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牙周病与急性根尖周脓肿发病率的关系。

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association Pub Date : 2025-03-01 DOI:10.1016/j.adaj.2024.12.010

Ilan Rotstein DDS, Joseph Katz DMD

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引用次数: 0

摘要

背景：急性根尖周围脓肿（PAs）是一个健康风险的病人，需要及时和有效的治疗。本横断面研究的目的是评估牙周病（PD）患者急性PAs的患病率。方法：收集访问大型保健中心的1,799,122名患者的数据。通过在数据库中搜索相应的查询，检索PD和急性PAs相应诊断代码的数据。计算急性PA及其与PD相关性的比值比（ORs），并进行统计学分析。结果：PD患者的PAs明显多于非PD患者（P < 0.0001）。PD患者急性PAs的OR为46.2，患病率与住院总患者相比差异有统计学意义（P < 0.0001）。调整糖尿病合并症后，有PD病史患者急性PAs的OR为12.19，差异有统计学意义（P < 0.0001）。调整吸烟合并症后，PD病史患者急性PAs的OR为10.13，差异有统计学意义（P < 0.0001）。结论：在本研究条件下，因急性PAs引起的疼痛寻求治疗的PD患者出现急性PAs的几率明显更高。实际意义：口腔卫生保健专业人员应该意识到PD与急性PAs发生率增加之间可能存在的关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Association of periodontal disease and the prevalence of acute periapical abscesses

Background

Acute periapical abscesses (PAs) are a health risk to patients and require prompt and efficient treatment. The purpose of this cross-sectional study was to assess the prevalence of acute PAs in patients with periodontal disease (PD).

Methods

Data aggregated from 1,799,122 patients visiting a large health center were recorded. Data from the corresponding diagnosis codes for PD and acute PAs were retrieved by searching the appropriate query in the database. The odds ratios (ORs) of acute PA and its association with PD were calculated and analyzed statistically.

Results

Patients with PD showed significantly more PAs than did patients without PD (P < .0001). The OR for acute PAs in patients with PD was 46.2, and the difference in prevalence compared with the total hospital patient population was statistically significant (P < .0001). After adjustment for diabetes mellitus comorbidity, the OR for acute PAs in patients with a history of PD was 12.19, and the difference was statistically significant (P < .0001). After adjustment for smoking comorbidity, the OR for acute PAs in patients with a history of PD was 10.13, and the difference was statistically significant (P < .0001).

Conclusions

Under the conditions of this study, it appears that the odds for acute PAs are significantly higher in patients with PD seeking treatment for pain due to acute PAs.

Practical Implications

Oral health care professionals should be aware of the possible association between PD and increased occurrence of acute PAs.

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来源期刊

Journal of the American Dental Association

Journal of the American Dental Association 医学-牙科与口腔外科

CiteScore

5.30

自引率

10.30%

发文量

221

审稿时长

34 days

期刊介绍： There is not a single source or solution to help dentists in their quest for lifelong learning, improving dental practice, and dental well-being. JADA+, along with The Journal of the American Dental Association, is striving to do just that, bringing together practical content covering dentistry topics and procedures to help dentists—both general dentists and specialists—provide better patient care and improve oral health and well-being. This is a work in progress; as we add more content, covering more topics of interest, it will continue to expand, becoming an ever-more essential source of oral health knowledge.

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