Neoplasia masquerading as periapical infection

Hutchison, Iain; Hopper, C; Coonar, H S

doi:10.1038/sj.bdj.4807171

Cited by 21 publications

(4 citation statements)

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“…Case reports abound in the literature and represent some 12% of documented cases (86–91). One paper alone presented seven cases, all initially treated for presumed periapical pathosis that were subsequently found to be neoplastic (92). While the level of evidence is obviously low – virtually all the papers discussed are just case reports – the inference is clear.…”

Section: Surgical Curettagementioning

confidence: 99%

Hard tissue management: osseous access, curettage, biopsy and root isolation

Hoskinson¹

2005

Endodontic Topics

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Following adequate tissue incision, reflection and retraction to expose the surgical site, the next stages of periradicular surgery consist of osseous access through the cortical bone, if still intact, and subsequent removal of any soft tissue lesion surrounding the apical and/or lateral aspects of the associated root to provide unimpeded access to these sites. The soft tissue lesion may on occasions encapsulate foreign material that may perpetuate the lesion if left in situ. Any excised lesion should be sent for histopathologic examination to confirm the clinical diagnosis and exclude other pathoses.

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Section: Surgical Curettagementioning

confidence: 99%

Hard tissue management: osseous access, curettage, biopsy and root isolation

Hoskinson¹

2005

Endodontic Topics

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“…This is important when loss of tooth structure is observed adjacent to an invading carcinoma. Although there have been case reports of root resorption due to squamous cell carcinoma masquerading as periapical infections [12], there have been few if any systematic studies of the frequency or distribution of these changes in dentate jaws associated with.…”

Section: Introductionmentioning

confidence: 99%

Resorption of impacted teeth as a marker of squamous cell carcinoma infiltrating the mandible

Balasundram¹,

Dulguerov²,

Walker³

et al. 2013

OJST

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The invasion of the mandible by oral squamous cell carcinoma has been firmly demonstrated by anatomical and histological studies.Although squamous cell carcinomas may induce resorption of the roots of standing teeth, there have been no reports of them also causing resorption of the crowns of teeth. A 73-year-old patient presented with an invading buccal squamous cell carcinoma. Radiological investigations showed tumour invasion of the dentate region of the left mandible and resorption of the crowns of right and left mandibular impacted third molars. The patient underwent a left segmental mandibulectomy and histopathological examination of the resected specimen revealed resorption of the enamel and dentine of an unerupted impacted third molar closely associated with the infiltrating tumour. Thus infiltrating carcinomas may rarely cause resorption of the crowns as well as the roots of unerupted teeth and can be a valuable marker of the extent of spread of a tumour for the planning of complete surgical resection. These dental changes must be distinguished radiologically from idiopathic changes in unerupted teeth in the absence of malignancy.

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“…In clinical and radiographic examinations, existence of dental caries, root resorption, irregular radiolucency, and localized tooth mobility without periodontal disease indicates the need for further investigation. Moreover, observation of sensation disorder, previous endodontic treatment failure, unusual pain, and swelling emphasize on the necessity of more radiographic and clinical or histopathologic evaluations (60).…”

Section: Malignant Jaw Lesionsmentioning

confidence: 99%

“…However, endodontic treatment and treatment guidelines for periodontal disease cannot stop the growth of the lesion; the lesion continues to grow and is exacerbated symptoms (57). In addition, these lesions may invade the nerves and surrounding structures (60). In general, any unusual symptoms including bone destruction with rapid or slow growth adjacent to the vital teeth should be considered for biopsy (58).…”

Section: Malignant Jaw Lesionsmentioning

confidence: 99%

Periapical Lesions: a Review of Clinical, Radiographic, and Histopathologic Features

Razavi¹,

Kiani²,

Khalesi³

2015

Avicenna J Dent Res

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Context:The essential role of a general dental practitioner is recognizing the nature of the oral cavity lesions. Periapical lesions, which are observed in radiographs of patients, may have odontogenic or nonodontogenic origins. This review aimed to study differential diagnosis of common and important periapical lesions. Evidence Acquisition: English-language literature were searched by manual and electronic search with the terms "periapical lesions", "jaw neoplasms", and "non-odontogenic lesions" in three data bases of MEDLINE, Google scholar, and SCOPUS among published studies since 2000 to 2013. All review articles, original articles, case reports, and case series were evaluated. Results: In this study, it has been showed that many periapical lesions have not endodontic origin and not healing by root canal therapy. Conclusions:The authors recommended to have paraclinical tests, especially vitality tests, in addition to clinical and radiographic examinations to avoid endodontic mistreatment. In suspicious cases, biopsy of lesions, referral to pathologist, and long-term fallow-up is required.

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Neoplasia masquerading as periapical infection

Cited by 21 publications

References 0 publications

Hard tissue management: osseous access, curettage, biopsy and root isolation

Hard tissue management: osseous access, curettage, biopsy and root isolation

Resorption of impacted teeth as a marker of squamous cell carcinoma infiltrating the mandible

Periapical Lesions: a Review of Clinical, Radiographic, and Histopathologic Features

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