光片。三名独立的牙髓病医生讨论了解读标准,并根据以下数据对样本进行分类:根管治疗的存在情况,定义为根管空间部分或完全充填,无论充填是否在X光片根尖处结束;根管内桩的存在情况;以及相关的根尖周炎。使用比值比、逻辑回归和卡方检验进行统计分析。显著性水平设定为p<0.05。在评估的29467颗牙齿中,6313颗(21.4%)接受了根管治疗。根管治疗在上颌前磨牙和磨牙中最为常见,而下颌切牙的患病率最低。大多数接受根管治疗的牙齿出现在46至60岁的人群中(47.6%,p<0.001),并且在这个年龄范围内患病率随年龄增长而增加。女性(61.9%,p<0.001)根管充填牙齿的患病率高于男性。本研究发现,与其他国家进行的流行病学研究报告的患病率相比,巴西成年人群中接受根管治疗的牙齿患病率更高。

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