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Socio-economic risk indicators for apical periodontitis
Department of Endodontology, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden; Department of Endodontology, Institute for Postgraduate Dental Education, Jönköping, Sweden .
Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
2006 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 64, no 2, p. 123-128Article in journal (Refereed) Published
Abstract [en]

Objective. The aim of this study was to reveal possible socio-economic risk indicators for apical periodontitis.

Material and Methods. In 1992–93 a representative sample of women in Göteborg, Sweden, aged 38–84 years, participated in a medical and dental survey (n=981) which included dental and medical examinations and dental radiographic examination (OP). The dependent variable was apical periodontitis (AP = 0, AP > 0). The independent variables were age, number of teeth, number of restored teeth, number of root-filled teeth, number of teeth with carious lesions, satisfactory masticatory function, and dental esthetics as crude measures of self-reported dental health, dental anxiety, time elapsed since last visit to a dental office, regular dental visiting habits, smoking, alcohol habits, and marital status. A subjective evaluation of economy, health and life situation (acceptable or poor) was accounted for as socio-economic variables. The oldest age group, women born 1908, and edentulous individuals were omitted, leaving 844 subjects for analysis. Statistical analysis included multivariate logistic regression, chi-squared test, and independent t-test for comparison of group characteristics (AP = 0 vs AP > 0).

Results. For socio-economic variables there was a significant association between acceptable health and apical periodontitis (OR = 1.72 (CI = 1.09–2.70)). For oral-related variables, root-filled teeth (OR = 1.17 (CI = 1.10–1.23)) and teeth with carious lesions (OR = 1.48 (CI = 1.19–1.85)) were predictive of apical periodontitis.

Conclusions. In the present study, socio-economic variables and dental visiting habits did not appear to have obvious implications for periapical health, whereas root-filled teeth and carious lesions were associated with apical periodontitis.

Place, publisher, year, edition, pages
Taylor & Francis, 2006. Vol. 64, no 2, p. 123-128
Keywords [en]
Adult, Age Factors, Aged, Aged; 80 and over, Chi-Square Distribution, Cross-Sectional Studies, Dental Caries/complications/epidemiology, Female, Health Status, Humans, Logistic Models, Middle Aged, Multivariate Analysis, Periapical Periodontitis/*epidemiology/etiology/psychology, Prevalence, Risk Factors, Root Canal Therapy/adverse effects/statistics & numerical data, Socioeconomic Factors, Sweden/epidemiology
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hj:diva-4435DOI: 10.1080/00016350500469680ISI: 000236074300009PubMedID: 16546855Scopus ID: 2-s2.0-33645158099OAI: oai:DiVA.org:hj-4435DiVA, id: diva2:35255
Available from: 2007-11-13 Created: 2007-11-13 Last updated: 2024-01-25Bibliographically approved

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Frisk, FredrikHakeberg, Magnus

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