Objectives. The objectives of this investigation were to study determinants
of apical periodontitis among Lithuanians who were 35 to 44 years old and
to Study possible associations between apical periodontitis, relevant gener
al diseases, and perceived general health.
Study design. Information was collected from a randomly selected sample, co
nsisting of 147 individuals from Vilnius, Lithuania. Aspects of oral and ge
neral health, health-related habits and attitudes, and social parameters we
re used as independent variables, with various aspects of apical periodonti
tis as the dependent variable. Associations were tested by regression analy
sis.
Results. Apical periodontitis was highly prevalent in this Lithuanian popul
ation. Oral health-related variables showed the strongest association with
apical periodontitis. Decayed and filled teeth scores were found to be stro
ngly associated with periapical disease, and sound teeth were strongly asso
ciated with periapical health. In addition, behavioral variables were found
to be important disease determinants.
Conclusions. Apical periodontitis appeared to bean oral health problem clos
ely related to dental caries. No association could be detected between gene
ral diseases and apical periodontitis, but an association between perceived
general health and apical periodontitis was demonstrated.