Article
Endodontic variables in patients with SARS-CoV-2 infection (COVID-19) in relation to the severity of the disease
Author/s | Poyato Borrego, Manuel
León-López, María Martín González, Jenifer Cisneros, José Miguel Cabanillas Balsera, Daniel Segura Egea, Juan José |
Department | Universidad de Sevilla. Departamento de Estomatología Universidad de Sevilla. Departamento de Medicina |
Publication Date | 2023 |
Deposit Date | 2024-09-12 |
Published in |
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Abstract | Background: Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) is the cause of the ongoing coro navirus disease 2019 (COVID-19) pandemic. It has been hypothesized oral health may be related to the severity
and ... Background: Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) is the cause of the ongoing coro navirus disease 2019 (COVID-19) pandemic. It has been hypothesized oral health may be related to the severity and complications of COVID-19. The aim of this study was to analyze the prevalence of apical periodontitis and the frequency of root canal treatment in a sample of patients with SARS-CoV-2 infection (COVID-19), correlating them with the severity of the disease. Material and Methods: This retrospective study was conducted following the Strengthening Reporting Observa tional Studies in Epidemiology (STROBE) guidelines. The study examined 280 patients with positive real time PCR COVID-19 test whose treatment was performed in our hospital. Fifty-two patients aged 52.3 ± 17.3 years, including 30 males and 22 females, who had an orthopantomography in their clinical record, performed in the last 2 years, were included. Patients with SARS-CoV-2 infection were grouped as mild or moderate (MM) and severe or critical (SC) illness groups, according to the NIH COVID-19 Treatment Guidelines (Wu & McGoogan 2020). Radiographic records were analyzed and apical periodontitis (AP) was diagnosed as radiolucent periapical lesions (RPLs), using the periapical index score (PAI). Student’s t test, χ2 test and multivariate logistic regression were used in the statistical analysis. Results: The number of carious teeth was significantly higher in the SC group (3.4 ± 4.1), which showed more than twice as many teeth with carious lesions than the MM group (1.4 ± 1.8) (p = 0.02). Multivariate regression analysis showed association between the number of carious teeth and the severity of SARS-CoV-2 disease (OR = 1.5; 95% CI = 1.1–2.1; p = 0.017). Endodontic status (OR = 7.12; 95% CI = 1.2-40.9; p = 0.027) also correlated with the disease severity. Conclusions: The results suggest that the oral health status of COVID-19 patients correlated with the severity of the SARS-CoV-2 virus infection. Significant association has been found between the severity of COVID-19 dis ease and the presence of a greater number of teeth with caries lesions, as well as with endodontic status. |
Citation | Poyato Borrego, M., León-López, M., Martín González, J., Cisneros, J.M., Cabanillas Balsera, D. y Segura Egea, J.J. (2023). Endodontic variables in patients with SARS-CoV-2 infection (COVID-19) in relation to the severity of the disease. Medicina oral, patología oral y cirugía bucal, 28 (4), 25773-e361. https://doi.org/10.4317/medoral.25773. |
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