Periapical biopsy report: An analysis over a 10-year period

Spatafore, Clara M.; Griffin, James A.; Keyes, Gordon G.; Wearden, Stanley; Skidmore, A.E.

doi:10.1016/s0099-2399(06)81679-1

Cited by 59 publications

(42 citation statements)

References 9 publications

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“…These studies found no difference between the maxilla and the mandible in the average percentage of teeth with AP, yet the percentage of endodontically treated maxillary teeth was twice that of endodontically treated mandibular teeth. However, the incidence of AP in maxillary teeth was found to be almost twice that in the mandible [11,20,25,26,36,38]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence of apical periodontitis and endodontic treatment in a Kosovar adult population

et al. 2011

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BackgroundDespite numerous studies on the prevalence of apical periodontitis (AP) and endodontic treatment in diverse geographical populations, there are currently no data on the prevalence of these conditions in populations of adults native to Kosovo. Therefore, little is known about how widespread these conditions are, and whether there is any correlation between root canal treatment and AP. The purpose of our research was to address this anomaly by investigating AP and endodontic treatment in an adult Kosovar population based on radiographic examination.MethodsThe sample used for this study consisted of randomly selected individuals referred to the University Dentistry Clinical Center of Kosovo in the years 2006-2007. Orthopantomographs of 193 patients were evaluated. The periapical status of all teeth (with the exception of third molars) was examined according to Ørstavik's Periapical Index. The quality of the root canal filling was rated as 'adequate' or 'inadequate' based on whether all canals were filled, the depth of fill relative to the radiographic apex and the quality of compaction (absence/presence of voids). Data were analyzed statistically using the Chi-square test and calculation of odds ratios.ResultsOut of 4131 examined teeth, the prevalence of apical periodontitis (AP) and endodontic treatment was 12.3% and 2.3%, respectively. Of 95 endodontically-treated teeth, 46.3% were associated with AP. The prevalence of AP increased with age. The prevalence in subjects aged over 60 years old (20.2%) was higher than in other age groups. A statistically significant difference was found for the frequency of endodontically-treated teeth associated with AP in the 40-49 year age group (P < 0.001). Of some concern was the discovery that only 30.5% of the endodontically-treated teeth examined met the criteria of an acceptable root canal filling. Inadequately root-filled teeth were associated with an increased AP risk.ConclusionsThe prevalence of AP and the frequency of endodontically-treated teeth with AP in this Kosovar population are higher than those found in other countries. Inadequate root canal fillings were associated with an increased prevalence of AP.

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Section: Discussionmentioning

confidence: 99%

Prevalence of apical periodontitis and endodontic treatment in a Kosovar adult population

et al. 2011

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“…Although most periapical lesions are a consequence of dental pulp necrosis, about 0.6%-4% are not of endodontic origin (1,7,9,10). Several different nonendodontic periapical lesions have been reported, such as odontogenic cysts and tumors, nonodontogenic cysts, pseudocysts, nonodontogenic infections, granulomatous inflammation, central giant cell lesion, benign fibro-osseous lesions, nonodontogenic benign neoplasms, and primary and metastatic nonodontogenic malignant neoplasms (1-3, 7, 9, 11-17).…”

Section: Discussionmentioning

confidence: 99%

“…Among these lesions, the keratocystic odontogenic tumor is the most common. To the best of our knowledge, there are only 2 well-documented cases of periapical OF misdiagnosed as endodontic lesion described in the English-language literature (7,8).…”

Section: Discussionmentioning

confidence: 99%

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Ossifying Fibroma Misdiagnosed as Chronic Apical Periodontitis

Ramos‐Perez

Soares

Silva‐Sousa

et al. 2010

Journal of Endodontics

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“…V arious histopathologic studies have corroborated that 94% to 99% of periapical pathoses are associated with pulpal disease and diagnosed as periapical granulomas, cysts, or abscesses (1)(2)(3)(4)(5). Biopsy of periapical lesions can be undertaken for diagnostic affirmation, persistent or atypical presentations, or for cases with a relevant medical history (6).…”

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confidence: 99%