Ultrasound examination with color power Doppler to assess the early response of apical periodontitis to the endodontic treatment

Cotti, Elisabetta; Esposito, Stefano; Musu, D; Campisi, G

doi:10.1007/s00784-017-2089-z

Cited by 10 publications

(17 citation statements)

References 39 publications

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“…However, in that review, no quantitative analysis was done due to the heterogeneity of the included articles. Additionally, three more articles have been published on this topic (Tikku et al 2016, Cotti et al 2018, S€ onmez et al 2019, with all of them favouring the use of US in the differential diagnosis of periapical lesions. Hence, a qualitative and quantitative analysis of these articles will be vital and relevant for clinicians to arrive at an appropriate treatment plan.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound imaging for the differential diagnosis of periapical lesions of endodontic origin in comparison with histopathology – a systematic review and meta‐analysis

et al. 2021

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Section: Introductionmentioning

confidence: 99%

Ultrasound imaging for the differential diagnosis of periapical lesions of endodontic origin in comparison with histopathology – a systematic review and meta‐analysis

et al. 2021

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“…In addition, as demonstrated by previous studies, ultrasound examination with CPD was useful for the monitoring of the periapical lesion and the sinus tract one week from the completion of the root canal treatment. Indeed, it was possible to evaluate not only the disappearance of the fistulous tract, but also the reduction of the vascular signal, which is related to resolution of the inflammatory process [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, ultrasound examination was of particular interest in non-invasively visualizing and tracing the sinus tract, and revealing the content of the lesion. In addition, this latter technique was demonstrated to be reliable not only in monitoring the periapical lesion, but also in predicting the long-term outcome of endodontic treatment [ 12 , 13 ] based on the early echographic response of the lesion at one week after treatment.…”

Section: Discussionmentioning

confidence: 99%

“…This technique was introduced into endodontics for the first time in the early 2000s, when it was demonstrated that it was possible to obtain echographic images of apical periodontitis, and to gain information related to the content of the lesions [ 9 ]. Subsequently, ultrasonography has been enhanced with the color-power Doppler (CPD), which has proved useful to differentiate between granulomatous and cystic apical lesions using histopathology as the reference standard [ 10 , 11 ], and to monitor the healing of AP after both surgical and non-surgical treatment [ 12 , 13 ]. The aim of the present report is to discuss a case where the sequelae of a sport-related traumatic injury were diagnosed and followed-up with a multi-modular imaging approach.…”

Section: Introductionmentioning

confidence: 99%

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Management of the Sequelae of a Sport-Related Traumatic Dental Injury Using Ultrasound Examination in the Diagnosis and Follow-Up

et al. 2021

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About a quarter of all oral pathologies involving the oral cavity and dental apparatus are traumatic injuries, and a substantial number of these cases are the result of sports injuries affecting adolescents and young adults. Here, we report the case of a 25-year-old healthy female referred to the department of Endodontics for the evaluation and management of teeth 1.2 and 1.1 because of a chronic apical abscess in an area involved in a sport-related dental trauma in the past. A multi-modular diagnostic assessment, comprising conventional periapical radiographs, CBCT imaging, ultrasound, and histopathologic examination, led to a final diagnosis of an apical granulomatous lesion connected to both teeth, and an associated sinus tract. During the follow-up period of three years, the patient was reviewed twice a year and showed progressive healing of the bone and absence of the sinus tract. The present report shows the challenges of diagnosing complications arising from past dental trauma. Furthermore, it is the first documented traumatic case where ultrasound examination was fruitfully used. Emphasis should be put on introducing diagnostic ultrasound for the management of both apical periodontitis and the related sinus tract.

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“…2010) endodontic treatments and to assess the early response of AP to root canal treatment (Cotti et al . 2018).…”

Section: Introductionmentioning

confidence: 99%

Ultrasound examination for the detection of simulated periapical bone lesions in bovine mandibles: an ex vivo study

et al. 2020

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AimTo evaluate the accuracy of ultrasound examination (USE) for the detection of artificial bone defects in bovine mandibles in the absence of complete erosion of the cortical bone plate and to determine the minimum cortical thickness that constitutes a barrier for ultrasound waves.Methodology Sixty bovine mandibular anatomical blocks were harvested and uniformly distributed amongst six experimental groups. The negative control consisted of blocks with no intra‐bony defects, whereas the positive control consisted of blocks with an artificial lesion of 2 mm diameter that perforated the buccal cortical bone plate. Two experimental groups comprised blocks with small (2 mm) and large (5 mm) artificial defects created under a cortical plate thinned to varying thicknesses. Two additional groups had small (2 mm) and large (5 mm) artificial defects that did not involve the cortical plate. After USE, the scans were saved and submitted to three blinded examiners. Sensitivity, specificity, predictive values and receiver‐operating characteristics (ROC) were analysed. The significance of the findings (P < 0.05) was appraised using the chi‐square statistics with the Yates correction, whilst the intra‐ and inter‐examiner agreements were evaluated through Kappa statistics.ResultsUSE was associated with high sensitivity (97.3%) and negative predictive value (89%), and a perfect score for specificity and positive predictive value. The ROC curve analysis revealed an accuracy of 97.8%. The k‐values were 0.86 and 0.89 for the first and second examinations, respectively, demonstrating very high inter‐observer agreement. The intra‐observer agreement was also high (k‐value = 0.92). A significant correlation between the echographic diagnosis and the presence or absence of artificial intraosseous lesions in the anatomical blocks of bovine mandibles was observed (P < 0.0001).ConclusionsUSE was highly accurate and reliable for the detection of artificial lesions within bovine mandibles, regardless of the thickness or presence of the cortical plate.

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Ultrasound examination with color power Doppler to assess the early response of apical periodontitis to the endodontic treatment

Abstract: US-CPD in endodontics may be a helpful tool to identify healing processes after endodontic treatment and to understand the behavior of different forms of AP.

Cited by 10 publications

References 39 publications

Ultrasound imaging for the differential diagnosis of periapical lesions of endodontic origin in comparison with histopathology – a systematic review and meta‐analysis

Ultrasound imaging for the differential diagnosis of periapical lesions of endodontic origin in comparison with histopathology – a systematic review and meta‐analysis

Management of the Sequelae of a Sport-Related Traumatic Dental Injury Using Ultrasound Examination in the Diagnosis and Follow-Up

Ultrasound examination for the detection of simulated periapical bone lesions in bovine mandibles: an ex vivo study

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