Relationship between periodontal parameters and non-vital pulp in dental clinic patients: a cross-sectional study

Kato, Tomotaka; Fujiwara, Natsuki; Kuraji, Ryutaro; Numabe, Yukihiro

doi:10.1186/s12903-020-01103-9

Cited by 8 publications

(5 citation statements)

References 30 publications

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“…In the clinical setting, non-vital pulp is a well-known risk factor for tooth extraction [ 17 ]. In our previous study, we reported that non-vital teeth were related to periodontal disease [ 18 ]. In addition, non-vital pulp is a risk factor for dental caries [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for tooth loss with a mean follow-up period of 13.9 years in supportive periodontal therapy patients

et al. 2021

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Background Clinical evidence indicates that there are various risk factors of tooth loss. However, the degree of this risk among other risk factors remains unclear. In this retrospective cohort study, the authors evaluated the hazard ratios of several risk factors for tooth loss. Methods Included patients had all been treated for dental disorders, were in the supportive phase of periodontal therapy by dental hygienists, and visited a Japanese dental office continually during a 10-year period. Periodontal parameters, tooth condition, and general status of all teeth (excluding third molars) at the initial visit and at least 10 years later were evaluated by using multiple classification analysis. Results The authors evaluated a total of 7584 teeth in 297 patients (average age: 45.3, mean follow-up time: 13.9 years) Non-vital pulp was the most significant predictor of tooth loss according to Cox hazards regression analysis (hazard ratio: 3.31). The 10-year survival rate was approximately 90% for teeth with non-vital pulp and 99% for teeth with vital pulp. Fracture was the most common reason for tooth loss. Conclusions Non-vital pulp had the most significant association with tooth loss among the parameters. Therefore, it is very important to minimize dental pulp extirpation.

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Section: Introductionmentioning

confidence: 99%

Risk factors for tooth loss with a mean follow-up period of 13.9 years in supportive periodontal therapy patients

et al. 2021

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“…In our study, we included smokers and individuals with mild periodontitis, which might be associated with a higher risk of developing ALEO because either one or both conditions frequently coexist with AP (Kato et al., 2020; Pinto et al., 2020). Nevertheless, our study participants significantly improved their periapical status.…”

Section: Discussionmentioning

confidence: 99%

Reduced C‐reactive protein levels after root canal treatment in clinically healthy young apical periodontitis individuals at cardiovascular risk. A prospective study

Garrido,

Bordagaray,

Schweitzer

et al. 2024

Int Endodontic J

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AimTo determine the systemic inflammatory burden, including hsCRP and its monomeric forms, in patients with apical lesions of endodontic origin treated with root canal treatment (RCT).MethodologyProspective pre‐/post‐study. Apical periodontitis (AP) individuals aged 16–40 were included (N = 29). Individuals received RCT and were followed at 1 and 6 months. Fasting blood samples were obtained. Apical lesions of endodontic origin (ALEO) diameter (mm), and periapical index (PAI), were recorded. The serum concentrations of total hsCRP were determined by turbidimetry. Tumour necrosis factor (TNF)‐α, interleukin (IL)‐6, IL‐10, IL‐1β, and soluble (s) E‐selectin were assessed by Multiplex assay. Additionally, mCRP forms were determined in the serum of AP patients with a baseline moderate to high cardiovascular risk based on hsCRP stratification (hsCRP ≥1 mg/L) by immunowestern blot (n = 15). Also, CRP isoforms were explored in ALEOs from AP individuals (n = 4). Data were analysed with StataV16.ResultsPeriapical index and ALEO sizes were reduced at both follow‐up visits after RCT (p < .05). Serum levels of TNF‐α, IL‐6, IL‐10, IL‐1β, and sE‐selectin did not show significant differences. CRP was borderline reduced at 1 month (p = .04); however, in AP individuals at cardiovascular risk (hsCRP ≥ 1 mg/L), hsCRP and its monomeric isoform significantly decreased at 1 and 6 months (p < .05).ConclusionsHigh‐sensitivity CRP and mCRP are reduced after RCT in AP individuals at cardiovascular risk.

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“…It is a foregone conclusion that AP is the ultimate outcome of dental caries, and in many instances, AP develops at the expense of periodontal disease. Indeed, periodontitis has been reported as an independent factor for AP ( 44 ) and non-vital pulp ( 45 ). Although the treatments of AP and periodontitis are entirely different, they target the same aim: eradicating the causative microorganisms and the infected and necrotic tissue, hoping to provide an ideal environment for healing.…”

Section: Discussionmentioning

confidence: 99%

The Potential Association Between Inflammatory Bowel Diseases and Apical Periodontitis: A Systematic Review and Meta-Analysis

HALBOUB

2024

Eur Endod J

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Recent literature has suggested a potential association between inflammatory bowel diseases (IBD) and apical periodontitis (AP). The present systematic review and meta-analysis sought to analyse and appraise the available evidence regarding the reported association. Following 2020 PRISMA guidelines, a comprehensive search of multiple online databases (PubMed, Scopus, Web of Science, and Google Scholar) was conducted for all relevant studies published from the date of inception until 27 April 2023 using various relevant keywords. All observational studies that assessed the association between IBD and AP in humans were eligible for inclusion. The quality of the selected studies was carried out independently by two reviewers, and meta-analysis was performed using Comprehensive Meta-Analysis Version 2.2.064. Six studies (five case-control studies and one cohort study) were included. A total of 657 patients (277 with IBD) were included in 5 case-control studies, and 48,223 subjects (35,740 with AP) were included in the cohort study, where 188 developed IBD on follow-up. The pooled data from the five case-control studies revealed that IBD was significantly associated with a higher risk of AP (OR=1.71, 95% CI: 1.21–2.42; I 2 =10.337%, fixed-effect, p=0.002). The qualitative analysis also showed that most of the included studies found a higher mean number of teeth with AP in IBD groups than the healthy controls. Newcastle-Ottawa Scale (NOS)-based quality appraisal results demonstrated that five studies were of high quality, and one was of moderate quality. The results suggest a potential association between IBD and AP. Large-scale and prospective studies are required to further confirm and elucidate the nature of such an association.

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Relationship between periodontal parameters and non-vital pulp in dental clinic patients: a cross-sectional study

Cited by 8 publications

References 30 publications

Risk factors for tooth loss with a mean follow-up period of 13.9 years in supportive periodontal therapy patients

Risk factors for tooth loss with a mean follow-up period of 13.9 years in supportive periodontal therapy patients

Reduced C‐reactive protein levels after root canal treatment in clinically healthy young apical periodontitis individuals at cardiovascular risk. A prospective study

The Potential Association Between Inflammatory Bowel Diseases and Apical Periodontitis: A Systematic Review and Meta-Analysis

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