Albuquerque Maria Tereza Pedrosa, Abreu Lorena Caetano, Martim Leticia, Münchow Eliseu Aldrighi, Nagata Juliana Yuri
Department of Clinical Dentistry Endodontics, Federal University of Bahia, Av. Araújo Pinho 62, Salvador 40301-155, Brazil.
Dentistry Department Endodontics, Federal University of Sergipe, Av. Gov. Marcelo Déda 300- Lagarto, São José 49400-000, Brazil.
Int J Dent. 2021 Dec 30;2021:7973356. doi: 10.1155/2021/7973356. eCollection 2021.
To investigate predisposing aspects related to the indication for root canal treatment (RCT) at Dental Schools of Brazil.
Data of 207 patients referred to endodontic treatment at undergraduate Dental Schools of Brazil were collected over a period of 8 months. Patient-related data included age, gender, first dental visit, tooth brushing frequency, number of remaining teeth, and previous endodontic treatment, and tooth-related information regarding number, type, and location in the mouth of teeth that need RCT, waiting time for the endodontic treatment, endodontic diagnosis, pain report, and dental crown condition was collected for each participant. Bivariate analysis (Chi-square test; < 0.05) associated gender and tooth/patient-related conditions. Poisson regression analysis compared multiple endodontic need and exposure variables.
Patients were mainly comprised of women (65.2%), aged 18-39 years (69.6%). Previous RCT was significantly more prevalent in women when compared to men (=0.005). First dental visit at later moment (after 20 years of age) demonstrated 400% greater prevalence of multiple RCT demand when compared to patients that attended the dental office at age below seven years (=0.032). Most of the patients presented only one tooth needing RCT (80.2%), mainly premolars (44.9%). Interestingly, women underwent more RCT in maxillary teeth (=0.016) and significantly contributed with their report to the diagnosis process when compared to men (=0.014). Regarding dental crown condition, 45.4% of all teeth registered unsatisfactory restorations, which were more pronounced in female patients (=0.018). Unsatisfactory restorations or dental caries had 75% and 82%, respectively, less prevalence of multiple RCT indication when compared to sound dental crown (=0.001).
RCT was undertaken more frequently in young female adults' premolars presenting unsatisfactory restorations. First dental visit, number of teeth with previous endodontic treatment, tooth group, and dental crown condition were significantly associated with the necessity of multiple endodontic treatments.
调查巴西牙科学院根管治疗（RCT）适应证的相关易感因素。
在8个月的时间里收集了巴西本科牙科学院207例接受牙髓治疗患者的数据。患者相关数据包括年龄、性别、首次看牙时间、刷牙频率、剩余牙齿数量、既往牙髓治疗情况，并且为每位参与者收集了与牙齿相关的信息，包括需要进行根管治疗的牙齿数量、类型、口腔位置、牙髓治疗等待时间、牙髓诊断、疼痛报告以及牙冠状况。双变量分析（卡方检验；P<0.05）将性别与牙齿/患者相关情况进行关联。泊松回归分析比较了多种牙髓治疗需求和暴露变量。
患者主要为女性（65.2%），年龄在18 - 39岁之间（69.6%）。与男性相比，既往根管治疗在女性中显著更常见（P = 0.005）。与7岁以下就诊的患者相比，首次看牙时间较晚（20岁以后）的患者有多项根管治疗需求的患病率高出400%（P = 0.032）。大多数患者只有一颗牙齿需要根管治疗（80.2%），主要是前磨牙（44.9%）。有趣的是，女性上颌牙接受根管治疗的情况更多（P = 0.016），并且与男性相比，她们在诊断过程中的报告对诊断有显著贡献（P = 0.014）。关于牙冠状况，所有登记牙齿中有45.4%的修复体不理想，在女性患者中更为明显（P = 0.018）。与完好牙冠相比，修复体不理想或有龋齿的牙齿有多项根管治疗适应证的患病率分别低75%和82%（P = 0.001）。
在修复体不理想的年轻成年女性前磨牙中，根管治疗更为频繁。首次看牙时间、既往接受牙髓治疗的牙齿数量、牙齿组别和牙冠状况与多项牙髓治疗的必要性显著相关。
