Endodontic decisions based on radiographic appearance

Luskin, Ira R.; Kressin, Dale Joseph

doi:10.1053/svms.2001.26676

Cited by 7 publications

(3 citation statements)

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“…94,98 Comparing the root canal width in a radiograph of the similarly positioned contralateral tooth may help discern tooth vitality. 3 Following root canal therapy, there may be a transient increase in periapical radiolucency, possibly due to chemomechanical irritation. 99 Temporary periapical breakdown may also continue for years.…”

Section: Figurementioning

confidence: 99%

“…1 Clinical signs that have been attributed to endodontic disease in dogs include: fever, pain on chewing, irritability, diminished appetite, selective rejection of hard food, picking up food and then dropping it, unilateral chewing (resulting in more plaque and calculus accumulation on the affected side), sensitivity to hot and cold stimuli, pawing at the mouth, rubbing of the head or chin along the ground or furniture, reluctance to be petted on the head, excessive salivation, tooth discoloration, draining sinus tracts, and maxillary, mandibular or suborbital swellings which may be responsive to antibiotics. 2,3 Due to the sometimes insidious nature of endodontic disease, appreciation of animal discomfort may only occur in hindsight following successful endodontic treatment. 1 The World Health Organization recognizes five major categories of apical periodontitis in humans: acute apical periodontitis of pulpal origin; chronic apical periodontitis; periapical abscess with sinus; periapical abscess without sinus; and, radicular cysts.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Apical Periodontitis in Dogs and Humans: A Review

Menzies

Reiter²,

Lewis³

2014

J Vet Dent

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Veterinary dentists commonly encounter apical periodontitis in dogs. An overview of the disease is presented, concentrating on pathogenesis and mechanisms of healing. Assessment modalities are reviewed and interpretations of treatment success and failure are discussed. The limitations of readily available diagnostic equipment are illustrated. The benefits of identifying the causative agent and resultant pathosis should not be overlooked. Well-designed clinical studies evaluating various methods of long-term follow-up for apical periodontitis in dogs are needed.

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Section: Figurementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of Apical Periodontitis in Dogs and Humans: A Review

Menzies

Reiter²,

Lewis³

2014

J Vet Dent

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“…Therefore, accurate identification and treatment of endodontic disease is important and should not be overlooked (12). Radiographic indicators of endodontic disease include a relatively wide pulp cavity (as compared to neighboring teeth or the contralateral tooth), perapical lysis (apical periodontitis), external inflammatory root resorption, and often obvious loss of crown integrity (13, 14). …”

Section: Introductionmentioning

confidence: 99%

Comparing Intraoral Radiography and Computed Tomography for Detecting Radiographic Signs of Periodontitis and Endodontic Disease in Dogs: An Agreement Study

et al. 2016

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ObjectiveTo determine whether computed tomography (CT) and intraoral radiography are interchangeable for detecting signs of periodontitis and endodontic disease in dogs.Materials and methodsAn agreement study was performed using 40 dogs that previously underwent intraoral radiography and CT during the same anesthetic episode. Images of each tooth were examined by two blinded observers for signs of periodontitis and/or endodontic disease. Agreement between imaging modalities and between observers was assessed using the Kappa statistic.ResultsAgreement between modalities for detecting periodontitis in the maxillae ranged from poor to very good (κ 0.07–1.00) with 16/20 (80%) of the teeth having a score of moderate or better (κ ≥ 0.41). Agreement between modalities for detecting signs consistent with periodontitis in the mandibles ranged from poor to very good (κ 0.01–1.00) with 10/22 (45%) of the teeth having a score of good or better (κ ≥ 0.61); 50% of the disagreement was present in the incisors. Agreement between modalities for detecting signs consistent with endodontic disease in the whole mouth ranged from fair to very good (κ 0.21–1.00) with 30/42 (71%) of the teeth having a score of moderate or better (κ ≥ 0.41). Agreement between observers evaluating intraoral radiology ranged from poor to very good (κ 0.05–1) for detecting signs consistent with periodontitis and from fair to very good (κ 0.36–1) for detecting signs consistent with endodontic disease, in the whole mouth. Agreement between observers evaluating CT ranged from fair to very good (κ 0.35–1) for detecting signs consistent with periodontitis and from fair to very good (κ 0.36–1) for detecting signs consistent with endodontic disease, in the whole mouth.ConclusionPerforming both CT and intraoral radiography may be unnecessary to detect signs consistent with periodontitis and endodontic disease in dogs based on the amount of agreement between modalities and observers when CT images are acquired and reconstructed in 0.5 or 1 mm slice thickness, except for diagnosing periodontitis in the mandibular incisors.

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Dental Radiography

2019

Small Animal Dental Equipment, Materials, and Techniques

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Endodontic decisions based on radiographic appearance

Cited by 7 publications

References 0 publications

Assessment of Apical Periodontitis in Dogs and Humans: A Review

Assessment of Apical Periodontitis in Dogs and Humans: A Review

Comparing Intraoral Radiography and Computed Tomography for Detecting Radiographic Signs of Periodontitis and Endodontic Disease in Dogs: An Agreement Study

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