Retrospective analysis of nonendodontic periapical lesions misdiagnosed as endodontic apical periodontitis lesions in a population of Taiwanese patients

Huang, Hsun-Yu; Chen, Yuk-Kwan; Ko, Edward Chengchuan; Chuang, Fu-Hsiung; Chen, Ping-Ho; Chen, Ching-Yi; Wang, Wen-Chen

doi:10.1007/s00784-016-1997-7

Cited by 20 publications

(39 citation statements)

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“…Despite neoplastic change of the epithelial lining of a radicular cyst being rare, following a review of the English language literature, one case report presented a squamous odontogenic tumor-like epithelial proliferation of the cystic lining of a radicular cyst [15], and two case reports described squamous-cell carcinoma arising from the cystic lining [16,17]. Although some dental clinicians have differing opinions about the cost and advantages of histopathological examination of periapical lesions [18e20], the case of a dysplastic cystic lining seen in the current study together with the aforementioned previouslyreported cases [15e17] highlight the importance of histopathological examination of specimens upon periapical surgery; in addition, it is warranted because, on occasion, malignant lesions can be found in periapical areas, mimicking periapical pathoses [1,21].…”

Section: Discussionmentioning

confidence: 86%

Clinicopathological analysis of 232 radicular cysts of the jawbone in a population of southern Taiwanese patients

Chen

Tseng

Wang

et al. 2018

The Kaohsiung J of Med Scie

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This retrospective study aimed to evaluate the clinicopathological features of 232 cases of radicular cyst (January 2001-December 2016) submitted for histopathological examination to Department of Oral Pathology by endodontists in our institution. Demographic data including age, gender, affected site, involved tooth, and histopathological features, were reviewed. The study population comprised 133 females (57.3%) and 99 males (42.7%), with a mean age of 40.5 years and an age range of 13-78 years. Two-hundred and one cysts occurred in the maxilla (86.7%) and 31 in the mandible (13.3%). Most cases involved the anterior teeth of the maxilla (67.2%). The most frequently-involved tooth was the maxillary lateral incisor (50.5%). In most cases (228 cases; 98.3%), the cyst was lined with nonkeratinized stratified squamous epithelium, with two cases containing epithelial lining of the mucoepidermoid epithelium (0.9%) and respiratory epithelium (0.9%), respectively. One case (0.4%) revealed epithelial dysplasia of the epithelial lining. Hyaline body was seen in two cases (0.9%), and Rushton body was noted in seven cases (3.0%). Odontogenic epithelial rest was noted in one case (0.4%). Cholesterol clefts (54 cases; 23.3%), foamy histiocytes (72 cases; 31.0%), hemosiderins (57 cases; 24.6%), dystrophic calcifications (94 cases; 40.5%), foreign bodies (44 cases; 19.0%), and bacterial colonies (22 cases; 9.5%) were also observed. Fifty-three cases (22.8%) showed a mixed acute and chronic inflammatory infiltrate, whereas chronic inflammatory infiltrate only was noted in 179 cases (77.2%). In summary, the current findings provide a valuable source for clinicopathological reference concerning radicular cysts of the jawbone.

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Section: Discussionmentioning

confidence: 86%

Clinicopathological analysis of 232 radicular cysts of the jawbone in a population of southern Taiwanese patients

Chen

Tseng

Wang

et al. 2018

The Kaohsiung J of Med Scie

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“…A descompressão da cavidade cística é indicada em casos de lesões císticas de grandes proporções (TAKASE et al, 1996;SAKKAS et al, 2007;BRANDT FILHO et al, 2010). Esta técnica diminui ou elimina a possibilidade de comprometer a vitalidade de dentes adjacentes ou causar danos a nervos (BAVA et al, 2015;HUANG et al, 2016;PEKER et al, 2016;SALARIA;KAMRA;GHUMAN, 2016;TORRES-LAGARES et al, 2011). Porém pode apresentar desvantagens, tais como a necessidade de cooperação do paciente por um longo período, inflamação da mucosa alveolar, persistência do defeito cirúrgico no local de inserção do dreno, possibilidade de desenvolvimento de infecção aguda ou crônica na lesão durante o tratamento e submergência do tubo no tecido (PENUMATSA et al, 2013;TAKASE et al, 1996).…”

Section: Discussionunclassified

“…O sucesso no tratamento de cistos periapicais de grande extensão pode ser alcançado através de um correto e minucioso diagnóstico, planejamento de tratamento adequado, acompanhamento clínico e radiográfico e cooperação do paciente (BAVA et al, 2015;HUANG et al, 2016;PEKER et al, 2016;SALARIA;KAMRA;GHUMAN, 2016;TORRES-LAGARES et al, 2011).…”

Section: Discussionunclassified

“…Podem ser indicados para o tratamento dos cistos periapicais tratamentos conservadores através do tratamento endodôntico do dente desvitalizado com ou sem apicetomia e tratamentos cirúrgicos como a extração do elemento dentário seguida de curetagem periapical, marsupialização ou ainda a enucleação cística (VASCONCELOS et al, 2012;HUANG et al, 2016;SALARIA;KAMBA;GHUMAN, 2016). Sendo que a cirurgia periapical é mais indicada para lesões que excedem 2 cm de diâmetro e para aquelas associadas a dentes nos quais não é viável o tratamento endodôntico convencional (NARULA et al, 2011).…”

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Tratamento cirúrgico e conservador de cisto periapical de grande proporção: relato de caso

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Assis

Sette-Dias

et al. 2018

HU Rev

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O objetivo deste estudo foi descrever uma técnica de tratamento conservadora, cuja conduta preconizada foi a realização da descompressão seguida pela enucleação cística através do relato de um caso de cisto periapical de grande extensão. Paciente de 50 anos de idade, melanoderma, apresentando cisto periapical com aproximadamente 4,5 cm em seu maior diâmetro associado ao incisivo central inferior esquerdo. Na primeira etapa do tratamento foi realizada descompressão cística e biopsia incisional, cujo exame histopatológico confirmou o diagnóstico clínico. Após 25 semanas de acompanhamento, houve uma considerável regressão do tamanho da lesão e a mesma foi enucleada sem comprometimento dos elementos dentários envolvidos e dos tecidos adjacentes. O relato de caso evidenciou que o tratamento cirúrgico e conservador pode ser um recurso em cistos periapicais de maior dimensão, sendo importante a cooperação do paciente no acompanhamento pós-operatório.

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“…A thorough clinical examination, radiographic investigation, analysis of past and present medical history and pulp vitality test are essential tools for developing a correct diagnosis of periapical lesions, which can lead to choosing the suitable treatment option (11,58).…”

Section: Discussionmentioning

confidence: 99%

Conservative management of periapical lesions of endodontic origin - a review of the different techniques

Borisova-Papancheva

Svetlozarova

2018

Scripta Scientifica Medicinae Dentalis

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INTRODUCTION: Periapical lesions of endodontic origin are common pathological conditions affecting the periradicular tissues. Mainly responsible for the initiation and progression of apical periodontitis is the microbial infection of pulpal tissues. There are different conservative techniques that can be applied in order to establish a healing process of periapical lesions of endodontic origin. MATERIALS AND METHODS: We have conducted a research that covers related articles and publications, in order to review the different conservative management treatment techniques for lesions affecting the periradicular tissues. RESULTS: Different non-surgical management techniques have been described, namely: conservative root canal therapy, decompression technique, a method using calcium hydroxide, aspiration-irrigation technique, lesion sterilization and repair therapy, active non-surgical decompression technique, and the apexum procedure. CONCLUSION: All of the described management techniques present with advantages, disadvantages and specific indications that should be taken into consideration when managing the treatment plan of every specific clinical case.

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Retrospective analysis of nonendodontic periapical lesions misdiagnosed as endodontic apical periodontitis lesions in a population of Taiwanese patients

Abstract: The current data form a useful basis for clinicopathological investigation and educational teaching regarding nonendodontic periapical lesions misdiagnosed as endodontic apical periodontitis lesions.

Cited by 20 publications

References 18 publications

Clinicopathological analysis of 232 radicular cysts of the jawbone in a population of southern Taiwanese patients

Clinicopathological analysis of 232 radicular cysts of the jawbone in a population of southern Taiwanese patients

Tratamento cirúrgico e conservador de cisto periapical de grande proporção: relato de caso

Conservative management of periapical lesions of endodontic origin - a review of the different techniques

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