牙科学院就诊的HIV感染患者的根尖周病变：临床发现、社会人口统计学状况、习惯及实验室数据——探寻关联

Periradicular lesions in HIV-infected patients attending the faculty of dentistry: clinical findings, socio-demographics status, habits and laboratory data - seeking an association.

作者信息

Fontes Tatiana Vasconcellos, Ferreira Sonia Maria Soares, Silva-Júnior Arley, Dos Santos Marotta Patrícia, Noce Cesar Werneck, Ferreira Dennis de Carvalho, Gonçalves Lucio Souza

机构信息

Dental School, Estácio de Sá University, Rio de Janeiro, RJ, Brazil.

Dental School, Educational Foundation Jayme de Altavila (FEJAL/CESMAC), Maceió, AL, Brazil.

出版信息

Clinics (Sao Paulo). 2014 Sep;69(9):627-33. doi: 10.6061/clinics/2014(09)09.

DOI:10.6061/clinics/2014(09)09

PMID:25318095

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4192428/

Abstract

OBJECTIVE

The purpose of this study was to estimate the prevalence of periradicular lesions in HIV-infected Brazilian patients and to assess the correlation of several factors with the periradicular status.

METHOD

One hundred full-mouth periapical radiographs were evaluated. A total of 2,214 teeth were evaluated for the presence of periradicular lesions, caries lesions, coronal restorations, pulp cavity exposure and endodontic treatment.

RESULTS

The prevalence of periradicular lesions was 46%. There were no significant differences between individuals with or without periradicular lesions with respect to their socio-demographic status, habits, laboratory data and route of HIV infection. However, the presence of a periradicular lesion was statistically correlated with the number of teeth with endodontic treatment (p = 0.018), inadequate endodontic treatment (p = 0.025), images suggesting pulp cavity exposure (p = 0.002) and caries lesions (p = 0.001).

CONCLUSIONS

The prevalence of periradicular lesions in HIV-infected individuals was 46% and was not related to HIV infection.

摘要

目的

本研究旨在评估巴西艾滋病病毒（HIV）感染者根尖周病变的患病率，并分析多种因素与根尖周状况的相关性。

方法

对100例全口根尖片进行评估。共对2214颗牙齿进行检查，以确定是否存在根尖周病变、龋损、冠修复、髓腔暴露及根管治疗情况。

结果

根尖周病变的患病率为46%。在社会人口统计学状况、习惯、实验室数据及HIV感染途径方面，有或无根尖周病变的个体之间无显著差异。然而，根尖周病变的存在与接受过根管治疗的牙齿数量（p = 0.018）、根管治疗不充分（p = 0.025）、提示髓腔暴露的影像（p = 0.002）及龋损（p = 0.001）在统计学上相关。