TY - JOUR
T1 - Prevalence and Quality of Endodontic Treatment in the Northern Manhattan Elderly
AU - Chen, Chia Yi
AU - Hasselgren, Gunnar
AU - Serman, Neill
AU - Elkind, Mitchell S.V.
AU - Desvarieux, Moïse
AU - Engebretson, Steven P.
N1 - Funding Information:
This work was supported by the American Heart Association Grant-in-Aid 0050543N; Columbia University Office of Clinical Trials; National Institute of Dental and Craniofacial Research Grants R01 DE-13094 and K23 DE-00449; National Institute of Neurological Disorders and Stroke Grants R01 NS-29993 and K23 NS-42912; and NIH Division of Research Resources Grant RR-00645. Participants were seen at the Columbia University General Clinical Research Center.
PY - 2007/3
Y1 - 2007/3
N2 - Pulpitis results in significant morbidity among the elderly, particularly in underserved communities. We collected panoramic oral radiographs from 244 (mean age 67) participants of the Northern Manhattan Study, a prospective cohort study of stroke risk in a multiethnic urban population. Radiographs were evaluated for missing teeth, caries, restorations, periodontal bone loss, adequacy of endodontic treatment, and periapical radiolucencies. In the study 206 subjects were dentate (mean 17.1 teeth). 5.1% of teeth had periapical radiolucencies, and 4.8% had been endodontically treated; 37.5% of endodontically treated teeth had periapical radiolucencies. Teeth with restorations, periodontal bone loss, pulpotomy, and inadequate root canal filling had a significantly higher occurrence of periapical radiolucency (p < 0.05). Among all root filled teeth, only 26% were deemed satisfactory. We conclude that apical periodontitis is widely prevalent and the technical standard of root fillings is poor in this cohort. There is a substantial need for improved dental care among the northern Manhattan elderly.
AB - Pulpitis results in significant morbidity among the elderly, particularly in underserved communities. We collected panoramic oral radiographs from 244 (mean age 67) participants of the Northern Manhattan Study, a prospective cohort study of stroke risk in a multiethnic urban population. Radiographs were evaluated for missing teeth, caries, restorations, periodontal bone loss, adequacy of endodontic treatment, and periapical radiolucencies. In the study 206 subjects were dentate (mean 17.1 teeth). 5.1% of teeth had periapical radiolucencies, and 4.8% had been endodontically treated; 37.5% of endodontically treated teeth had periapical radiolucencies. Teeth with restorations, periodontal bone loss, pulpotomy, and inadequate root canal filling had a significantly higher occurrence of periapical radiolucency (p < 0.05). Among all root filled teeth, only 26% were deemed satisfactory. We conclude that apical periodontitis is widely prevalent and the technical standard of root fillings is poor in this cohort. There is a substantial need for improved dental care among the northern Manhattan elderly.
KW - Epidemiology
KW - periapical status
KW - radiographic evaluation
KW - root-canal treatment
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U2 - 10.1016/j.joen.2005.12.016
DO - 10.1016/j.joen.2005.12.016
M3 - Article
C2 - 17320702
AN - SCOPUS:33847238060
SN - 0099-2399
VL - 33
SP - 230
EP - 234
JO - Journal of endodontics
JF - Journal of endodontics
IS - 3
ER -