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<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Challenges in modern medicine</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2025-48-4-512-519</article-id><article-id pub-id-type="publisher-id">269</article-id><article-categories><subj-group subj-group-type="heading"><subject>STOMATOLOGY</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Prevalence of Apical Periodontitis in the Belgorod Agglomeration&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Prevalence of Apical Periodontitis in the Belgorod Agglomeration&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Oganesyan</surname><given-names>Alina I.</given-names></name><name xml:lang="en"><surname>Oganesyan</surname><given-names>Alina I.</given-names></name></name-alternatives><email>oganesyan@bsuedu.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Elkova</surname><given-names>Natalia L.</given-names></name><name xml:lang="en"><surname>Elkova</surname><given-names>Natalia L.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Kopytov</surname><given-names>Alexander A.</given-names></name><name xml:lang="en"><surname>Kopytov</surname><given-names>Alexander A.</given-names></name></name-alternatives><email>kopytov@bsuedu.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Oganesyan</surname><given-names>Arman A.</given-names></name><name xml:lang="en"><surname>Oganesyan</surname><given-names>Arman A.</given-names></name></name-alternatives><email>oganecyan@rambler.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Borozenceva</surname><given-names>Vita A.</given-names></name><name xml:lang="en"><surname>Borozenceva</surname><given-names>Vita A.</given-names></name></name-alternatives><email>vita_borozenceva@mail.ru</email></contrib></contrib-group><pub-date pub-type="epub"><year>2025</year></pub-date><volume>48</volume><issue>4</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2025/4/АПМ_2025_Том_48__4_512-519.pdf" /><abstract xml:lang="ru"><p>In most cases, apical periodontitis is a complication of untreated pulpitis or its unsuccessful treatment resulting from the complex anatomy of the root canals or their sclerosis. The purpose of the study is to determine the prevalence of apical periodontitis among the population of the Belgorod agglomeration. Materials and methods. During the study, we analyzed 600 tomograms of patients aged 18 to 82 years old who had dental appointments not directly related to the need for apical periodontitis treatment. Results. 47.6 % of the adult population of the Belgorod agglomeration have been diagnozed with signs of apical periodontitis. The number of teeth in the group of 18&amp;ndash;29-year-old men is 27.37 &amp;plusmn; 0.34, while that in the women&amp;rsquo;s group equals 28.02 &amp;plusmn; 0.30. It consistently decreases, reaching 14.83 &amp;plusmn; 1.97 and 16.47 &amp;plusmn; 2.21 teeth, respectively, in the group over 70 years old. The proportion of teeth with apical periodontitis is minimal in the group of 18&amp;ndash;29-year-olds among men, equaling 2.3 %, and 1.9 % among women. The maximum proportion of teeth with periapical changes has been found in the group of 50&amp;ndash;59 year-olds. The indicator increases to 8.8 % in men and to 8.1&amp;nbsp;% in women. In the 70+ group of patients, the estimated proportion decreases to 5.8 % among men and 5.3&amp;nbsp;% among women. The revealed dynamics may be explained by sclerosis of the root canals.</p></abstract><trans-abstract xml:lang="en"><p>In most cases, apical periodontitis is a complication of untreated pulpitis or its unsuccessful treatment resulting from the complex anatomy of the root canals or their sclerosis. The purpose of the study is to determine the prevalence of apical periodontitis among the population of the Belgorod agglomeration. Materials and methods. During the study, we analyzed 600 tomograms of patients aged 18 to 82 years old who had dental appointments not directly related to the need for apical periodontitis treatment. Results. 47.6 % of the adult population of the Belgorod agglomeration have been diagnozed with signs of apical periodontitis. The number of teeth in the group of 18&amp;ndash;29-year-old men is 27.37 &amp;plusmn; 0.34, while that in the women&amp;rsquo;s group equals 28.02 &amp;plusmn; 0.30. It consistently decreases, reaching 14.83 &amp;plusmn; 1.97 and 16.47 &amp;plusmn; 2.21 teeth, respectively, in the group over 70 years old. The proportion of teeth with apical periodontitis is minimal in the group of 18&amp;ndash;29-year-olds among men, equaling 2.3 %, and 1.9 % among women. The maximum proportion of teeth with periapical changes has been found in the group of 50&amp;ndash;59 year-olds. The indicator increases to 8.8 % in men and to 8.1&amp;nbsp;% in women. In the 70+ group of patients, the estimated proportion decreases to 5.8 % among men and 5.3&amp;nbsp;% among women. The revealed dynamics may be explained by sclerosis of the root canals.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>apical periodontitis</kwd><kwd>age groups</kwd><kwd>sclerosis of root canals</kwd></kwd-group><kwd-group xml:lang="en"><kwd>apical periodontitis</kwd><kwd>age groups</kwd><kwd>sclerosis of root canals</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Gaivoronsky I.V., Grigoryan A.S., Ponomarev A.A., Voytyatskaya I.V., Khapsirokova Z.Z., Gaivoronskaya&amp;nbsp;M.G. 2022. Prevalence of Apical Periodontitis in the Adult Population of the Belgorod Region. Challenges in Modern Medicine. 2: 198&amp;ndash;206 (in Russian). doi: 10.52575/2687-0940-2022-45-2-198-206</mixed-citation></ref><ref id="B2"><mixed-citation>Kopytov A.A., Yakovenko D.M. 2011. 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