Pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years

Introduction: when permanent dental structures have young, immature pulps, they are bigger and their root canal walls are very thin. If they are affected by some pulp or periapical disease, damage is caused to pulp integrity and consequently to root development as well. Objective: identify pulp and...

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Main Authors: Celia Elena Mendiburu Zavala, Ricardo Peñaloza Cuevas, Inés del Rosario Chuc Baas, Salvador Medina Peralta
Format: Article
Language:English
Published: Editorial Ciencias Médicas 2017-09-01
Series:Revista Cubana de Estomatología
Subjects:
Online Access:http://www.revestomatologia.sld.cu/index.php/est/article/view/1275
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author Celia Elena Mendiburu Zavala
Ricardo Peñaloza Cuevas
Inés del Rosario Chuc Baas
Salvador Medina Peralta
author_facet Celia Elena Mendiburu Zavala
Ricardo Peñaloza Cuevas
Inés del Rosario Chuc Baas
Salvador Medina Peralta
author_sort Celia Elena Mendiburu Zavala
collection DOAJ
description Introduction: when permanent dental structures have young, immature pulps, they are bigger and their root canal walls are very thin. If they are affected by some pulp or periapical disease, damage is caused to pulp integrity and consequently to root development as well. Objective: identify pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years, and their degree of development according to Patterson's classification. Methods: a cross-sectional observational descriptive study was conducted. Of the 357 children attending the Social Service University Unit at the Autonomous University of Yucatán, Mexico, in the year 2013, for pulp or periapical diseases, 56 presented them in immature permanent dental structures. The following inclusion criteria were applied: age, dental structure, pulp and periapical diseases, and Patterson's classification, to radiographically observe the degree of root development. Parents provided their informed consent in writing, and answered a questionnaire with personal details of the child. Children were asked about the antecedents of their pain, and underwent tests and clinical and radiographic examination. Chi-square tests were used to sort out the patients according to: 1) dental structure, 2) age, 3) Patterson's classification, 4) pulp and periapical disease. Results: 57 % of the sample were girls and 43 % were boys. 15.69% had pulp and/or periapical disease in permanent dental structures, with a higher prevalence of Patterson's stages 1, 2 and 3. The dental structure affected varied significantly (X2= 22.6429; p= 0.0004; g.l.= 5). The proportion of patients with pulp or periapical disease varied significantly with age (X2= 30.75; p< 0.0001; g.l.= 6). The proportion of patients with some permanent dental structure affected varied significantly according to Patterson's classification (X2= 7.75; p= 0.0208; g.l.= 2). Significant statistical differences were found between the types of pulp diseases (X2= 7.2; p= 0.0273; g.l.= 2), not between the types of periapical diseases (X2= 1.4615; p=0.4815; g.l.= 2). Conclusions: incidence of pulp diseases is higher than that of periapical diseases in very young children. These affect permanent dental structures with incomplete root development, jeopardizing tooth preservation in adult age and severely affecting the stomatognathic system with a potential for causing malocclusion at an early age.
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spelling doaj.art-cbab462057ea4604864ba9a719350ee52022-12-22T03:00:55ZengEditorial Ciencias MédicasRevista Cubana de Estomatología0034-75071561-297X2017-09-015431723245Pulp and periapical diseases in permanent dental structures of patients aged six to fourteen yearsCelia Elena Mendiburu Zavala0Ricardo Peñaloza Cuevas1Inés del Rosario Chuc Baas2Salvador Medina Peralta3Facultad de Odontología de la Universidad Autónoma de YucatánFacultad de Odontología de la Universidad Autónoma de YucatánCirujano dentista de práctica general. Mérida, YucatánFacultad de Matemáticas de la Universidad Autónoma de YucatánIntroduction: when permanent dental structures have young, immature pulps, they are bigger and their root canal walls are very thin. If they are affected by some pulp or periapical disease, damage is caused to pulp integrity and consequently to root development as well. Objective: identify pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years, and their degree of development according to Patterson's classification. Methods: a cross-sectional observational descriptive study was conducted. Of the 357 children attending the Social Service University Unit at the Autonomous University of Yucatán, Mexico, in the year 2013, for pulp or periapical diseases, 56 presented them in immature permanent dental structures. The following inclusion criteria were applied: age, dental structure, pulp and periapical diseases, and Patterson's classification, to radiographically observe the degree of root development. Parents provided their informed consent in writing, and answered a questionnaire with personal details of the child. Children were asked about the antecedents of their pain, and underwent tests and clinical and radiographic examination. Chi-square tests were used to sort out the patients according to: 1) dental structure, 2) age, 3) Patterson's classification, 4) pulp and periapical disease. Results: 57 % of the sample were girls and 43 % were boys. 15.69% had pulp and/or periapical disease in permanent dental structures, with a higher prevalence of Patterson's stages 1, 2 and 3. The dental structure affected varied significantly (X2= 22.6429; p= 0.0004; g.l.= 5). The proportion of patients with pulp or periapical disease varied significantly with age (X2= 30.75; p< 0.0001; g.l.= 6). The proportion of patients with some permanent dental structure affected varied significantly according to Patterson's classification (X2= 7.75; p= 0.0208; g.l.= 2). Significant statistical differences were found between the types of pulp diseases (X2= 7.2; p= 0.0273; g.l.= 2), not between the types of periapical diseases (X2= 1.4615; p=0.4815; g.l.= 2). Conclusions: incidence of pulp diseases is higher than that of periapical diseases in very young children. These affect permanent dental structures with incomplete root development, jeopardizing tooth preservation in adult age and severely affecting the stomatognathic system with a potential for causing malocclusion at an early age.http://www.revestomatologia.sld.cu/index.php/est/article/view/1275enfermedades pulpares y periapicalesestructura dental permanente inmadura.
spellingShingle Celia Elena Mendiburu Zavala
Ricardo Peñaloza Cuevas
Inés del Rosario Chuc Baas
Salvador Medina Peralta
Pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years
Revista Cubana de Estomatología
enfermedades pulpares y periapicales
estructura dental permanente inmadura.
title Pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years
title_full Pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years
title_fullStr Pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years
title_full_unstemmed Pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years
title_short Pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years
title_sort pulp and periapical diseases in permanent dental structures of patients aged six to fourteen years
topic enfermedades pulpares y periapicales
estructura dental permanente inmadura.
url http://www.revestomatologia.sld.cu/index.php/est/article/view/1275
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