Diagnostic value of extraoral periapical radiograph in comparison to intraoral periapical radiograph: A cross-sectional, institutional study

Mishra, Isha; Karjodkar, Freny; Sansare, Kaustubh; Dora, Amaresh Chandra; Tambawala, Shahnaz S.; Kapoor, Ruchika; Sharma, Sneha R

doi:10.4103/ccd.ccd_152_18

Cited by 6 publications

(1 citation statement)

References 5 publications

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“…The most used imaging method in endodontics is the periapical radiograph due to its ability to image at high resolution with a low radiation dose [7,8]. The limitations of conventional radiography are well established.…”

Section: Introductionmentioning

confidence: 99%

Cone-Bean Computed Tomography and Light Microscopic Examination of Human Extracted Molars - An in Vitro Study

et al. 2023

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Introduction: For appropriate root canal therapy, understanding the anatomical and morphological aspects of the endodontic area is critical. Therefore, the study and analysis of images is an important step in the assessment and current clinical treatment of endodontic problems. Furthermore, microscopic-assisted endodontic therapy, particularly for multirooted teeth, is becoming more common in contemporary endodontic clinical practice. The aim of this in vitro study was to examine the distinct types of isthmuses using a light microscope and Cone-Beam Computed Tomography (CBCT). Method: Fifty-five extracted human molars were used for this study. CBCT was used to realize the study. After the CBCT analysis, all teeth were inspected under a light microscope, and the results were compared with those of the CBCT examination. Results: The results from the CBCT at the coronary third of the root canals were as follows: Types I, II, III, IV, and V isthmuses were found in 50.9%, 16.4%, 1.8%, 7.3%, and 23.6% of all samples, respectively. For the middle third, we found Types I, II, III, IV, and V isthmuses in 40.0%, 23.6%, 1.8%, 16.4%, and 18.2% of the samples, respectively. For the apical third, we found Types I, II, III, IV, and V isthmuses in 60.0%, 29.1%, 5.5%, 1.8%, and 3.6% of all samples, respectively. The results obtained from the microscopic examination were similar to those from the CBCT study. There is no confirmed statistically significant difference between the examination methods (p = 0.07). Conclusion: Three-dimensional examinations have a significant role among the methods for diagnosing and detecting an isthmus in the complex root canal system, especially in the apical part.

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Section: Introductionmentioning

confidence: 99%

Cone-Bean Computed Tomography and Light Microscopic Examination of Human Extracted Molars - An in Vitro Study

et al. 2023

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Quantitative assessment of platelet rich fibrin for the repair of extraction socket in a rat model

Jasmine

Thangavelu

Veeravarmal

et al. 2022

International Journal of Biological Macromolecules

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Non‐Surgical Endodontic Management of Large Periapical Lesions After Traumatic Dental Injuries

Tewari,

Rajeswary,

Wikström

et al. 2024

Dental Traumatology

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Traumatic dental injuries of permanent teeth result in multiple immediate and long‐term consequences depending upon the severity of trauma, age of the patient, the status of root maturity, and the emergency care provided. The healing responses may get disturbed due to severe damage, loss of vascularity of the supporting structures, and infections. As a result, the prohealing mediators and pathways are overpowered by the destructive stimuli often manifested by an increased osteoclastic activity. Among the various late complications, the apical periodontitis or the periapical lesions are most worrisome for the patients and create clinical dilemma for the dentists. In the past, many such lesions were classified as cysts and subjected to surgical management. However, better understanding of lesion pathophysiology, three‐dimensional imaging, and molecular pathways have established their inflammatory nature. The advancements in materials such as calcium silicates, and regenerative techniques have propelled the research related to non‐surgical endodontic management as its clinical acceptability. The treatment largely follows the recommendations of regenerative medicine and is based on four principles: (a) establishing the drainage or an endodontic access to the area, (b) removal of most of the triggering agents such as necrosed pulp, toxins, and inflammatory mediators, (c) disinfection of the area, controlling inflammation and reversal of the acidic pH, and (d) maintenance of this infection/inflammation‐free state for a long time through adequate sealing. This review aims to highlight the rationale of the approach, case selection, pathophysiology of the causation and healing, clinical protocols, and the limitations of non‐surgical endodontic management of large periapical lesions secondary to traumatic dental injuries.

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Diagnostic value of extraoral periapical radiograph in comparison to intraoral periapical radiograph: A cross-sectional, institutional study

Cited by 6 publications

References 5 publications

Cone-Bean Computed Tomography and Light Microscopic Examination of Human Extracted Molars - An in Vitro Study

Cone-Bean Computed Tomography and Light Microscopic Examination of Human Extracted Molars - An in Vitro Study

Quantitative assessment of platelet rich fibrin for the repair of extraction socket in a rat model

Non‐Surgical Endodontic Management of Large Periapical Lesions After Traumatic Dental Injuries

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