Fibromyalgia and acute periapical abscesses.

IF 1.1 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

American journal of dentistry Pub Date : 2026-08-01

Ilan Rotstein, Joseph Katz

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引用次数: 0

Abstract

Purpose: This cross-sectional study was to assess the prevalence of acute PAs in fibromyalgia patients.

Methods: Nine years of data from 2,108,676 patients were retrieved and analyzed by searching corresponding ICD-10 diagnosis codes for fibromyalgia and acute PAs. The odds ratio (OR) for acute PAs and their association with fibromyalgia were calculated and statistically analyzed using MEDCALC software at the 95% confidence level. Logistic regression and adjustment for diabetes, nicotine dependence, and alcohol use disorder comorbidities were done.

Results: Overall, the OR for acute PAs in patients with fibromyalgia was 4.7, and the difference in prevalence compared to the total hospital patient population was statistically significant (P< 0.0001). After adjustment for diabetes, the OR was 2.8. After adjustment for nicotine dependence, the OR was 2.6. After adjustment for alcohol related disorders, the OR was 4.4. The difference in prevalence compared to the total hospital patient population remained statistically significant (P< 0.0001).

Clinical significance: Clinicians should be aware of the possible higher prevalence of periapical abscesses in patients with fibromyalgia. More frequent dental visits for caries control and pulp disease prevention are warranted.

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纤维肌痛和急性根尖周脓肿。

目的：本横断面研究旨在评估纤维肌痛患者急性PAs的患病率。方法：通过检索相应的纤维肌痛和急性PAs的ICD-10诊断代码，检索2,108,676例患者的9年数据并进行分析。使用MEDCALC软件计算急性PAs及其与纤维肌痛的比值比（OR），并在95%置信水平上进行统计学分析。对糖尿病、尼古丁依赖和酒精使用障碍合并症进行Logistic回归和调整。结果：总体而言，纤维肌痛患者急性PAs的OR为4.7，患病率与住院总患者相比差异有统计学意义（P< 0.0001）。调整糖尿病因素后，OR为2.8。调整尼古丁依赖后，OR为2.6。在对酒精相关障碍进行调整后，OR为4.4。与总住院患者相比，患病率的差异仍然具有统计学意义（P< 0.0001）。临床意义：临床医生应该意识到纤维肌痛患者可能有较高的根尖周围脓肿患病率。为了控制龋齿和预防牙髓疾病，需要更频繁地去看牙医。

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

American journal of dentistry 医学-牙科与口腔外科

CiteScore

2.40

自引率

7.10%

发文量

审稿时长

1 months

期刊介绍： The American Journal of Dentistry, published by Mosher & Linder, Inc., provides peer-reviewed scientific articles with clinical significance for the general dental practitioner.