Hakeem Faisal F, Hakeem Muhannad M, Abdulaziz Baik Abdulmajeed, Omar Aldadjan Rasha, Ali Alsahli Razan, Jafar Almarwani Arina, Abu Zaid Basim M
Department of Preventive Dental Sciences, College of Dentistry, Taibah University, Madinah, Saudi Arabia.
Department of Substitutive Dental Sciences, College of Dentistry, Taibah University, Madinah, Saudi Arabia.
Saudi Dent J. 2024 Aug;36(8):1078-1085. doi: 10.1016/j.sdentj.2024.06.009. Epub 2024 Jun 4.
This systematic review was aimed to assess the prevalence of apical periodontitis (AP) in Saudi Arabia, focusing on individual-level prevalence and the frequency of AP in endodontically versus untreated teeth.
This review followed the PRISMA guidelines and involved searches in several databases, including PubMed-MEDLINE, Cochrane-CENTRAL, and EMBASE, without date restrictions until August 19th, 2023. Eligibility criteria encompassed studies using CBCT, panoramic, and periapical radiographs to diagnose AP in the Saudi population. The -analysis employed a random-effects model due to high heterogeneity among studies.
From 359 records, 13 studies were included, indicating a 40% prevalence of AP in individuals and a 6% prevalence across all teeth within the Saudi population. Root canal-treated teeth demonstrated a higher prevalence at 47%. The data revealed a substantial prevalence of AP compared to global averages, with first molars being the most affected. Studies showed moderate risk of bias and significant heterogeneity.
The high occurrence of AP in Saudi Arabia, particularly in root-treated teeth, emphasizes the need for enhanced endodontic care and more accurate diagnostics. Urgent improvements in dental health policies and further research are essential to understand AP's impact and improve oral health outcomes.
本系统评价旨在评估沙特阿拉伯根尖周炎（AP）的患病率，重点关注个体水平的患病率以及根管治疗牙齿与未治疗牙齿中AP的发生频率。
本评价遵循PRISMA指南，在包括PubMed-MEDLINE、Cochrane-CENTRAL和EMBASE在内的多个数据库中进行检索，检索无日期限制，截至2023年8月19日。纳入标准包括使用锥形束计算机断层扫描（CBCT）、全景片和根尖片诊断沙特人群中AP的研究。由于各研究之间存在高度异质性，分析采用随机效应模型。
从359条记录中，纳入了13项研究，表明沙特人群中个体AP患病率为40%，所有牙齿的患病率为6%。根管治疗的牙齿患病率较高，为47%。数据显示，与全球平均水平相比，AP的患病率较高，第一磨牙受影响最大。研究显示存在中度偏倚风险和显著异质性。
沙特阿拉伯AP的高发生率，尤其是在根管治疗的牙齿中，强调了加强根管治疗护理和更准确诊断的必要性。迫切需要改善牙科健康政策并开展进一步研究，以了解AP的影响并改善口腔健康结果。
