Geschlechterspezifische Aspekte der Endodontie

Gender aspects in endodontics

by Theresia Maria Janke
Doctoral thesis
Date of Examination:2016-08-03
Date of issue:2016-07-06
Advisor:Prof. Dr. Michael Hülsmann
Referee:Prof. Dr. Michael Hülsmann
Referee:Prof. Dr. Dr. Wilfried Engelke
Persistent Address: http://dx.doi.org/10.53846/goediss-5726

 

 

Files in this item

Name:Dissertation_TheresiaJanke.pdf
Size:795.Kb
Format:PDF

The following license files are associated with this item:

Abstract

English

The aim of this study was to evaluate the existing endodontic literature to figure out the coherence of patient’s sex with various aspects of endodontology and trying to find out how often men and women are mentioned in clinical studies. Clinical trials published in the Journal of Endodontics and the International Endodontic Journal from January 2003 to December 2014 were analyzed and supplemented by a non-limited hand search. The analysis was divided into different sections: dental anatomy, anesthesia, patient’s anxiety, epidemiology, pathology, physiology, complications associated with endodontic treatment and prognosis and success of endodontic treatment. The findings showed that only 15,8% of the clinical trials published in the last twelve years in the two endodontic journals referred to gender distribution or differences between genders in their results. The hand search of further literature related to endodontic topics showed controversial results. In some categories differences between men and women are set out clearly, for example for tooth anatomy or structure and thickness of jaw bone. Other topics showed trends but no clear differences between the sexes, for example the occurence of a second mesiobuccal root canal in first maxillary molars, which seems to be more prevalent in male subjects, or that women respond differently to preoperative medication and anesthesia than men. It seems that women are more willing to participate in clinical studies and consult a dentist, which possibly could explain why women showed better results in some of the studies on treatment succes than men. Other topics, for example the impact of postmenopause, osteoporosis, genetic differences, hormonal differences still have not been investigated so far. This study illustrates that there is not enough material presented in clinical studies and that therefore a final summary can not be drawn. Future analyzes of specific fields of endodontic topics are necessary to explain more details of gender differences and thus ensure that better long-term results of root canal treatments can be achieved in patients of different sexes.
Keywords: gender; root canal treatment; sex
 
Statistik