类风湿关节炎患者根尖周稀疏性骨炎的患病率。
Prevalence of Periapical Rarefying Osteitis in Patients with Rheumatoid Arthritis.
机构信息
Department of Endodontics, Texas A&M University College of Dentistry, Dallas, Texas.
Department of Endodontics, Texas A&M University College of Dentistry, Dallas, Texas.
出版信息
J Endod. 2017 Jul;43(7):1093-1096. doi: 10.1016/j.joen.2017.02.015. Epub 2017 May 2.
INTRODUCTION
The effect of rheumatoid arthritis (RA) on the healing and pathophyisiology of apical periodontitis is unknown because there is no study in the literature evaluating the association of RA with the prevalence of periapical rarefying osteitis (PAR) and endodontic treatment. Therefore, the goal of this cross-sectional study was to evaluate the prevalence of PAR and root canal treatment in RA patients when compared with controlled individuals.
METHODS
Full-mouth radiographs of 131 individuals with RA were examined and compared with 131 controls that were sex and age matched exactly with the diseased group. The total number of teeth, presence or absence of root canal filling, quality of root canal filling, quality of restoration, and periapical status were recorded.
RESULTS
Overall, the prevalence of teeth with PAR was 4.0% in the diseased group and 3.5% in the control group (P > .05). The prevalence of root canal-treated teeth was 6.2% in the RA group and 5.6% in the control group (P > .05). Controls have significantly more teeth than those with RA (P = .027).
CONCLUSIONS
The prevalence of PAR and endodontic treatment was not significantly different in individuals with RA compared with control patients.
简介
类风湿关节炎（RA）对根尖周炎的愈合和病理生理学的影响尚不清楚，因为目前尚无研究评估 RA 与根尖稀疏骨炎（PAR）的患病率和根管治疗之间的关联。因此，本横断面研究的目的是评估与对照组相比，RA 患者 PAR 和根管治疗的患病率。
方法
检查了 131 名 RA 患者的全口 X 光片，并与性别和年龄与患病组完全匹配的 131 名对照者进行了比较。记录了牙齿总数、根管充填的存在或缺失、根管充填质量、修复质量和根尖状态。
结果
总体而言，患病组 PAR 牙齿的患病率为 4.0%，对照组为 3.5%（P>.05）。RA 组根管治疗牙齿的患病率为 6.2%，对照组为 5.6%（P>.05）。对照组的牙齿数量明显多于 RA 组（P=.027）。
结论
与对照组患者相比，RA 患者的 PAR 和根管治疗的患病率无显著差异。
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