Journal
INTERNATIONAL ENDODONTIC JOURNAL
Volume 38, Issue 8, Pages 564-569Publisher
WILEY
DOI: 10.1111/j.1365-2591.2005.00996.x
Keywords
apical periodontitis; diabetes mellitus; endodontics
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Aim To study the prevalence of AP in patients with and without type 2 diabetes mellitus. Methodology In a retrospective cohort study, the records of 38 subjects with diabetes and 32 control subjects were examined. All participants underwent a full-mouth radiographic survey incorporating 14 periapical radiographs. The periapical region of all teeth, excluding third molars, was examined. Periapical status was assessed using the periapical index score. Statistical analyses were conducted using the Cohen's kappa test, analysis of variance and logistic regression. Results Apical periodontitis in at least one tooth was found in 81.3% of diabetic patients and in 58% of control subjects (P = 0.040; OR = 3.2; 95% CI = 1.1-9.4). Amongst diabetic patients 7% of the teeth had AP, whereas in the control subjects 4% of teeth were affected (P = 0.007; OR = 1.8; 95% CI = 1.2-2.8). Conclusions Type 2 diabetes mellitus is significantly associated with an increased prevalence of AP.
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