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[墨西哥阿卡普尔科一家健康中心在新冠疫情期间患者的急性根尖脓肿及相关因素。]

[Acute apical abscess and associated factors in patients during the covid-19 pandemic in a health center in Acapulco, Mexico.].

作者信息

Juárez-Medel Carlos Alberto, Rodríguez-González Eder, Mendoza-Figueroa Ángel Neftalí

机构信息

Departamento de Vinculación y Difusión en Estomatología de la Dirección General de Calidad y Educación en Salud, Subsecretaría de Integración y Desarrollo de la Secretaría de Salud Federal. Acapulco, Guerrero, México.

Departamento de Endodoncia de la Universidad Hipócrates. Acapulco, Guerrero, México.

出版信息

Rev Cient Odontol (Lima). 2024 Jun 27;12(2):e193. doi: 10.21142/2523-2754-1202-2024-193. eCollection 2024 Apr-Jun.

Abstract

OBJECTIVE

To estimate the prevalence of acute apical abscess and identify associated factors in patients of a health center from Acapulco, Mexico.

MATERIAL AND METHODS

Epidemiological study that collected clinical records of patients during the period of october 2021. Sociodemographic and housing information was collected, as well as personal pathological and non-pathological history and a record of the diagnosis of the periapical lesion based on its clinical characteristics issued by the operator on duty. Through multivariate analysis, a factor associated with acute apical abscess was identified with the odds ratio and its 95% confidence interval as estimators of the strength of association with CIETmap statistical software.

RESULTS

The 37% (32/87) of patients were diagnosed with the infection. In terms of gender, females were the most affected with a proportion of 56% (18/32). The most common cause was caries with 72% (23/32). The right upper second premolar was the most affected tooth with 25% (8/32). One associated factor was identified, age 36 to 62 years (ORa=3.54; CI95%a=1.27 -16.62).

CONCLUSION

The morbidity rate of the infection was moderate, and it is a common pathology in stomatological emergency consultations, so it is important for the professional in charge of the area to manage it clinically. It will be important to implement oral health education strategies aimed at different age groups to raise awareness of the cariogenic process and its consequences.

摘要

目的

评估墨西哥阿卡普尔科一家健康中心患者急性根尖脓肿的患病率,并确定相关因素。

材料与方法

一项流行病学研究,收集了2021年10月期间患者的临床记录。收集了社会人口统计学和住房信息,以及个人病理和非病理病史,以及值班操作人员根据临床特征出具的根尖周病变诊断记录。通过多变量分析,使用优势比及其95%置信区间作为关联强度的估计值,借助CIETmap统计软件确定与急性根尖脓肿相关的因素。

结果

37%(32/87)的患者被诊断患有该感染。在性别方面,女性受影响最大,比例为56%(18/32)。最常见的病因是龋齿,占72%(23/32)。右上第二前磨牙是受影响最严重的牙齿,占25%(8/32)。确定了一个相关因素,即年龄在36至62岁之间(优势比=3.54;95%置信区间=1.27 - 16.62)。

结论

该感染的发病率为中等,是口腔急诊会诊中的常见病症,因此该领域的专业人员进行临床管理很重要。实施针对不同年龄组的口腔健康教育策略,以提高对致龋过程及其后果的认识将很重要。

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