Abstract
O b j e c t i v e s: Periapical inflammation is one of the most common pathologies within the jaws, leading to the destruction of periodontal ligaments, bone resorption and the formation of periapical granulomas or radicular cysts. The final diagnosis can be made only on the basis of histopathological examination. The aim of the study was to assess the conformity between clinical and histopathological diagnosis of inflammatory periapical lesions treated with apicoectomy.
M a t e r i a l s a n d M e t h o d s: The case histories of 52 patients subjected to surgical treatment at the Clinic of Conservative Dentistry with Endodontics between 2008 and 2018 were analyzed. Demographic data (age, gender), clinical (radiological) diagnosis, and data on the presence of sinus tracts and causal tooth were obtained from patients’ records. R e s u l t s: In the light of clinical and radiological examination, 32 (61.5%) periapical granulomas, 18 (34.6%) radicular cysts and 2 (3.9%) periapical scars were diagnosed, whereas the result of histopathological examination revealed granuloma in 34 (65.4%) cases and in 18 (34.6%) — radicular cyst. For clinical diagnosis of granuloma, the result coincided with the result of the histopathological examination in 28 cases, and in the case of cysts in 14. The analysis showed a significant relationship between the clinical and histopathological diagnoses (p <0.05).
C o n c l u s i o n s: The study emphasizes the importance of histopathological assessment for the proper diagnosis of periapical lesions.
C l i n i c a l R e l e v a n c e: The article emphasizes the high importance of histopathological examination for the correct diagnosis of chronic inflammatory periapical lesions.
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Bibliography
1. Nair P.N.R.: Pathogenesis of apical periodontitis and the cause of endododontic failures. Crit Rev Oral Biol Med. 2004; 15 (6): 348–381.
2. Dominiak M., Łysiak K., Znamirowska A., Szczepański W., Hałoń A.: Porównanie zgodności oceny klinicznej, histopatologicznej oraz radiologicznej przewlekłych zmian okołowierzchołkowych. Dent Med Probl. 2006; 43 (4): 504–510.
3. White E.: Podstawy radiodiagnostyki stomatologicznej. Wydawnictwo Medyczne Sanmedica, Warszawa, 1994; pp. 242–244.
4. Tay J.Y.Y., Bay B.H., Yeo J.F., Harris M., Meghji S., Dheen S.T.: Identification of RANKL in osteolytic lesions of the facial skeleton. J Dent Res. 2004; 83 (4): 349–353.
5. Ratajczak M., Sowa W., Walter A.: Molekularne podstawy powstawania zębopochodnej torbieli zapalnej — przegląd piśmiennictwa. Dent Med Probl. 2010; 47 (4): 496–501.
6. Garcia C.C., Sempere F.V., Diago A.P., Bowen E.M.: The post-endodontic periapical lesion: Histologic and etiopathogenic aspects. Med Oral Patol Oral Cir Bucal. 2007; 12 (8): 585–590.
7. Nair P.N.R., Sundqvist G., Sjögren U.: Experimental evidence supports the abscess theory of development of radicular cysts. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2008; 106 (2): 294–303.
8. Von Arx T.: Apical surgery: A review of current techniques and outcome. Saudi Dent J. 2011; 23 (1): 9–15.
9. Diegues L.L., Robazza C.R.C., Hanemann J.A.C., Pereira A.A.C., Silva C.O.: Correlation between clinical and histopathological diagnoses in periapical inflammatory lesions. J Investig Clin Dent. 2011; 2 (3): 184–186.
10. Love R.M., Firth N.: Histopathological profile of surgically removed persistent periapical radiolucent lesions of endodontic origin. Int Endod J. 2009; 42 (3): 198–202.
11. Akinyamoju A.O., Gbadebo S.O., Adeyemi B.F.: Periapical lesions of the jaws: a review of 104 cases in ibadan. Ann Ibd Pg Med. 2014; 12 (2): 115–119.
12. Lin H.P., Chen H.M., Yu C.H., Kuo R.C., Kuo Y.S., Wang Y.P.: Clinicopathological study of 252 jaw bone periapical lesions from a private pathology laboratory. J Formos Med Assoc. 2010; 109 (11): 810–818.
13. Carrillo C., Penarrocha M., Ortega B., Martí E., Bagán J.V., Vera F.: Correlation of Radiographic Size and the Presence of Radiopaque Lamina With Histological Findings in 70 Periapical Lesions. J Oral Maxillofac Surg. 2008; 66 (8): 1600–1605.
14. Obuchowicz R., Nurzyńska K., Obuchowicz B., Urbanik A., Piórkowski A.: Use of Texture Feature Maps for the Refinement of Information Derived from Digital Intraoral Radiographs of Lytic and Sclerotic Lesions. Appl Sci. 2019; 9 (15): 2968.
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