Radiographic assessment of apical root resorption in inflammatory periapical pathologies

Introduction: Apical root resorption (ARR) is a common condition associated with periapical pathologies which is invariably detected by intraoral periapical radiographs. Although it is common, its distribution in different periapical pathologies has not been assessed so far. The aim of this study wa...

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Main Authors: Lim Xin Wei, Felicia How Pei Min, Syed Zafri Bin Syed Zaharuddin, Elise Khaw Wei Ling, K V Suresh, Khairiyah Bt Abd Muttalib, Daniel Devaprakash Dicksit
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Indian Academy of Oral Medicine and Radiology
Subjects:
Online Access:http://www.jiaomr.in/article.asp?issn=0972-1363;year=2018;volume=30;issue=2;spage=132;epage=136;aulast=Wei
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author Lim Xin Wei
Felicia How Pei Min
Syed Zafri Bin Syed Zaharuddin
Elise Khaw Wei Ling
K V Suresh
Khairiyah Bt Abd Muttalib
Daniel Devaprakash Dicksit
author_facet Lim Xin Wei
Felicia How Pei Min
Syed Zafri Bin Syed Zaharuddin
Elise Khaw Wei Ling
K V Suresh
Khairiyah Bt Abd Muttalib
Daniel Devaprakash Dicksit
author_sort Lim Xin Wei
collection DOAJ
description Introduction: Apical root resorption (ARR) is a common condition associated with periapical pathologies which is invariably detected by intraoral periapical radiographs. Although it is common, its distribution in different periapical pathologies has not been assessed so far. The aim of this study was to determine the distribution and severity of ARR in common inflammatory periapical pathologies. Materials and Methods: A cross-sectional radiographic study was conducted on 333 patients who visited SEGi Oral Health Centre in the 6-month period of the study. Digital intraoral periapical radiographs of patients with clinically established periapical pathologies were taken. Data were collected using a structured proforma regarding the type of periapical lesions, presence or absence of ARR. Collected data were analyzed using SPSS version 21 and Chi-square test was applied to check the association between ARR and periapical pathologies. Results: During this study period, 333 patients with inflammatory periapical pathologies were reported. Of which 135 (40.5%) showed definite ARR. Among 135 ARR, 97 (71.9%) were moderate resorption and 38 (28.1%) were severe resorption. ARR was significantly greater in periapical granuloma and cyst (72.8%) followed by periapical abscess (35%) and acute apical periodontitis (18.1%) which was statistically significant (P < 0.001). Young adults (40.7%) and male patients (58.5%) had higher ARR compared to old-aged adults and female patients. Conclusion: The presence of ARR is the concern for the infection control in endodontics, as these conditions provide a favorable environment for bacterial colonization and also exact working length determination is difficult as there is altered apical constriction.
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spelling doaj.art-01a59caac0444a5cbacf47c3520b8b752022-12-22T00:47:15ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13632018-01-0130213213610.4103/jiaomr.jiaomr_71_17Radiographic assessment of apical root resorption in inflammatory periapical pathologiesLim Xin WeiFelicia How Pei MinSyed Zafri Bin Syed ZaharuddinElise Khaw Wei LingK V SureshKhairiyah Bt Abd MuttalibDaniel Devaprakash DicksitIntroduction: Apical root resorption (ARR) is a common condition associated with periapical pathologies which is invariably detected by intraoral periapical radiographs. Although it is common, its distribution in different periapical pathologies has not been assessed so far. The aim of this study was to determine the distribution and severity of ARR in common inflammatory periapical pathologies. Materials and Methods: A cross-sectional radiographic study was conducted on 333 patients who visited SEGi Oral Health Centre in the 6-month period of the study. Digital intraoral periapical radiographs of patients with clinically established periapical pathologies were taken. Data were collected using a structured proforma regarding the type of periapical lesions, presence or absence of ARR. Collected data were analyzed using SPSS version 21 and Chi-square test was applied to check the association between ARR and periapical pathologies. Results: During this study period, 333 patients with inflammatory periapical pathologies were reported. Of which 135 (40.5%) showed definite ARR. Among 135 ARR, 97 (71.9%) were moderate resorption and 38 (28.1%) were severe resorption. ARR was significantly greater in periapical granuloma and cyst (72.8%) followed by periapical abscess (35%) and acute apical periodontitis (18.1%) which was statistically significant (P < 0.001). Young adults (40.7%) and male patients (58.5%) had higher ARR compared to old-aged adults and female patients. Conclusion: The presence of ARR is the concern for the infection control in endodontics, as these conditions provide a favorable environment for bacterial colonization and also exact working length determination is difficult as there is altered apical constriction.http://www.jiaomr.in/article.asp?issn=0972-1363;year=2018;volume=30;issue=2;spage=132;epage=136;aulast=WeiAbscessapicalcystgranulomaperiapicalperiodontitisroot resorption
spellingShingle Lim Xin Wei
Felicia How Pei Min
Syed Zafri Bin Syed Zaharuddin
Elise Khaw Wei Ling
K V Suresh
Khairiyah Bt Abd Muttalib
Daniel Devaprakash Dicksit
Radiographic assessment of apical root resorption in inflammatory periapical pathologies
Journal of Indian Academy of Oral Medicine and Radiology
Abscess
apical
cyst
granuloma
periapical
periodontitis
root resorption
title Radiographic assessment of apical root resorption in inflammatory periapical pathologies
title_full Radiographic assessment of apical root resorption in inflammatory periapical pathologies
title_fullStr Radiographic assessment of apical root resorption in inflammatory periapical pathologies
title_full_unstemmed Radiographic assessment of apical root resorption in inflammatory periapical pathologies
title_short Radiographic assessment of apical root resorption in inflammatory periapical pathologies
title_sort radiographic assessment of apical root resorption in inflammatory periapical pathologies
topic Abscess
apical
cyst
granuloma
periapical
periodontitis
root resorption
url http://www.jiaomr.in/article.asp?issn=0972-1363;year=2018;volume=30;issue=2;spage=132;epage=136;aulast=Wei
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AT elisekhawweiling radiographicassessmentofapicalrootresorptionininflammatoryperiapicalpathologies
AT kvsuresh radiographicassessmentofapicalrootresorptionininflammatoryperiapicalpathologies
AT khairiyahbtabdmuttalib radiographicassessmentofapicalrootresorptionininflammatoryperiapicalpathologies
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