Prevalence of Apical Periodontitis in Saudi Arabia: A Systematic Review and Meta-analysis

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Saudi Dental Journal Pub Date : 2024-08-01 DOI:10.1016/j.sdentj.2024.06.009

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引用次数: 0

Abstract

Objective

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.

Methods

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 meta-analysis employed a random-effects model due to high heterogeneity among studies.

Results

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.

Conclusion

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.

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沙特阿拉伯根尖牙周炎的患病率：系统回顾和荟萃分析

目的本系统性综述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与未经治疗的牙齿中 AP 的发生频率。方法本综述遵循 PRISMA 指南，在多个数据库中进行检索，包括 PubMed-MEDLINE、Cochrane-CENTRAL 和 EMBASE，检索日期不受限制，直至 2023 年 8 月 19 日。资格标准包括使用 CBCT、全景和根尖周炎 X 光片诊断沙特人 AP 的研究。由于研究之间存在高度异质性，因此荟萃分析采用了随机效应模型。结果从 359 条记录中纳入了 13 项研究，结果表明在沙特人群中，个人 AP 的患病率为 40%，所有牙齿的患病率为 6%。经过根管治疗的牙齿患病率更高，达到 47%。数据显示，与全球平均水平相比，AP 的患病率较高，其中第一磨牙的患病率最高。研究显示存在中度的偏倚风险和显著的异质性。结论沙特阿拉伯 AP 的发生率很高，尤其是在根管治疗的牙齿中，这强调了加强牙髓治疗和更准确诊断的必要性。牙科保健政策的紧急改进和进一步的研究对于了解 AP 的影响和改善口腔健康结果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.