Prevalencia de lesiones pulpares y periapicales en pacientes atendidos en la clínica UCSG 2016-2018.

Abstract

Introduction: Endodontic lesions are related to the response of the pulp against irritants, initially it adapts and, as necessary, it is mentioned that the endodontic lesions may be pulpal or periapical; Regarding pulpal lesions, it is the response of the pulp to the presence of an irritant and the periapical lesions come as a result of a necrosis of the dental pulp. Objective: To identify the prevalence of pulpal and periapical lesions in patients treated at the UCSG 2016-2018 clinic. Materials and Methods: A retrospective, control, descriptive, observational, and cross-sectional study was carried out; the sample consisted of 216 patients. Results: Dental caries as the main risk factor 54%, the most affected piece with pulp and periapical lesions were incisors 56%, in tests of sensitivity 53% for cold, absence of pain was the highest 34%, radiographic characteristics 42% did not present any characteristic, the prevalence of pulpal necrosis injury 42% and periapical periodontium healthy injury 48% Discussion: Dental caries obtained a 54% risk factor demonstrating that it is the main cause for pulpal and periapical lesions, similar to the study by BalcázarNájera et al. Conclusion: To make an accurate pulpal and periapical diagnosis, it is necessary to identify the affected piece, perform the sensitivity tests correctly, identify the type of pain it presents and make an adequate diagnosis radiographic.