Post-Graduate Program in Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Post-Graduate Program in Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
J Endod. 2020 Jun;46(6):756-762. doi: 10.1016/j.joen.2020.02.010. Epub 2020 Apr 13.
This study radiographically analyzed the prevalence of root canal treatment (RCT) and apical periodontitis (AP) in type 1 diabetes mellitus (T1DM) and nondiabetic individuals and its association with the history/current status of T1DM.
In a cross-sectional paired study, the radiographic records of 50 individuals with T1DM and 100 age- and sex-matched nondiabetic subjects were examined. The presence of RCT and AP was evaluated. Information regarding the history and current status of T1DM was collected from the medical records of each patient.
One or more RCTs were found in 76% and 44% of diabetic and nondiabetic subjects, respectively (P = .000). AP in 1 or more teeth was found in most T1DM patients (58%) and in 15% of the control subjects (P = .000). One or more RCTs associated with AP were found in 52% and 8% of T1DM and nondiabetic subjects, respectively (P = .000). Bivariate logistic regression analyses suggested that RCT (odds ratio [OR] = 10.435, P = .000), AP (OR = 3.508, P = .011), and RCT + AP (OR = 7.220, P = .000) were significantly associated with the presence of T1DM. Multivariate logistic regression showed that among T1DM individuals, there is an association between 11-15 years of diagnosis time and at least 1 RCT (OR = 46.316, P = .038) and an association between T1DM control and at least 1 tooth with AP (OR = 15.611, P = .016).
RCT, AP, and RCT with AP were more prevalent in individuals with T1DM than in nondiabetic individuals. RCT and AP were associated with the presence of T1DM, specifically RCT with diagnostic time and AP with glycemic control.
本研究通过影像学分析了 1 型糖尿病（T1DM）和非糖尿病个体根管治疗（RCT）和根尖周炎（AP）的患病率及其与 T1DM 病史/现状的关系。
在一项横断面配对研究中，检查了 50 名 T1DM 患者和 100 名年龄和性别匹配的非糖尿病患者的影像学记录。评估 RCT 和 AP 的存在情况。从每位患者的病历中收集有关 T1DM 病史和现状的信息。
分别有 76%和 44%的糖尿病和非糖尿病患者有 1 次或多次 RCT（P =.000）。大多数 T1DM 患者（58%）和 15%的对照组患者（P =.000）有 1 颗或多颗牙齿的 AP。分别有 52%和 8%的 T1DM 和非糖尿病患者有 1 次或多次 RCT 伴有 AP（P =.000）。双变量逻辑回归分析表明，RCT（比值比[OR] = 10.435，P =.000）、AP（OR = 3.508，P =.011）和 RCT + AP（OR = 7.220，P =.000）与 T1DM 的存在显著相关。多变量逻辑回归显示，在 T1DM 患者中，诊断时间为 11-15 年与至少 1 次 RCT 之间存在关联（OR = 46.316，P =.038），T1DM 控制与至少 1 颗 AP 牙齿之间存在关联（OR = 15.611，P =.016）。
T1DM 患者的 RCT、AP 和 RCT 伴 AP 比非糖尿病患者更为普遍。RCT 和 AP 与 T1DM 的存在相关，具体而言，RCT 与诊断时间相关，AP 与血糖控制相关。
