Assessment of Digital Intraoral Periapical Radiograph for the Detection of Apical Root Resorption in Inflammatory Periapical Pathologies: A Radiovisiography Study.
abscesses
apical root resorption
cysts
granulomas
inflammatory periapical pathologies
periapical diseases
periapical radiograph
radiovisiography
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
02
05
2023
accepted:
08
09
2023
medline:
10
10
2023
pubmed:
10
10
2023
entrez:
10
10
2023
Statut:
epublish
Résumé
Introduction Resorption often takes the form of external inflammatory root resorption. Apical periodontitis or an apical cyst is the most typical cause of external inflammatory root resorption. Failure of endodontic treatment can occur if severe apical root resorption occurs.This is due to the difficulty of reaching these sites.Apical root resorption is usually discovered during routine radiographs and is usually in its later stages. If the lesion is advanced, extraction is the only viable solution. An accurate diagnosis of incipient root resorption is essential. This research is designed to analyze the effectiveness of digital intraoral periapical radiographs in assessing apical root resorption (ARR) related to periapical pathologies. Material and methods This cross-sectional radiographic observational research was conducted in a dental college and hospital in central India. Radiovisiography (RVG) images of 190 patients' teeth with inflammatory periapical pathologies were evaluated to determine the presence or absence of resorption in the apical area of the root. After the radiographic assessment of the apical root resorption, the extraction of the affected teeth was done under all aseptic conditions. The periapical tissue was sent for histological analysis and the extracted tooth sample was examined for the presence or absence of apical root resorption. Results In comparison to apical periodontitis, the proportion of severe root resorption patients was significantly higher in abscess and periapical granuloma. Using Pearson's Chi-square test, the difference in patient proportions according to the kind of resorption in the three radiological diagnosis groups was statistically significant with a p-value of 0.0058. Conclusion It was concluded that on radiographic examination, digital intraoral periapical radiographs were found to be accurate in determining periapical apical pathologies and apical root resorption.
Identifiants
pubmed: 37814761
doi: 10.7759/cureus.44885
pmc: PMC10560382
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e44885Informations de copyright
Copyright © 2023, Siddique et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Dent Anesth Pain Med. 2016 Mar;16(1):1-8
pubmed: 28879289
Turk J Orthod. 2016 Dec;29(4):103-108
pubmed: 30112483
BMC Oral Health. 2021 Mar 26;21(1):163
pubmed: 33771147
J Clin Exp Dent. 2012 Dec 01;4(5):e281-5
pubmed: 24455036
Int Endod J. 2022 Oct;55 Suppl 4:892-921
pubmed: 35229320
Angle Orthod. 2017 Mar;87(2):328-337
pubmed: 27813424
Malays J Med Sci. 2015 Nov;22(6):63-66
pubmed: 28223888
ISRN Dent. 2014 May 12;2014:759326
pubmed: 24944822
Eur J Dent. 2012 Oct;6(4):445-53
pubmed: 23077427
Dental Press J Orthod. 2016 Mar-Apr;21(2):15-27
pubmed: 27275612
Eur Endod J. 2020 Jul 14;5(2):54-67
pubmed: 32766513
J Endod. 2019 Jun;45(6):761-767
pubmed: 31003736
J Pharm Bioallied Sci. 2012 Aug;4(Suppl 2):S285-9
pubmed: 23066272
J West Afr Coll Surg. 2014 Jul-Sep;4(3):74-88
pubmed: 26457267