Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – A clinical study

Aim: The present study aimed at comparing clinical, radiographical, and histological findings in chronic periapical lesions such as cysts, granuloma, and abscess. Methodology: The present study was conducted on 148 teeth having chronic inflammatory periapical lesions with or without nonsurgical endo...

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Main Authors: Prabu Mahin Syed Ismail, K Apoorva, N Manasa, R Rama Krishna, Siddhartha Bhowmick, Shilpa Jain
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=1;spage=235;epage=238;aulast=Syed
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author Prabu Mahin Syed Ismail
K Apoorva
N Manasa
R Rama Krishna
Siddhartha Bhowmick
Shilpa Jain
author_facet Prabu Mahin Syed Ismail
K Apoorva
N Manasa
R Rama Krishna
Siddhartha Bhowmick
Shilpa Jain
author_sort Prabu Mahin Syed Ismail
collection DOAJ
description Aim: The present study aimed at comparing clinical, radiographical, and histological findings in chronic periapical lesions such as cysts, granuloma, and abscess. Methodology: The present study was conducted on 148 teeth having chronic inflammatory periapical lesions with or without nonsurgical endodontic treatment. Endodontic surgery was performed by single trained endodontist. After surgical endodontic treatment, biopsy sections of teeth were assessed histologically. All slides stained with hematoxylin/eosin and Gomori trichrome for light microscopy assessment. Results: Out of 148 teeth, 41 had chronic inflammatory lesions, 34 had inflammatory cysts, and 25 had indefinite lesions. Chronic inflammatory lesions assessed histologically found chronic apical periodontitis in 86 cases and inflammatory cysts in 62 cases. The difference was significant (P < 0.05). Out of 86 cases of chronic apical periodontitis confirmed clinical radiographically, 64% found positive, whereas 36% were not histologically. Out of 62 cases of inflammatory cysts confirmed clinically and radiographically, 78% found positive while 36% were not histologically. Out of 25 indefinite lesions, 56% found chronic inflammatory lesions while 44% found inflammatory cyst. Conclusion: There was significant disagreement in clinical radiographic as well as histological diagnosis.
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spelling doaj.art-4e8ea3c8806a49c18cea5639704609922022-12-21T19:17:37ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-019123523810.4103/jfmpc.jfmpc_715_19Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – A clinical studyPrabu Mahin Syed IsmailK ApoorvaN ManasaR Rama KrishnaSiddhartha BhowmickShilpa JainAim: The present study aimed at comparing clinical, radiographical, and histological findings in chronic periapical lesions such as cysts, granuloma, and abscess. Methodology: The present study was conducted on 148 teeth having chronic inflammatory periapical lesions with or without nonsurgical endodontic treatment. Endodontic surgery was performed by single trained endodontist. After surgical endodontic treatment, biopsy sections of teeth were assessed histologically. All slides stained with hematoxylin/eosin and Gomori trichrome for light microscopy assessment. Results: Out of 148 teeth, 41 had chronic inflammatory lesions, 34 had inflammatory cysts, and 25 had indefinite lesions. Chronic inflammatory lesions assessed histologically found chronic apical periodontitis in 86 cases and inflammatory cysts in 62 cases. The difference was significant (P < 0.05). Out of 86 cases of chronic apical periodontitis confirmed clinical radiographically, 64% found positive, whereas 36% were not histologically. Out of 62 cases of inflammatory cysts confirmed clinically and radiographically, 78% found positive while 36% were not histologically. Out of 25 indefinite lesions, 56% found chronic inflammatory lesions while 44% found inflammatory cyst. Conclusion: There was significant disagreement in clinical radiographic as well as histological diagnosis.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=1;spage=235;epage=238;aulast=Syedclinicalendodonticshistologicallesion radiograph
spellingShingle Prabu Mahin Syed Ismail
K Apoorva
N Manasa
R Rama Krishna
Siddhartha Bhowmick
Shilpa Jain
Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – A clinical study
Journal of Family Medicine and Primary Care
clinical
endodontics
histological
lesion radiograph
title Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – A clinical study
title_full Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – A clinical study
title_fullStr Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – A clinical study
title_full_unstemmed Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – A clinical study
title_short Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – A clinical study
title_sort clinical radiographic and histological findings of chronic inflammatory periapical lesions a clinical study
topic clinical
endodontics
histological
lesion radiograph
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=1;spage=235;epage=238;aulast=Syed
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