Prevalence of apical periodontitis detected in cone beam CT images of a Brazilian subpopulation

Fernandes, Luciana Maria Paes da Silva Ramos; Ordinola‐Zapata, Ronald; Duarte, Marco Antônio Húngaro; Capelozza, Ana Lúcia Álvares

doi:10.1259/dmfr/80179163

Cited by 44 publications

(51 citation statements)

References 27 publications

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“…This difference may be explained by the fact that women take more care of their health and appearance than men8, which may lead them to seek dental care immediately in symptomatic cases, while men choose to postpone treatment 20 . On the other hand, men and women presented a similar prevalence of periradicular diseases (p=0.953), confirming what has been previously reported in other studies 11,19,21 . The results presented here indicated that the prevalence of pulp diseases was higher in people under 50 years of age, whereas periradicular diseases affected more patients over 50 years of age.…”

Section: Discussionsupporting

confidence: 90%

“…The prevalence of chronic apical periodontitis in Brazilian subpopulations was target of previous studies 11,19 , which found a prevalence of chronic apical periodontitis of 3.4% 11 and 5.9% 19 , respectively, whereas in our study, which evaluated a larger population sample than those studies, we detected a higher prevalence, i.e., 34.81%.…”

Section: Discussioncontrasting

confidence: 74%

“…Therefore, data from endodontic epidemiological surveys may contribute to the improvement of this knowledge 7 . Investigations on the prevalence of pulp and periradicular diseases in the Brazilian population produced few studies [8][9][10][11] and most of them were conducted exclusively based on radiographic assessments for the diagnosis of such infections. Considering the importance of epidemiological investigations, the objective of this study was to determine the prevalence of pulp and periradicular diseases diagnosed in a Brazilian subpopulation, correlating this information to gender, age group and most affected teeth.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of endodontic diseases: an epidemiological evaluation in a Brazilian subpopulation

2017

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Aim: To determine the prevalence of pulp and periradicular diseases in a Brazilian subpopulation, correlating the prevalence with sex, age and most affected teeth. Methods: Data collected from medical records of patients treated at the Clinic of Specialization in Endodontics of the Federal University of Pernambuco between 2003 and 2010. The following variables were recorded for each patient: sex, age, affected teeth and diagnosed endodontic disease. Using Pearson's chi-square and Fisher's exact tests, the collected data analysis was set at a 5% significance level. Results: From all the treated teeth, 57% were diagnosed with pulp diseases, with the symptomatic irreversible pulpitis being the most prevalent (46.3%), while among the diagnosed periradicular diseases (43%), chronic apical periodontitis was the most prevalent (81%). Pulp diseases were detected in men and women in an unequal mode (p=0.008). Subjects under 40 years old had higher prevalence of pulp disease (p=0.286), and patients over 50 years were most affected by periradicular diseases (p=0.439). Maxillary incisors and mandibular first molars were the most affected teeth by endodontic diseases. Conclusions: In the evaluated subpopulation, the endodontic diseases were more prevalent in the maxillary incisive, affected indiscriminately individuals of different age groups and chronic apical periodontitis was the most prevalent diagnosed disease.

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Section: Discussionsupporting

confidence: 90%

Section: Discussioncontrasting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

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Prevalence of endodontic diseases: an epidemiological evaluation in a Brazilian subpopulation

2017

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“…Recently a periapical index based on cone beam-computed tomography (CBCTPAI) for identification of apical periodontitis has been proposed. The CBCT PAI is a 6-point (0-5) scoring system calculated from determining the largest lesional measurement in either the buccopalatal, mesio-distal, or axial dimension or taking into account expansion and destruction of cortical bone [8][9][10][11][12][13][14] (Table 2).…”

Section: Detection Of Apical Periodontitismentioning

confidence: 99%

Applications of Cone Beam Computed Tomography in Endodontics: A Review

Meena¹

2014

Dentistry

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Aim: This review aims to provide comprehensive information related to the principles of Cone beam computed tomography and its potential applications in the management of various endodontic conditions. Methodology:A thorough and extensive electronic literature search was conducted utilizing PubMed, for articles related to endodontic applications of CBCT published during the period between January 2005 and September 30, 2013. Search words such as 'principles of CBCT', 'endodontic applications of CBCT' were employed to obtain information. Only those articles dealing with the principles and various endodontic applications of CBCT are included in this review. Results:The search revealed 258 articles, 70 of which were found to be relevant to the scope of this review and were used in this review CBCT is a revolutionary and innovative procedure that has changed the paradigms in the management of various endodontic conditions. The information provided by this tool-three dimensional view of anatomic and pathologic structures, ability to provide details of root and canal anatomy, assessment of dento-alveolar trauma, assessment of root resorptions, etc. has contributed substantially to its extensive utilization in a short period of time.Clinical Significance: CBCT can be used in the management of a variety of conditions like dento-alveolar truma, root resorptions, early apical periodontitis, roots and canals with unusual anatomy, dental anomalies, etc. The effective dose of CBCT (focused field of view) varies from 5-38.3 μSv. The effective dose of intra-oral periapical radiographs and panoramic radiographs are ˂8.3 μSv and 9-26 μSv respectively. Thus CBCT has an effective dose in the similar range of magnitude as other dental radiographs, but, its three dimensional imaging capability and 100% sensitivity (1.0) and specificity (1.0) makes it an invaluable tool in the field of endodontics.

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“…However, there have been very few publications reporting on the prevalence 18 and characteristics of AP identified in CBCT exams.…”

Section: Introductionmentioning

confidence: 99%

Descriptive study of apical periodontitis detected in Cone Beam Computed Tomography scans

Moreti

Panzarella

Oliveira

et al. 2016

RGO, Rev. Gaúch. Odontol.

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ObjectiveTo perform a descriptive study in order to evaluate apical periodontitis in endodontically treated teeth using cone beam computed tomography. Methods Eighty RESUMO ObjetivoRealizar um estudo descritivo para avaliar periodontites periapicais em dentes com tratamento endodôntico em tomografia computadorizada de feixe cônico. MétodosOitenta e seis exames que apresentaram pelo menos uma periodontite periapical foram selecionados e separados em dois grupos: 1 para a mandíbula, e 2 para a maxila. Todos os exames foram realizados na tomografia computadorizada de feixe cônico com os mesmos protocolos de aquisição, e o mesmo software de avaliação e de mensuração. As lesões foram classificadas de acordo com o índice periapical, mas sem considerar a expansão do osso cortical e/ou destruição. ResultadosCento e vinte sete dentes inferiores e 180 dentes superiores apresentaram periodontites periapicais com tamanho médio de 0,49 mm na mandíbula e de 0,75 mm na maxila. Observou-se que os pré-molares inferiores foram os dentes mais acometidos. Lesões identificadas entre os escores 0 e 1 corresponderam a 83,47% das lesões na mandíbula e 78,89% na maxila, sendo que 55,12% dos dentes tratados endodonticamente inferiores e 50% superiores não apresentaram lesões reincidentes ou em fase de reparação. ConclusãoHouve um predomínio de periodontites periapicais pequenas, sendo os pré-molares os dentes mais acometidos por estas lesões.Termos de indexação: Periodontite periapical. Tomografia computadorizada de feixe cônico. Diagnóstico por imagem. Tecido periapical.

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Prevalence of apical periodontitis detected in cone beam CT images of a Brazilian subpopulation

Cited by 44 publications

References 27 publications

Prevalence of endodontic diseases: an epidemiological evaluation in a Brazilian subpopulation

Prevalence of endodontic diseases: an epidemiological evaluation in a Brazilian subpopulation

Applications of Cone Beam Computed Tomography in Endodontics: A Review

Descriptive study of apical periodontitis detected in Cone Beam Computed Tomography scans

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