Ultrasound Examination to Visualize and Trace Sinus Tracts of Endodontic Origin

Cotti, Elisabetta; Musu, D; Goddi, A.; Dettori, Claudia; Campisi, G

doi:10.1016/j.joen.2019.07.009

Cited by 13 publications

(12 citation statements)

References 30 publications

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“…These findings encourage the use of this method in the study of surface soft tissues in all their layers [21]. The possibility of adequately analyzing the soft tissues and their layers allows practitioners to reach even districts that are difficult to explore intraorally, and to evaluate their state of health or their possible compromise in inflammatory processes through a radiation-free examination [22].…”

Section: Discussionmentioning

confidence: 92%

Ultrasound Imaging in Dentistry: A Literature Overview

et al. 2021

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(1) Background: the frequency with which diagnostic tests are prescribed with exposure to ionizing radiation, a cause of biological damage, has been studied, and with much more attention, patients are subjected to these diagnostic tests for diagnosis and follow-up. This review aimed, given the recent developments of this technology, to evaluate the possible use of ultrasound in different branches of dentistry. The possibility of applying ionizing-radiation-free diagnostic exams in dentistry, overcoming the limits of this application, has led scientific research in this area to obtain interesting results that bode well for the future. (2) Methods: a search for articles on the application of ultrasounds in dentistry was performed using the PubMed electronic database. (3) Results: only 32 studies were included, and these clearly stated that this examination is widely usable and in great progress. (4) Conclusions: regarding the modern application techniques of this diagnostic test, it is essential to consider technological evolution as an objective to reduce the damage and side effects of necessary diagnostic tests. The use of ultrasound in dentistry can represent a valid radiation-free alternative, in certain contexts, to the other most used exams.

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Section: Discussionmentioning

confidence: 92%

Ultrasound Imaging in Dentistry: A Literature Overview

et al. 2021

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“…It was reported that 83% of the samples examined had a complex infectious pattern that comprised the canal system, the periapical lesion, and the extra-radicular portion of the root; this was always derived from the intra-radicular biofilm [23]. The traditional diagnostic approach to disclose the origin and pathway of sinus tracts is based on the insertion of an orthodontic wire or a gutta-percha cone through the opening of the tract, followed by a periapical radiograph [24,25]. This procedure is invasive, it may be tricky, and it can create discomfort to the patient; moreover, it does not provide information on the inflammatory state of the area.…”

Section: Discussionmentioning

confidence: 99%

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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“…An ultrasound can also be used in the case of soft tissue swelling with a sinus tract or fistula. 6 Long-standing apical periodontitis can lead to chronic elevation of inflammatory response. 7…”

Section: Discussionmentioning

confidence: 99%

“…The golden standard to diagnose apical periodontitis is the combination of intraoral examination and two‐ or three‐dimensional radiological examination. An ultrasound can also be used in the case of soft tissue swelling with a sinus tract or fistula 6 . Long‐standing apical periodontitis can lead to chronic elevation of inflammatory response 7 .…”

Section: Discussionmentioning

confidence: 99%

Unilateral facial edema after filler injection of the lower eyelid

Decates

Spanjer

Saini³

et al. 2020

Dermatologic Therapy

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The use of hyaluronic acid (HA) gel fillers for rejuvenation of the face has been increasing in popularity over the years. This nonsurgical, temporary technique is commonly used in the periocular region to restore volume. The aim of this study was creating awareness in the potential causes of edema after hyaluronic acid gel filler injections under the eyes. A 32‐year‐old woman presented for a cosmetic consultation to address unilateral swelling of the left check. She states she had an HA filler injected in the tear trough on both sides. Extensive evaluation and ultrasound were performed by physicians of different specialties. Intra‐oral and radiological examination revealed a tooth‐related cause known as apical periodontitis. Removal of this tooth resulted in complete resolution of the patient's presenting symptoms. Familiarity with all the potential causes of adverse events after injections with hyaluronic acid gel fillers accelerates the treatment and healing of the patient with complications. Reporting this case should raise awareness about possible teeth‐related complications.

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Ultrasound Examination to Visualize and Trace Sinus Tracts of Endodontic Origin

Cited by 13 publications

References 30 publications

Ultrasound Imaging in Dentistry: A Literature Overview

Ultrasound Imaging in Dentistry: A Literature Overview

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

Unilateral facial edema after filler injection of the lower eyelid

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