Periapikal Kemik Lezyonları ve Radyografik Özellikleri
Year 2017,
Volume: 7 Issue: 4, 152 - 158, 15.12.2017
Gaye Keser
,
Filiz Namdar Pekiner
Abstract
Periapikal kemik lezyonları dişhekimliğinde sıklıkla görülmekte ve tedavi edilmediğinde diş kaybına neden olabilmektedir. Dental radyografik görüntüleme, endodonti alanında doğru bir tanı ve klinik muayene için önemli bir araçtır. Periapikal bölgede kemik yıkımının ilerlediği durumlarda periapikal lezyonlar intraoral radyografilerde rahatlıkla teşhis edilebilmesine karşın mevcut kemik yıkımlarının kemik korteksinde herhangi bir destrüksiyon ya da ekspansiyon yaratıp yaratmadığını iki boyutlu grafilerde değerlendirmek mümkün olmamaktadır. Son zamanlarda kraniyofasiyal kompleksin ve periapikal kemik lezyonlarının üç boyutlu olarak değerlendirilmesi için konik ışınlı bilgisayarlı tomografi (CBCT) sistemleri kullanılmaktadır. CBCT ile periapikal kemik lezyonlarının değerlendirilmesi mevcut patolojinin prognozunu ve olası kemik yıkımını önlemektedir. Bu makalede periapikal kemik lezyonları ve radyografik özellikleri sunulmuştur.
References
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and radiographic study of periapical endodontic surgical
specimens. Oral Surg Oral Med Oral Pathol 1976; 42: 656-78. [Crossref]
2. Rayner JA, Southam JC. Pulp changes in deciduous teeth associated with
deep carious dentine. J Dent 1979; 7: 39-42. [Crossref]
3. Figdor D. Apical periodontitis: A very prevalent problem. Oral Surg Oral
Med Oral Pathol 2002; 94: 651-2. [Crossref]
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ed.Missouri: Mosby Elsevier; 2009.p.2-329.
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of periapical lesions visually indiscernible in radiographs. J Endod
2013; 39: 16-9. [Crossref]
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evaluation of immunohistochemistry, histopathology and conventional
radiography in differentiating periapical lesions. J Conserv Dent 2014;
17: 164-8. [Crossref]
7. Venskutonis T, Daugela P, Strazdas M, Juodzbalys G. Accuracy of Digital
Radiography and Cone Beam ComputedTomography on Periapical Radiolucency
Detection in Endodontically Treated Teeth. J Oral Maxillofac
Res 2014; 5: e1. [Crossref]
8. Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone
beam computed tomography in the management of endodontic problems.
Int Endod J 2007; 40: 818-30. [Crossref]
9. Jorge ÉG, Tanomaru-Filho M, Guerreiro-Tanomaru JM, Reis JM, Spin-Neto
R, Gonçalves M. Periapical repair following endodontic surgery: two-and
three-dimensional imaging evaluation methods. Braz Dent J 2015; 26:
69-74. [Crossref]
10. Eriksen HM, Bjertness E, Ørstavik D. Prevalence and quality of endodontic
treatment in an urban adult population in Norway. Endod Dent Traumatol
1988; 2: 122-6. [Crossref]
11. Weiger R, Hitzler S, Hermle G, Löst C. Periapical status, quality of root
canal fillings and estimated endodontic treatment needs in an urban
German population. Endod Dent Traumatol 1997; 13: 69-74. [Crossref]
12. De Moor RJ, Hommez GM, De Boever JG, Delme KI, Martens GE. Periapical
health related to the quality of root canal treatment in a Belgian population.
Int Endod J 2000; 33: 113-20. [Crossref]
13. Segura-Egea JJ, Castellanos-Cosano L, Machuca G, Lopez-Lopez J, Martin-Gonzalez
J, Velasco-Ortega E, et al. Diabetes mellitus, periapical inflammation
and endodontic treatment outcome. Med Oral Patol Oral Cir
Bucal 2012; 17: e356-61. [Crossref]
14. Berlinck T, Tinoco JM, Carvalho FL, Sassone LM, Tinoco EM. Epidemiological
evaluation of apical periodontitis prevalence in an urban Brazilian
population. Braz Oral Res 2015; 29: 1-7. [Crossref]
15. Tsuneishi M, Yamamoto T, Yamanaka R, Tamaki N, Sakamoto T, Tsuji K, et
al. Radiographic evaluation of periapical status and prevalence of endodontic
treatment in an adult Japanese population. Oral Surg Oral Med
Oral Pathol Oral Radiol Endod 2005; 100: 631-5. [Crossref]
16. Georgopoulou MK, Spanaki-Voreadi AP, Pantazis N, Kontakiotis EG. Frequency
and distribution of root filled teeth and apical periodontitis in a
Greek population. Int Endod J 2005; 38: 105-11. [Crossref]
17. Maity I, Kumari A, Shukla AK, Usha H, Naveen D. Monitoring of healing
by ultrasound with colour power Doppler after root canal treatment of
maxillary anterior teeth with periapical lesions. J Conserv Dent 2011; 14:
252-7. [Crossref]
18. Abbott PA. Endodontics-Current and future. J Conserv Dent 2012; 15:
202-5. [Crossref]
19. Soikkonen KT. Endodontically treated teeth and periapical findings in
the elderly. Int Endod J 1995; 28: 200-3. [Crossref]
20. Tronstad L, Asbjørnsen K, Døving L, Pedersen I, Ericsen HM. Influence of
coronal restorations on the periapical health of endodontically treated
teeth. Endod Dent Traumatol 2000; 16: 218-21. [Crossref]
21. Hommez GMG, Coppens CRM, De Moor RJG. Periapical health related to
the quality of coronal restorations and root fillings. Int Endod J 2002; 35:
680-9. [Crossref]
22. Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system
for radiographic assessment of apical periodontitis. Endod Dent Traumatol
1986; 2: 20-4. [Crossref]
23. Sidaravicius B, Aleksejuniene J, Eriksen HM. Endodontic treatment and
prevalence of apical periodontitis in an adult population of Vilnius, Lithuania.
Endod Dent Traumatol 1999; 6: 210-5. [Crossref]
24. Lupi-Pegurier L, Bertrand MF, Muller-Bolla M, Rocca JP, Bolla M. Periapical
status, prevalence and quality of endodontic treatment in an adult
French population. Int Endod J 2002; 35: 690-7. [Crossref]
25. Dugas NN, Lawrence HP, Teplitsky PE, Pharoah MJ, Friedman S. Periapical
health and treatment quality assessment of root-filled teeth in two Canadian
population. Int Endod J 2003; 36: 181-92. [Crossref]
26. Marques MD, Moreira B, Eriksen HM. Prevalence of apical periodontitis
and results of endodontic treatment in an adult, Portuguese population.
Int Endod J 1998; 31: 161-5. [Crossref]
27. Archana D, Gopikrishna V, Gutmann JL, Savadamoorthi KS, Kumar AP,
Narayanan LL. Prevalence of periradicular radiolucencies and its associaClin
Exp Health Sci 2017; 7: 166-70 Keser and Namdar Pekiner. Periapical Lesions and Radiographic Features
169
tion with the quality of root canal procedures and coronal restorations in
an adult urban Indian population. J Conserv Dent 2015; 18: 34-8. [Crossref]
28. Yılmaz Z, Görduysus Ö. Endodontik tedavilerin kalitesi ile periapikal
durum arasındaki ilişkinin periapikal indeks skorlama (PAI) yöntemi ile
değerlendirilmesi. Hacettepe Dişhekimliği Fakültesi Dergisi 2007; 31: 96-
104.
29. Craveiro MA, Fontana CE, de Martin AS, Bueno CE. Influence of Coronal
Restoration and Root Canal Filling Quality on Periapical Status: Clinical
and Radiographic Evaluation. J Endod 2015; 41: 836-40. [Crossref]
30. Ridao-Sacie C, Segura-Egea JJ, Fernández-Palacín A, Bullón-Fernández
P, Ríos-Santos JV. Radiological assessment of periapical status using the
periapical index (PAI): comparison of periapical radiography and digital
panoramic radiography. Int Endod J 2007; 40: 433-40. [Crossref]
31. Estrela C, Bueno MR, Azevedo BC, Azevedo JR, Pecora JD. A new periapical
index based on cone beam computed tomography. J Endod 2008; 34:
1325-31. [Crossref]
32. Esposito S, Cardaropoli M, Cotti E. A suggested technique for the application
of the cone beam computed tomography periapical index. Dentomaxillofacial
Radiol 2011; 40: 506-12. [Crossref]
33. Nur BG, Ok E, Altunsoy M, Ağlarci OS, Çolak M, Güngör E. Evaluation of
technical quality and periapical health of root-filled teeth by using conebeam
CT. J Appl Oral Sci 2014; 22: 502-8. [Crossref]
34. Lemagner F, Maret D, Peters OA, Arias A, Coudrais E, Georgelin-Gurgel M.
Prevalence of Apical Bone Defects and Evaluation of Associated Factors
Detected with Cone-beam Computed Tomographic Images. J Endod
2015; 41: 1043-7. [Crossref]
35. Fernandes LMPSR, Ordinola-Zapata R, Húngaro Duarte MA, Alvares
Capelozza AL. Prevalence of apical periodontitis detected in cone beam
CT images of a Brazilian subpopulation. Dentomaxillofac Radiol 2013;
42: 80179163. [Crossref]
36. Khetarpal A, Chaudhary S, Sahai S, Talwar S, Verma M. Radiological
assessment of periapical healing using the cone beam computed tomography
periapical index: case report. IOSR-JDMS 2013; 5: 46-51.
[Crossref ]
37. Pope O. Sathorn C, Parashos P. A Comparative Investigation of Conebeam
Computed Tomography and Periapical Radiography in the Diagnosis
of a Healthy Periapex. J Endod 2014; 40: 360-5.[Crossref]
Periapical Bone Lesions and Radiographic Features
Year 2017,
Volume: 7 Issue: 4, 152 - 158, 15.12.2017
Gaye Keser
,
Filiz Namdar Pekiner
Abstract
Periapical bone lesions are frequently seen in dentistry and may lead to tooth loss when not treated. Dental radiographic imaging is an important tool for making an accurate diagnosis and for performing clinical examinations in endodontic treatment. Panoramic and periapical radiographic techniques provide adequate information, yet these techniques provide a two-dimensional representation of three-dimensional structures. Recently, cone-beam computed tomography (CBCT) systems have become available for the three-dimensional visualization of the craniofacial complex and periapical bone lesions, and the evaluation of periapical bone lesions with CBCT improves the prognosis of the current treatment pathology and prevents possible bone destruction. This article presents periapical bone lesions and radiographic features.
References
- 1. Block RM, Bushell A, Rodrigues H, Langeland K. A histopathologic, histobacteriologic,
and radiographic study of periapical endodontic surgical
specimens. Oral Surg Oral Med Oral Pathol 1976; 42: 656-78. [Crossref]
2. Rayner JA, Southam JC. Pulp changes in deciduous teeth associated with
deep carious dentine. J Dent 1979; 7: 39-42. [Crossref]
3. Figdor D. Apical periodontitis: A very prevalent problem. Oral Surg Oral
Med Oral Pathol 2002; 94: 651-2. [Crossref]
4. White SC, Pharoah MJ. Oral Radiology; Principles and Interpretation. 6 th
ed.Missouri: Mosby Elsevier; 2009.p.2-329.
5. Sogur E, Baksi BG, Grondahl HG, Sen BH. Pixel intensity and fractal dimension
of periapical lesions visually indiscernible in radiographs. J Endod
2013; 39: 16-9. [Crossref]
6. Saraf PA, Kamat S, Puranik RS, Puranik S, Saraf SP, Singh BP. Comparative
evaluation of immunohistochemistry, histopathology and conventional
radiography in differentiating periapical lesions. J Conserv Dent 2014;
17: 164-8. [Crossref]
7. Venskutonis T, Daugela P, Strazdas M, Juodzbalys G. Accuracy of Digital
Radiography and Cone Beam ComputedTomography on Periapical Radiolucency
Detection in Endodontically Treated Teeth. J Oral Maxillofac
Res 2014; 5: e1. [Crossref]
8. Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone
beam computed tomography in the management of endodontic problems.
Int Endod J 2007; 40: 818-30. [Crossref]
9. Jorge ÉG, Tanomaru-Filho M, Guerreiro-Tanomaru JM, Reis JM, Spin-Neto
R, Gonçalves M. Periapical repair following endodontic surgery: two-and
three-dimensional imaging evaluation methods. Braz Dent J 2015; 26:
69-74. [Crossref]
10. Eriksen HM, Bjertness E, Ørstavik D. Prevalence and quality of endodontic
treatment in an urban adult population in Norway. Endod Dent Traumatol
1988; 2: 122-6. [Crossref]
11. Weiger R, Hitzler S, Hermle G, Löst C. Periapical status, quality of root
canal fillings and estimated endodontic treatment needs in an urban
German population. Endod Dent Traumatol 1997; 13: 69-74. [Crossref]
12. De Moor RJ, Hommez GM, De Boever JG, Delme KI, Martens GE. Periapical
health related to the quality of root canal treatment in a Belgian population.
Int Endod J 2000; 33: 113-20. [Crossref]
13. Segura-Egea JJ, Castellanos-Cosano L, Machuca G, Lopez-Lopez J, Martin-Gonzalez
J, Velasco-Ortega E, et al. Diabetes mellitus, periapical inflammation
and endodontic treatment outcome. Med Oral Patol Oral Cir
Bucal 2012; 17: e356-61. [Crossref]
14. Berlinck T, Tinoco JM, Carvalho FL, Sassone LM, Tinoco EM. Epidemiological
evaluation of apical periodontitis prevalence in an urban Brazilian
population. Braz Oral Res 2015; 29: 1-7. [Crossref]
15. Tsuneishi M, Yamamoto T, Yamanaka R, Tamaki N, Sakamoto T, Tsuji K, et
al. Radiographic evaluation of periapical status and prevalence of endodontic
treatment in an adult Japanese population. Oral Surg Oral Med
Oral Pathol Oral Radiol Endod 2005; 100: 631-5. [Crossref]
16. Georgopoulou MK, Spanaki-Voreadi AP, Pantazis N, Kontakiotis EG. Frequency
and distribution of root filled teeth and apical periodontitis in a
Greek population. Int Endod J 2005; 38: 105-11. [Crossref]
17. Maity I, Kumari A, Shukla AK, Usha H, Naveen D. Monitoring of healing
by ultrasound with colour power Doppler after root canal treatment of
maxillary anterior teeth with periapical lesions. J Conserv Dent 2011; 14:
252-7. [Crossref]
18. Abbott PA. Endodontics-Current and future. J Conserv Dent 2012; 15:
202-5. [Crossref]
19. Soikkonen KT. Endodontically treated teeth and periapical findings in
the elderly. Int Endod J 1995; 28: 200-3. [Crossref]
20. Tronstad L, Asbjørnsen K, Døving L, Pedersen I, Ericsen HM. Influence of
coronal restorations on the periapical health of endodontically treated
teeth. Endod Dent Traumatol 2000; 16: 218-21. [Crossref]
21. Hommez GMG, Coppens CRM, De Moor RJG. Periapical health related to
the quality of coronal restorations and root fillings. Int Endod J 2002; 35:
680-9. [Crossref]
22. Ørstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system
for radiographic assessment of apical periodontitis. Endod Dent Traumatol
1986; 2: 20-4. [Crossref]
23. Sidaravicius B, Aleksejuniene J, Eriksen HM. Endodontic treatment and
prevalence of apical periodontitis in an adult population of Vilnius, Lithuania.
Endod Dent Traumatol 1999; 6: 210-5. [Crossref]
24. Lupi-Pegurier L, Bertrand MF, Muller-Bolla M, Rocca JP, Bolla M. Periapical
status, prevalence and quality of endodontic treatment in an adult
French population. Int Endod J 2002; 35: 690-7. [Crossref]
25. Dugas NN, Lawrence HP, Teplitsky PE, Pharoah MJ, Friedman S. Periapical
health and treatment quality assessment of root-filled teeth in two Canadian
population. Int Endod J 2003; 36: 181-92. [Crossref]
26. Marques MD, Moreira B, Eriksen HM. Prevalence of apical periodontitis
and results of endodontic treatment in an adult, Portuguese population.
Int Endod J 1998; 31: 161-5. [Crossref]
27. Archana D, Gopikrishna V, Gutmann JL, Savadamoorthi KS, Kumar AP,
Narayanan LL. Prevalence of periradicular radiolucencies and its associaClin
Exp Health Sci 2017; 7: 166-70 Keser and Namdar Pekiner. Periapical Lesions and Radiographic Features
169
tion with the quality of root canal procedures and coronal restorations in
an adult urban Indian population. J Conserv Dent 2015; 18: 34-8. [Crossref]
28. Yılmaz Z, Görduysus Ö. Endodontik tedavilerin kalitesi ile periapikal
durum arasındaki ilişkinin periapikal indeks skorlama (PAI) yöntemi ile
değerlendirilmesi. Hacettepe Dişhekimliği Fakültesi Dergisi 2007; 31: 96-
104.
29. Craveiro MA, Fontana CE, de Martin AS, Bueno CE. Influence of Coronal
Restoration and Root Canal Filling Quality on Periapical Status: Clinical
and Radiographic Evaluation. J Endod 2015; 41: 836-40. [Crossref]
30. Ridao-Sacie C, Segura-Egea JJ, Fernández-Palacín A, Bullón-Fernández
P, Ríos-Santos JV. Radiological assessment of periapical status using the
periapical index (PAI): comparison of periapical radiography and digital
panoramic radiography. Int Endod J 2007; 40: 433-40. [Crossref]
31. Estrela C, Bueno MR, Azevedo BC, Azevedo JR, Pecora JD. A new periapical
index based on cone beam computed tomography. J Endod 2008; 34:
1325-31. [Crossref]
32. Esposito S, Cardaropoli M, Cotti E. A suggested technique for the application
of the cone beam computed tomography periapical index. Dentomaxillofacial
Radiol 2011; 40: 506-12. [Crossref]
33. Nur BG, Ok E, Altunsoy M, Ağlarci OS, Çolak M, Güngör E. Evaluation of
technical quality and periapical health of root-filled teeth by using conebeam
CT. J Appl Oral Sci 2014; 22: 502-8. [Crossref]
34. Lemagner F, Maret D, Peters OA, Arias A, Coudrais E, Georgelin-Gurgel M.
Prevalence of Apical Bone Defects and Evaluation of Associated Factors
Detected with Cone-beam Computed Tomographic Images. J Endod
2015; 41: 1043-7. [Crossref]
35. Fernandes LMPSR, Ordinola-Zapata R, Húngaro Duarte MA, Alvares
Capelozza AL. Prevalence of apical periodontitis detected in cone beam
CT images of a Brazilian subpopulation. Dentomaxillofac Radiol 2013;
42: 80179163. [Crossref]
36. Khetarpal A, Chaudhary S, Sahai S, Talwar S, Verma M. Radiological
assessment of periapical healing using the cone beam computed tomography
periapical index: case report. IOSR-JDMS 2013; 5: 46-51.
[Crossref ]
37. Pope O. Sathorn C, Parashos P. A Comparative Investigation of Conebeam
Computed Tomography and Periapical Radiography in the Diagnosis
of a Healthy Periapex. J Endod 2014; 40: 360-5.[Crossref]