{"title":"Association of periodontal disease and the prevalence of acute periapical abscesses","authors":"Ilan Rotstein DDS, Joseph Katz DMD","doi":"10.1016/j.adaj.2024.12.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>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).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>Patients with PD showed significantly more PAs than did patients without PD (<em>P</em> < .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 (<em>P</em> < .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 (<em>P</em> < .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 (<em>P</em> < .0001).</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Practical Implications</h3><div>Oral health care professionals should be aware of the possible association between PD and increased occurrence of acute PAs.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 3","pages":"Pages 234-238"},"PeriodicalIF":3.5000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Dental Association","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002817725000388","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/31 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
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.
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.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
