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Periapical and endodontic status among 65-year-old Oslo-citizens.
Diep, My Tien; Hove, Lene Hystad; Ørstavik, Dag; Skudutyte-Rysstad, Rasa; Sødal, Anne Thea Tveit; Sunde, Pia Titterud.
Affiliation
  • Diep MT; Department of Cariology and Gerodontology, Faculty of Dentistry, University of Oslo, Blindern, P.O. Box 1109, N-0317, Oslo, Norway. m.t.diep@odont.uio.no.
  • Hove LH; Department of Cariology and Gerodontology, Faculty of Dentistry, University of Oslo, Blindern, P.O. Box 1109, N-0317, Oslo, Norway.
  • Ørstavik D; Department of Endodontics, Faculty of Dentistry, University of Oslo, Oslo, Norway.
  • Skudutyte-Rysstad R; Department of Cariology and Gerodontology, Faculty of Dentistry, University of Oslo, Blindern, P.O. Box 1109, N-0317, Oslo, Norway.
  • Sødal ATT; Department of Cariology and Gerodontology, Faculty of Dentistry, University of Oslo, Blindern, P.O. Box 1109, N-0317, Oslo, Norway.
  • Sunde PT; Department of Endodontics, Faculty of Dentistry, University of Oslo, Oslo, Norway.
BMC Oral Health ; 22(1): 371, 2022 09 01.
Article in En | MEDLINE | ID: mdl-36050662
AIM: This cross-sectional study aimed to investigate the prevalence of apical periodontitis (AP) and root-filled teeth in a 65-year-old population in Oslo, Norway, and to investigate associations of pathosis and endodontic treatment with selected individual risk indicators and technical quality of root fillings. MATERIAL AND METHODS: A random sample of 450 65-year-olds in Oslo answered a questionnaire and underwent a clinical and radiological examination (52% men and 48% women). Periapical radiographs were taken of all root-filled teeth and of teeth with apical radiolucency, and periapical status was evaluated using the Periapical Index. Apex-to-filling distance and homogeneity were assessed for all root fillings. Analyses on individual level and tooth level were performed. The outcome variables were 'non-root-filled tooth with AP' ('untreated AP'), 'root-filled tooth', and 'root-filled tooth with AP'. The explanatory variables were gender, education, dental attendance pattern, smoking, remaining teeth (n), tooth group, and root filling quality. Chi-square test and logistic regression analyses were used to assess the associations between outcome variables and explanatory variables. The level of significance was set to p < 0.05. RESULTS: The mean number of remaining teeth was 26 (SD: 4). AP was present in 45% of the individuals. Sixteen percent of the individuals had untreated AP and 38% had at least one root-filled tooth with AP. Sixty-six percent of the individuals had one or more root-filled teeth. Untreated AP was significantly associated with a decreasing number of remaining teeth and smoking. All the outcome variables were significantly more prevalent in molars compared with premolars and anterior teeth. Thirty-five percent of the root-filled teeth had AP, and AP was more prevalent in teeth with too short apex-to-filling distance (53%) or unsatisfactory homogeneity (46%). CONCLUSIONS: The remaining number of teeth was high, and AP and root-filled teeth were prevalent in the present young-elderly population. A notable amount of untreated AP was observed, especially in smokers. The findings in the present study indicate a substantial need for dental care associated with endodontic conditions in the future elderly.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Periapical Periodontitis / Tooth, Nonvital Type of study: Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Aged / Female / Humans / Male Language: En Journal: BMC Oral Health Journal subject: ODONTOLOGIA Year: 2022 Document type: Article Affiliation country: Norway Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Periapical Periodontitis / Tooth, Nonvital Type of study: Observational_studies / Prevalence_studies / Risk_factors_studies Limits: Aged / Female / Humans / Male Language: En Journal: BMC Oral Health Journal subject: ODONTOLOGIA Year: 2022 Document type: Article Affiliation country: Norway Country of publication: United kingdom