Prevalência de lesão endodôntica em pacientes diabéticos

Autores

  • Cláudio Maniglia Ferreira Universidade de Fortaleza - UNIFOR
  • Fabio de Almeida Gomes Universidade de Fortaleza - UNIFOR
  • Charlylson Cristovam Uchoa Universidade de Fortaleza - UNIFOR

DOI:

https://doi.org/10.5020/3231

Palavras-chave:

Doenças Periapicais, Diabetes Mellitus, Endodontia.

Resumo

Objetivo: Investigar a prevalência de lesões endodônticas em pacientes diabéticos e não diabéticos. Métodos: Em estudo transversal, exames radiográficos (panorâmica e seriografia) de 80 pacientes, sendo 40 diabéticos tipo II e 40 não diabéticos, receberam avaliação, por meio de um índice de escores periapicais, das regiões perioendodônticas de todos os elementos dentais presentes. Os dados foram analisados pelo programa BioEstat 5.3®. Resultados: Encontrou-se pelo menos 1 dente apresentando lesão apical em 90% (n=32) dos pacientes diabéticos e 52% (n=21) dos pacientes não diabéticos (p=0,0001). Quanto aos dentes tratados endodonticamente, nos pacientes diabéticos, foram encontrados 44% (n=51) com lesões endodônticas, e apenas 17% (n=17) (p=0,0004) no grupo controle. Os pacientes diabéticos apresentaram maior quantidade de lesões endodônticas em relação aos pacientes não diabéticos (p=0,0189). Conclusão: De acordo com esses resultados, podese concluir que a Diabetes Mellitus tipo II está associada ao aumento da prevalência de lesões endodônticas. doi:10.5020/18061230.2014.p163

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Referências

Wolle CF, Zollmann LA, Bairros PO, Etges A, Leite CE, Morrone FB, et al. Outcome of periapical lesions in a rat model of type 2 diabetes: refractoriness to systemic antioxidant therapy. J Endod. 2013;39(5):643-7.

NG YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of non-surgical root canal treatment: part 2: tooth survival. Int Endod J.2011;44(7):610-25.

Wang CH, Chueh LH, Chen SC, Geng YC, Hsiao CK,Chiang CP. Impact of diabetes mellitus, hypertension,and coronary artery disease on tooth extraction after nonsurgical endodontic treatment. J Endod.2011;37(1):1-5.

Wang CH, Chueh LH, Chen SC, Feng YC, Hsiao CK,Chiang CP. Impact of diabetes mellitus, hypertension,and coronary artery disease on tooth extraction after nonsurgical endodontic treatment. J Endod.2011;37(1):1-5.

Marotta PS, Fontes TV, Armada L, Lima KC, Rôças IN, Siqueira Junior JF. Type 2 Diabetes mellitus and the prevalence of apical periodontitis and endodontic

treatment in an adult brazilian population. J Endod. 2012;38(3):297-300.

Vernillo AT. Dental considerations for the treatment of patients with diabetes mellitus. J Am Dent Assoc.2003;134(Suppl 1):S24-33.

Blount CA, Leser C. Multisystem complications following endodontic therapy. J Oral Maxillofac Surg.2012;70(3):527-30.

Lopez-Lopez J, Jané-Salas E, Estrugo-Devesa A,Velasco-Ortega E, Martin-González J, Segura-Egea J. Periapical and endodontic status of type 2 diabetic

patients in Catalonia, Spain: a cross-sectional study. J Endod. 2011;37(5):598-601.

Moore PA, Zgibor JC, Dasanayake AP. Diabetes:a growing epidemic of all ages. J Am Dent Assoc.2003;134(Suppl 1):S11-5.

Fouad AF, Burleson J. The effect of diabetes mellitus on endodontic treatment outcome: data from an electronic patient record. J Am Dent Assoc. 2003(1):43-51.

Lopes HP, Siqueira Jr JF. Endodontia: biologia e técnica. 3ª ed. Rio de Janeiro: Guanabara-Koogan; 2010.

Ship JA. Diabetes and oral health: an overview. J Am Dent Assoc. 2003;134(Suppl 1):S4-S10.

Lima SM, Grisi DC, Kogawa EM, Franco OL, Peixoto VC, Gonçalves Júnior JF, et al. Diabetes mellitus and inflammatory pulpal and periapical disease: a review. Int Endod J. 2013;46(8):700-9.

Taylor GW. The effects of periodontal treatment on diabetes. J Am Dent Assoc. 2003; 134(Suppl 1):S41-8.

Arnold M, Riccuci D, Siqueira Júnior JF. Infection in a complex network of apical ramifications as the cause of persistent apical periodontitis: a case report. J Endod. 2013;39(9):1179-84.

Wang Z, McCauley LK. Osteoclasts and odontoclasts: signaling pathways to development and disease. Oral Dis. 2011;17(2):129-42.

Eriksen HM, Bjertness E, Brstavik D. Prevalence and quality of endodontic treatment in an urban adult population in Norway. Dent Traumatol. 1988;4(3):122-6.

Imfeld TN. Prevalence and quality of endodontic treatment in an elderly urban population in Switzerland. J Endod. 1991;17(12):604-7.

Segura-Egea JJ, Castellanos-Cosano L, Machuca G, López-López J, Maartin-González J, Velasco-Ortega E, et al. Diabetes mellitus, periapical inflammation and endodontic treatment outcome. Med Oral Pathol Oral Cir Bucal. 2012;17(2):e356-61.

Cheung GSP, Wei WLL, McGrath C. Agreement between periapical radiographs and cone-beam computed tomography for assessment of periapical

status of root filled molar teeth. Int Endod J. 2013;46(10):889-95.

Maniglia-Ferreira C, Valverde GB, Silva Júnior JBA, Paula RCM, Feitosa JPA, Souza-Filho FJ. Clinical relevance of trans 1,4-polyisoprene aging degradation on the longevity of root canal treatment. Braz Dent J. 2007;18(2):97-101.

Falk H, Hugoson A, Thorstensson H. Number of teeth, prevalence of caries and periapical lesions in insulindependent diabetics. Scand J Dent Res. 1989;9(3):198-206.

Britto LR, Katz J, Guelmann M, Heft M. Periradicular radiographic assessment in diabetic and control individuals. Oral Surg Oral Med Oral Pathol.2003;96(4):449-52.

Bender IB, Seltzer S, Freedland J. The relationship of systemic diseases to endodontic failures and treatment procedures. Oral Surg Oral Med Oral Pathol.

;16(3):1102-15.

Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol. 1986;2(1):20-34.

Cintra LT, Samuel RO, Azuma MM, Ribeiro CP, Narciso LG, de Lima VM, et al. Apical periodontitis and periodontal disease increase serum IL-17 levels in normoglycemic and diabetic rats. Clin Oral Investig.No prelo 2014. Disponível em: http://link.springer.com/article/10.1007%2Fs00784-014-1192-7

Fouad AF. Diabetes mellitus as a modulating factor ofendodontic infections. J Dent Educ. 2003;67(4):459-67.

Ferreira MM, Carrilho E, Carrilho F. Diabetesmellitus and its influence on the success of endodontic treatment: a retrospective clinical study. Acta MedPort. 2014;27(1):15-22.

Kohsaka T, Kumazawa M, Yamasaki M, Nakamura H.Periapical lesions in rats with streptozotocin-induced diabetes. J Endod. 1996;22(8):418-21.

Iwama A, Nishigaki N, Nakamura K, Imaizumi I,Shibata N, YamasaYamasaki M, et al. The effect of high sugar intake on the development of periradicular lesions inrats with type 2 diabetes. J Dent Res. 2003;82(4):322-5

Publicado

2014-11-11

Como Citar

Ferreira, C. M., de Almeida Gomes, F., & Uchoa, C. C. (2014). Prevalência de lesão endodôntica em pacientes diabéticos. Revista Brasileira Em Promoção Da Saúde, 27(2), 163–168. https://doi.org/10.5020/3231

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