Clinical, roentgenologic, and histopathologic findings in teeth with apical radiolucent areas

Baumann, Lisbeth; Rossman, Samuel R.

doi:10.1016/0030-4220(56)90235-3

Cited by 48 publications

(11 citation statements)

References 2 publications

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“…Although most dentists indicated that they perform periapical surgery to eliminate dental cysts, it is possible that most of the lesions were apical granulomata. This is because it is not easy to make a differential diagnosis of a periapical lesion from radiographs (Baumann & Rossman 1956).…”

Section: Discussionmentioning

confidence: 99%

Endodontic treatment in Nigeria

Akpata

1984

Int Endodontic J

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Section: Discussionmentioning

confidence: 99%

Endodontic treatment in Nigeria

Akpata

1984

Int Endodontic J

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“…Oral surgeons generally hold the view that cysts do not heal and have to be removed by surgery. It should be pointed out with emphasis thatin spite a recent claim (Shrout et al 1993) -periapical lesions cannot be differentially diagnosed into cystic and noncystic lesions based on radiographic evidence alone (Priebe et al 1954, Baumann & Rossman 1956, Wais 1958, Linenberg et al 1964, Bhaskar 1966, Lalonde 1970, Mortensen et al 1970. However, routine histopathological diagnostic laboratories and publications based on reviewing such reports perpetuate the notion that nearly half of all periapical lesions are radicular cysts.…”

Section: Do Radicular Cysts Heal?mentioning

confidence: 99%

New perspectives on radicular cysts: do they heal?

1998

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During the past few decades several authors have perpetuated the notion that nearly half of all periapical lesions are radicular cysts. A few studies, based on meticulous serial sectioning of periapical lesions retrieved in toto, have shown that the actual incidence of radicular cyst is only about 15% of all periapical lesions. Equally significant was the discovery in 1980 and recent confirmation that radicular cysts exist in two structurally distinct classes namely, those containing cavities completely enclosed in epithelial lining (periapical true cysts) and those containing epithelium-lined cavities that are open to the root canals (periapical pocket cysts). From a clinical point of view a periapical pocket cyst may heal after conventional root canal therapy whereas an apical true cyst is less likely to be resolved without surgical intervention.

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“…Although the statistical probability of cyst occurrence may be higher among larger lesions (20), a definite relationship between lesion size and cystic condition has not been supported by histology. Contrary to a claim (21), periapical lesions cannot be differentially diagnosed into cystic and non‐cystic lesions based on conventional radiographs (16, 22–26). Assuming that cystic cavities may have a lower density than other apical periodontitis lesions, computer tomography (27) and densitometry (21) have been used to differentiate these conditions, but without success.…”

Section: Diagnosis Of Cystsmentioning

confidence: 99%

Non‐microbial etiology: periapical cysts sustain post‐treatment apical periodontitis

Nair¹

2003

Endodontic Topics

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IN MICROSCOPY, AS IN NATURE, ONE RECOGNIZES ONLY WHAT ONE ALREADY KNOWS. Routine histopathological diagnostic reports and publications based on retrospective reviewing of such, perpetuate the notion that nearly half of all apical periodontitis lesions are cysts. Studies based on meticulous serial sectioning of apical lesions retrieved in toto show that the actual prevalence of cysts is only about 15% of all apical periodontitis lesions. Periapical cysts exist in two structurally distinct classes, namely those containing cavities completely enclosed in epithelial lining (periapical true cysts) and those containing epithelium-lined cavities that are open to the root canals (periapical pocket cysts). From a clinical point of view, small cysts, particularly the pocket cysts, can heal after non-surgical root canal therapy whereas large cysts, mainly true cysts, are less likely to be resolved without surgical intervention.

show abstract

Clinical, roentgenologic, and histopathologic findings in teeth with apical radiolucent areas

Cited by 48 publications

References 2 publications

Endodontic treatment in Nigeria

Endodontic treatment in Nigeria

New perspectives on radicular cysts: do they heal?

Non‐microbial etiology: periapical cysts sustain post‐treatment apical periodontitis

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