Parirokh Masoud, Eghbal Mohammad Jafar, Ghoddusi Jamileh, Kakoei Shahla, Haghdoost Ali Akbar, Kakooei Sina
Oral and Dental Diseases Research Center, Dental School, Kerman University of Medical Sciences, Kerman, Iran.
Iran Endod J. 2013 Spring;8(2):48-51. Epub 2013 May 1.
As the result of epidemiological transition and aging of Iranian population, the frequencies of systemic diseases among patients in of need endodontic treatment has increased, especially within developed cities. However, there have been no concise reports of systemic diseases in Iranian patients. Based on this need, the present investigation was conducted to assess the frequency of systemic disease among patients referred to endodontic private practice in three main cities in Iran.
In a retrospective study, the frequency of systematic diseases were abstracted from the health records of patients who were referred to three private practices limited to endodontics in Kerman, Mashhad, and Tehran between 1994 to 2011.
Overall, 15,413 records of patients were assessed. The patterns of systematic diseases among endodontic patients in these three cities were different. The overall frequency of systemic disease in Kerman was significantly higher than two other cities (Kerman: 55.03%, Mashhad: 24.32%, Tehran: 22.16%; P<0.001). The most commonly occurring diseases were cardiac disease, hypertension, allergy and neurological disorders.
Since the number of endodontic patients with systematic diseases is considerably significant and varied, special training and educations for treatment of medically compromised patient should be considered at both post- and undergraduate training.
由于伊朗人口的流行病学转变和老龄化，需要进行牙髓治疗的患者中全身性疾病的发生率有所增加，尤其是在发达城市。然而，目前尚无关于伊朗患者全身性疾病的简明报告。基于这一需求，本研究旨在评估伊朗三个主要城市前往牙髓专科私人诊所就诊患者中全身性疾病的发生率。
在一项回顾性研究中，系统性疾病的发生率数据取自1994年至2011年间转诊至克尔曼、马什哈德和德黑兰三家牙髓专科私人诊所的患者的健康记录。
总体而言，共评估了15413例患者的记录。这三个城市牙髓病患者的系统性疾病模式有所不同。克尔曼全身性疾病的总体发生率显著高于其他两个城市（克尔曼：55.03%，马什哈德：24.32%，德黑兰：22.16%；P<0.001）。最常见的疾病是心脏病、高血压、过敏和神经系统疾病。
鉴于患有系统性疾病的牙髓病患者数量相当可观且各不相同，在研究生和本科培训中都应考虑对有医疗风险的患者进行特殊培训和教育。
