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机构养老老年人的根尖周状况及根管治疗患病率

Periapical status and prevalence of endodontic treatment in institutionalized elderly.

作者信息

Hebling Eduardo, Coutinho Lorena Alves, Ferraz Caio Cézar Randi, Cunha Fernanda Lopes, Queluz Dagmar de Paula

机构信息

Department of Community Dentistry, School of Dentistry of Piracicaba, University of Campinas, Piracicaba, SP, Brazil.

Department of Restorative Dentistry, School of Dentistry of Piracicaba, University of Campinas, Piracicaba, SP, Brazil.

出版信息

Braz Dent J. 2014;25(2):123-8. doi: 10.1590/0103-6440201302348.

Abstract

The aim of this study was to determine the prevalence and frequency of apical periodontitis and root fillings in 450 institutionalized Brazilian elderly. The teeth with apical periodontitis were assessed using the Periapical Index (PAI) score. A total of 942 teeth were evaluated in 98 subjects (57 females and 41 males) with mean age of 74 years. The observed frequency of total edentulous subjects was high (76%) in this population. A total of 126 teeth showed root fillings, of these only 46 (36.5%) were scored as having adequate quality. Apical periodontitis was found in 114 teeth (12.1%) in 42 (42.9%) subjects. 80 (70.2%) inadequate root-filled teeth showed apical periodontitis. There was a significant correlation between the presence of periapical pathology and inadequate root-filled teeth. Inadequate root-filled teeth were associated with an increased prevalence of apical periodontitis in these subjects. This fact may result in increased endodontic retreatment needs for this population.

摘要

本研究的目的是确定450名巴西老年住院患者根尖周炎和根管充填的患病率及发生频率。使用根尖指数(PAI)评分评估患有根尖周炎的牙齿。对98名受试者(57名女性和41名男性)的942颗牙齿进行了评估,平均年龄为74岁。在该人群中,观察到的无牙受试者总频率较高(76%)。共有126颗牙齿进行了根管充填,其中只有46颗(36.5%)的评分显示充填质量合格。在42名(42.9%)受试者的114颗牙齿(12.1%)中发现了根尖周炎。80颗(70.2%)根管充填不合格的牙齿显示有根尖周炎。根尖周病变的存在与根管充填不合格的牙齿之间存在显著相关性。根管充填不合格的牙齿与这些受试者根尖周炎患病率的增加有关。这一事实可能导致该人群根管再治疗需求的增加。

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