Accuracy of Conventional Periapical Radiography in Diagnosing Furcation Repair after Perforation Treatment

Huamán, Stephanie Díaz; Aragão, Maria Gerusa Brito; Moreno, Ana Paula Dias; Queiroz, Alexandra Mussolino de; Paula-Silva, Francisco Wanderley Garcia; Silva, Léa Assed Bezerra da

doi:10.1016/j.joen.2020.03.004

Cited by 6 publications

(4 citation statements)

References 17 publications

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“…Nonetheless, validation of these methods is fundamental to assess this parameter with accuracy and reliability [ 23 ]. Bright-field microscopy is considered the gold standard for the detection of the presence or absence of inflammatory infiltrate and bone and dental root resorption [ 8 , 24 ]. Previous studies also showed that fluorescence allows a better identification and observation of the perimeter of apical periodontitis in the areas of bone resorption [ 2 , 12 , 14 ], opening the avenue for using this method to investigate the extent of apical dental resorption.…”

Section: Discussionmentioning

confidence: 99%

Detection of Apical Dental Resorption Caused by Endodontic Infection in Mice Using Fluorescence and Bright-Field Microscopy

et al. 2023

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The aim of this study was to evaluate the sensitivity, specificity, and predictive values of the fluorescence microscopy method in the detection of apical dental reabsorption after induction of apical periodontitis in animal models. Forty-first molars of mice, aged 6 to 8 weeks, had their root canals exposed to the oral environment or were maintained healthy as controls ( n = 20 ). After 14 and 42 days, mice were euthanized and tissues were collected for histological evaluation by means of bright field and fluorescence microscopy. The accuracy of fluorescence microscopy in identifying apical external dental resorption was investigated using a diagnostic validation test based on the sensitivity (S) and specificity (E) properties. Bright-field microscopy revealed a higher number of specimens with scores of 1 to 3 - absence of apical dental resorption ( n = 29 ; 52%), while fluorescence microscopy revealed a higher number of specimens with scores of 4 to 6 - presence of apical dental resorption ( n = 37 ; 66%). Out of 56 specimens, 26 were TP, 11 were FP, and 19 were TN. No FN result was observed. Fluorescence microscopy presented a sensitivity value of 1, similar to the bright-field method, while specificity was lower (0.633). The accuracy of the fluorescent method to detect apical dental resorption was 0.804. Fluorescence microscopy revealed a higher number of false positive apical dental resorption than bright-field microscopy. The detection of apical dental resorption was not impacted by the sensitivity of the method but by its specificity.

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Section: Discussionmentioning

confidence: 99%

Detection of Apical Dental Resorption Caused by Endodontic Infection in Mice Using Fluorescence and Bright-Field Microscopy

et al. 2023

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“…Furcation perforation is an injury that leads to a communication between the root canal and the periodontal tissues or the oral cavity. It can be caused by resorption or dental caries or can have an iatrogenic cause including the misaligned use of rotary burs during access, preparation, and search for the root canals [ 13 ]. Furcation involvement refers to the condition when periodontal disease has caused bone resorption at the bifurcation or trifurcation of a multirooted tooth [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Apical Periodontitis of the Mandibular First Molar with the Accessory Canal in the Furcation Area Mimicking Furcation Perforation

Bolyachin

Khabadze

Mordanov

et al. 2022

Case Reports in Dentistry

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Apical periodontitis frequently presents as a chronic disease. To arrive at a true diagnosis, in addition to the clinical examination, it is mandatory to undertake radiographic examinations and evaluate the clinical presentation. Knowledge of the root canal morphology is a prerequisite for effective nonsurgical endodontic treatment. The internal morphological features of the pulp chamber are variable and complex. This case report describes the treatment and outcome of symptomatic apical periodontitis of a mandibular first molar with the accessory (chamber) canal. The applied treatment fully contributed to the periapical lesion regression as shown in the four-year recall periapical radiography.

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“…Com base nas análises quantitativas dos métodos de microscopia de campo claro e de fluorescência para avaliar reabsorções dentárias apicais, a validação desses métodos são fundamentais para avaliar a precisão e confiabilidade (Oakley & Brunette, 2002). A microscopia de campo claro tem sido considerado o padrão-ouro para determinar a presença ou ausência de infiltrado inflamatório e reabsorção óssea e dentária na região periapical experimentalmente induzidas (De Paula-Silva et al, 2009;Teixeira et al, 2011;Huamán et al, 2020). Previamente foi demonstrado que a identificação e observação do perímetro das lesões periapicais junto das áreas de reabsorção óssea foram mais claras pelo método da fluorescência De Rossi et al, 2016).…”

Section: Discussionunclassified

“…Até onde sabemos, este é o primeiro estudo que investigou a sensibilidade, especificidade e acurácia do método de fluorescência para o diagnóstico de reabsorção dentária apical em comparação com o método microscópico de campo claro. Nesse contexto, estudos anteriores utilizaram diferentes métodos de avaliação para observar lesões periapicais; a microscopia de campo claro é um método confiável para detectar áreas de reabsorção dos tecidos mineralizados (Laux et al, 2000;Estrela et al, 2008;Huamán et al, 2020).…”

Section: Discussionunclassified

Ausência do receptor-1 do fator de necrose tumoral-alfa inibe a atividade de clastos na reabsorção dentária frente à infecção endodôntica em camundongos

Carvalho¹

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Por me permitir vivenciar essa experiência incrível, por me capacitar e acreditar em mim, por ser o meu melhor amigo nos momentos de alegria e aflição, obrigado por me amar tanto, por ser minha fortaleza e o centro da minha vida. Tu és suficiente para mim, e o teu amor tudo refaz quando eu te amo, eu te adoro, meu Jesus."Nada te pertube, nada te espante, tudo passa, Deus não muda. A paciência tudo alcança. Quem a Deus tem, nada lhe falta: Só Deus basta".

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Accuracy of Conventional Periapical Radiography in Diagnosing Furcation Repair after Perforation Treatment

Cited by 6 publications

References 17 publications

Detection of Apical Dental Resorption Caused by Endodontic Infection in Mice Using Fluorescence and Bright-Field Microscopy

Detection of Apical Dental Resorption Caused by Endodontic Infection in Mice Using Fluorescence and Bright-Field Microscopy

Symptomatic Apical Periodontitis of the Mandibular First Molar with the Accessory Canal in the Furcation Area Mimicking Furcation Perforation

Ausência do receptor-1 do fator de necrose tumoral-alfa inibe a atividade de clastos na reabsorção dentária frente à infecção endodôntica em camundongos

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