Yandy Gonzalez Marrero1, Yoshifumi Kobayashi2, Mohammad Saqib Ihsan2, Lisa A Pilch3, Liyaa Chen3, Shuying Jiang4, Yi Ye5, Daniel H Fine1, Carla Y Falcon1, Paul A Falcon1, Craig S Hirschberg1, Emi Shimizu6. 1. Department of Endodontics, Rutgers School of Dental Medicine, Newark, New Jersey. 2. Department of Oral Biology, Rutgers School of Dental Medicine, Newark, New Jersey. 3. Office of Information Technology, Rutgers University, Newark, New Jersey. 4. Academic Affairs, Rutgers School of Dental Medicine, Newark, New Jersey. 5. Bluestone Center for Clinical Research, New York University College of Dentistry, New York, New York; Department of Oral and Maxillofacial Surgery, New York University College of Dentistry, New York, New York; Department of Molecular Pathobiology, New York University College of Dentistry, New York, New York. 6. Department of Endodontics, Rutgers School of Dental Medicine, Newark, New Jersey; Department of Oral Biology, Rutgers School of Dental Medicine, Newark, New Jersey. Electronic address: shimize1@sdm.rutgers.edu.
Abstract
INTRODUCTION: Diabetes mellitus (DM) is a complex multisystemic disorder that affects an estimated 21 million Americans. No studies have evaluated the association of DM with the prevalence of each pulpal diagnosis. The objective of this study was to compare the prevalence of each pulp diagnosis including symptomatic irreversible pulpitis (SIP), asymptomatic irreversible pulpitis, reversible pulpitis, normal pulp, and pulp necrosis (PN) in DM patients against a nondiabetic control group. METHODS: A retrospective chart review was approved by Rutgers University Institutional Review Board. The prevalence of the diagnoses SIP, asymptomatic irreversible pulpitis, reversible pulpitis, normal pulp, and PN was calculated from AxiUm (Exan software, Las Vegas, NV) electronic health records at Rutgers School of Dental Medicine. The chi-square test was used to see the relationship between the 2 categoric variables. Second, binary logistic regression analyses were performed for each group. RESULTS: A total of 2979 teeth were diagnosed with a pulp condition between April 2013 and November 2018. The total tooth number of DM patients was 682, whereas the tooth number of nondiabetic patients was 2297. In the subgroup of patients younger than 40 years old, SIP was notably more prevalent in DM patients. In addition, the prevalence of PN in elderly DM patients (60-69 years old) was significantly higher than in the control group. CONCLUSIONS: The prevalence of SIP in DM patients was significantly higher compared with the control group (<40 years old), suggesting the possibility that DM could hypersensitize the subgroup of patients younger than 40 years old to pulpitis pain.
INTRODUCTION: Diabetes mellitus (DM) is a complex multisystemic disorder that affects an estimated 21 million Americans. No studies have evaluated the association of DM with the prevalence of each pulpal diagnosis. The objective of this study was to compare the prevalence of each pulp diagnosis including symptomatic irreversible pulpitis (SIP), asymptomatic irreversible pulpitis, reversible pulpitis, normal pulp, and pulp necrosis (PN) in DM patients against a nondiabetic control group. METHODS: A retrospective chart review was approved by Rutgers University Institutional Review Board. The prevalence of the diagnoses SIP, asymptomatic irreversible pulpitis, reversible pulpitis, normal pulp, and PN was calculated from AxiUm (Exan software, Las Vegas, NV) electronic health records at Rutgers School of Dental Medicine. The chi-square test was used to see the relationship between the 2 categoric variables. Second, binary logistic regression analyses were performed for each group. RESULTS: A total of 2979 teeth were diagnosed with a pulp condition between April 2013 and November 2018. The total tooth number of DM patients was 682, whereas the tooth number of nondiabetic patients was 2297. In the subgroup of patients younger than 40 years old, SIP was notably more prevalent in DM patients. In addition, the prevalence of PN in elderly DM patients (60-69 years old) was significantly higher than in the control group. CONCLUSIONS: The prevalence of SIP in DM patients was significantly higher compared with the control group (<40 years old), suggesting the possibility that DM could hypersensitize the subgroup of patients younger than 40 years old to pulpitis pain.
Authors: S M F Lima; D C Grisi; E M Kogawa; O L Franco; V C Peixoto; J F Gonçalves-Júnior; M P Arruda; T M B Rezende Journal: Int Endod J Date: 2013-02-26 Impact factor: 5.264
Authors: Kumar Chandan Srivastava; Deepti Shrivastava; Anil Kumar Nagarajappa; Zafar Ali Khan; Ibrahim A Alzoubi; Mohammed Assayed Mousa; May Hamza; Anju P David; Khalid Al-Johani; Mohammed Ghazi Sghaireen; Mohammad Khursheed Alam Journal: Int J Environ Res Public Health Date: 2020-12-11 Impact factor: 3.390