PREVALENCE OF PERIAPICAL TISSUE DISEASES AMONG THE ADULT POPULATION OF A LARGE INDUSTRIAL CITY

Abstract

Chronic forms of apical periodontitis represent one of the most urgent problems of clinical dentistry, because the number of patients remains to this day, very significant, and in the structure of dental morbidity are located after pulpitis and caries in third place. There are relatively few modern data on the prevalence and incidence of chronic forms of apical periodontitis and they are often contradictory. At the same time, there are practically no data from multicenter studies among the adult population living in various cities of one of the subjects of the Central Federal District of the Russian Federation. The aim of the study was to assess the prevalence of chronic forms of periapical tissue diseases among the adult population of a large industrial city receiving medical care at the state budgetary healthcare institution of the regional center of the Central Federal District of the Russian Federation. In the conditions of the profile state medical center of A retrospective analysis of 2,168 dental outpatient records of patients with periapical tissue diseases for 2017-2022 was carried out in Yaroslavl. Based on the data obtained, the following statistical indicators were calculated: the severity of periodontal pathology and prevalence for specific annual indicators and age groups, the number of teeth with destructive forms of apical periodontitis, gender-age composition of patients with periapical tissue disease. Of all the considered registers, the most common pathologies of pulp and periapical pathology were irreversible pulpitis (34.58%) and chronic apical periodontitis (34.89%). The female sex prevailed (65.36%). According to the reviewed records, the age group that most needed endodontic treatment was 60 years and older (36.99%). The upper first molars (24.15%) and lower molars (36.71%) were most often treated, and the most common etiological factor was dental caries (84.07%). This situation requires decision makers to invest in prevention and oral health promotion programs to implement programs that ideally should be based on the real needs of the population.Keywords: prevalence, morbidity, chronic apical periodontitis, odontogenic infection.