Significance of Clinical Signs in Diagnosing Each Variant of Periapical Pathology: A Random Population Study in 1000 Patients

Clinical and Radiographic Evaluation Of each Variant Of Periapical Pathology:A Random Population Study.

“…Lack of dental awareness by patients visiting the dental hospitals only in an emergency could be the possible reason for high prevalence of rarefying osteitis. The other results of the present study for widening of periodontal ligament space (15.58%), condensing osteitis (14.55%), periapical granuloma (9.2%) and periapical cyst(6.3%) were similar to other studies conducted by (Rakesh Kumar Manne etal and Raphael Carlos etal 2,5 ) Widening of periodontal ligament space was about 15.58% in our present study this can be due the inflammation produce by periapical lesion the widening is greatest at the source of inflammation. 1 Condensing osteitis was about (14.55%) this can due to the gradual blending of the normal trabecular pattern into sclerotic bone .1 other variants like periapical granulomas and radicular cysts are occasionally found during routine radiograph examination.…”

“…Extra oral swelling was significant with radiographic diagnosis of widening of periodontal ligament space , rarefying osteitis, infected periapical cyst , condensing osteitis and both rarefying osteitis and condensing osteitis could be due to the pressure from the periapical abscess encroaching the surrounding tissues. 2 Which is similar to study conducted by Rakesh kumar etal but condensing osteitis was not significant by Rakesh etal study which contradicting to our study. Erythema of root apex was significant with all the variants of periapical pathology except periapical cyst and condensing osteitis this could be due to the inflammatory exudates raising the soft tissue overlying the periapical region and is seen with all inflammatory lesions.…”

“…Other authors have reported low prevalence of periapical pathology ranging from 5 to 51% . 2 Similarly a study conducted by (Marmary Y, Kutiner G etal ) concluded that Bone-destructive inflammatory processes (rarefying osteitis) were the most frequently encountered lesions, occurring in both the maxilla and the mandible. 3 which can be correlated in our study where in rarefying osteitis had high prevalence (41.27%).…”