Category: Systemic Influences

Outcomes of Hospitalizations Attributed to Periapical Abscess from 2000 to 2008: A Longitudinal Trend Analysis

By Dr. Barry H. Korzen | Posted September 10, 2013

In the September 2013 issue of The Journal of Endodontics Shah et al published a Longitudinal Trend Analysis of the outcomes of hospitalizations in the United States attributed to periapical abscess. The analysis looked at the years 2000 to 2008 and the findings were disturbing (e.g. over 61,000 hospitalizations and 66 deaths). As the authors state “Left untreated, periapical abscesses can have serious consequences that can lead to hospitalization.” Exerpts of this study could make interesting reading for your patients on your office website.

Diabetes mellitus and inflammatory pulpal and periapical disease: a review

By Dr. Barry H. Korzen | Posted August 20, 2013

Diabetes mellitus (DM) is one of the most common metabolic disorders resulting in oral manifestations, which have a direct effect on dental pulp integrity. The authors of this extensive review conclude “Inadequate DM control may predispose such patients to several oral infections, including dental pulp infection. In addition, the presence of apical periodontitis in patients with DM also corroborates with the lack of DM control. This relationship demonstrates a cross-susceptibility between both diseases, which increases the clinical rate of endodontic treatment failure. “