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Apical periodontitis and glycemic control in type 2 diabetic patients : cross-sectional study

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Apical periodontitis and glycemic control in type 2 diabetic patients : cross-sectional study

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dc.contributor.author Perez-Losada, Flor-de-Liz es
dc.contributor.author López López, José es
dc.contributor.author Martín González, Jenifer es
dc.contributor.author Jane Salas, Enric es
dc.contributor.author Segura-Egea, Juan J. es
dc.contributor.author Estrugo Devesa, Albert es
dc.date.accessioned 2021-04-19T10:42:39Z
dc.date.available 2021-04-19T10:42:39Z
dc.date.issued 2020 es
dc.identifier.citation Perez-Losada, Flor-de-Liz ; López López, José ; Martín González, Jenifer ; Jane Salas, Enric ; Segura-Egea, Juan J. ; Estrugo Devesa, Albert. Apical periodontitis and glycemic control in type 2 diabetic patients : cross-sectional study. En: Journal of Clinical and Experimental Dentistry, 12 10 2020: 964-971 es
dc.identifier.uri https://hdl.handle.net/10550/78785
dc.description.abstract The objective of this study was to analyze the possible relationship between the glycemic control and the prevalence of apical periodontitis in type 2 diabetic patients. The null hypothesis was that apical periodontitis is not associated with glycemic control. In a cross-sectional design, the radiographic records of 216 type 2 diabetic patients (65.0 ± 10.7 years), 117 men (54.2%) and women (45.8%), were examined. Glycated hemoglobin (HbA1c) was used to assess glycemic control, considering an HbA1c level < 6.5% as well-controlled diabetes. Apical periodontitis was diagnosed as radiolucent periapical lesions using the periapical index score. The Student t test, chi-square test, and logistic regression analysis were used in the statistical analysis. The average HbA1c value was 7.0 ± 2.2%. Forty seven (21.8%) had HbA1c levels under 6.5% (mean ± SD = 6.0 ± 2.2%), being considered well-controlled patients, and 169 (78.2%) had an HbA1c level ? 6.5% (mean ± SD = 7.8 ± 2.24%), being considered poor controlled patients. Forty four per cent of diabetics had apical periodontitis, 12.5% had root-filled teeth, and 52.3% had root filled teeth with radiolucent periapical lesions. No significant differences were observed in any of these three variables between patients with good or poor glycemic control. In the multivariate logistic regression analysis the presence of radiolucent periapical lesions in at least one tooth did not correlate significantly with HbA1c levels (OR = 1.4; 95% C.I. = 0.70 ? 3.09; p = 0.31). The results reveal no association of glycemic control with the prevalence of apical periodontitis or root canal treatment in diabetic patients. es
dc.title Apical periodontitis and glycemic control in type 2 diabetic patients : cross-sectional study es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/jced.57191 es
dc.type.hasVersion VoR es_ES

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