Prevalence of pulp or periapical disease as risk factor of secondary uveitis

Abstract

Aim: Assessment of periapical and pulp disease prevalence as a risk factor for secondary uveitis in patients attending ISSSTE (Social Security Institute for Government Workers) in 2013 in the city of Merida, Yucatan, Mexico. Introduction: Periapical and pulp diseases can elicit inflammatory reactions which might affect vision. Material and methods: The present study was of a descriptive, cross-sectioned and observational nature. Patients´ Informed consent was secured. System identifi cation card included demographic data, intraoral clinical examination results of 12 patients with an a priori diagnosis of secondary uveitis confi rmed by a dentist , with presence of pulp or periapical disease along with history of pain (duration, frequency, type and quality), pulp examinations (palpation, percussion, thermal and vitality tests). Panoramic and periapical X-rays were taken, descriptive statistics were conducted as well as chi-square (χ2) test of goodness of fi t for two categories with Yates correction. Results: Out of the 34 patients diagnosed with different types of uveitis, 35.29% was established as secondary uveitis. Of the aforementioned patients, 33.33% were in the 48-57 years age range. The examination encompassed 19 teeth of the 12 patients; out of these, 26.32% exhibited pulp disease and 73.68 periapical disease. Conclusion: Diseases involving dental periapex and pulp may cause infl ammatory reaction in the eyes.