PREVALENCE OF CHRONIC APICAL PERIODONTITIS RELATED TO DIABETES MELLITUS IN THE NORTH EAST REGION OF ROMANIA. CLINICAL AND RADIOLOGICAL INVESTIGATIONS

Abstract

Aim: In this study we focused on the prevalence of apical periodontitis (P.A.) in both healthy patients and those diagnosed with type II diabetes mellitus(DM). Material and methods: The retrospective and comparative study included 90 subjects with a mean age of 60.13 years. 49 mens (31 patients had diabetes and 18 healthy) and 41 women (24 subjects had diabetes and 17 healthy). All patients had full moth x-ray. All patients had blood sugar tested and glycosylated hemoglobin (HbAc1). We performed retroalveolar radiographs to analyze the periapical region, excepting wisdom tooth. The periapical condition was assessed using the score of the periapical index (Dag Ørstavik). For the statistical analysis we used the t-Student and ANOVA tests, the non-parametric Mann-Whitney and Kruskal-Wallis tests, the Chi-square test. Results: Patients showed at least one tooth with PA, representing 81.3% in the study group and 58% in the control group (P = 0.040; OR = 3.2; 95% CI = 1.1 – 9.4). DM patients had 7% of teeth with P.A., healyhy patients had 4% of teeth with P.A. (P = 0.007; OR = 1.8; 95% CI = 1.2–2.8).