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Acute periapical abscesses and obese patients
1University of Florida, Gainesville, Florida, USA.
American Journal of Dentistry
|August 26, 2024
Summary
Obese patients have a significantly higher prevalence of acute periapical abscesses (PAs). This risk remains elevated even after accounting for diabetes, smoking, and periodontal disease, highlighting a crucial oral health concern.
Area of Science:
- Oral Health
- Public Health
- Epidemiology
Background:
- Obesity is a growing global health concern with numerous systemic implications.
- The relationship between obesity and oral health conditions, particularly periapical abscesses (PAs), requires further investigation.
- Understanding prevalence disparities can inform targeted public health interventions.
Purpose of the Study:
- To determine the prevalence of acute periapical abscesses (PAs) in an obese patient population.
- To compare PA prevalence between obese and average-weight individuals.
- To assess the influence of comorbidities on the association between obesity and PAs.
Main Methods:
- Utilized integrated hospital patient data, extracting information based on ICD-10 codes for obesity and PAs.
- Analyzed data from 1,874,214 patients, identifying 147,195 classified as obese.
- Performed statistical analysis, including odds ratios (OR) and confidence intervals (CI), with adjustments for comorbidities.
Main Results:
- Obese patients exhibited a significantly higher prevalence of PAs (OR 4.22).
- The association remained statistically significant after adjusting for diabetes (OR 2.55), smoking (OR 2.63), and periodontal disease (OR 3.85).
- Females, adults, and African Americans showed higher prevalence rates.
Conclusions:
- Oral healthcare providers must recognize the increased risk of PAs in obese individuals.
- Obesity is an independent risk factor for acute periapical abscesses.
- Further research into the mechanisms linking obesity and PAs is warranted.
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