Association between the Presence of Apical Periodontitis and Clinical Symptoms in Endodontic Patients Using Cone-beam Computed Tomography and Periapical Radiographs

Journal of Endodontics
Jake WeissmanNestor Cohenca

Abstract

Cone-beam computed tomographic (CBCT) imaging is a valuable adjunct to endodontic practice. Among the endodontic applications of CBCT imaging, it aids in the diagnosis of apical periodontitis, often in cases in which there is no evidence of pathosis identified by conventional imaging. The purpose of this study was to correlate the presence of apical periodontitis of teeth evaluated with 2-dimensional periapical (PA) radiographs and 3-dimensional CBCT volumes with clinical signs and symptoms. Clinical records were reviewed from patients examined at the graduate endodontics clinic. The examination included clinical examination, sensibility tests, PA radiographs, and limited field-of-view CBCT scans. Of 498 cases, 67 fulfilled the inclusion criteria and were evaluated for apical periodontitis and symptomology. CBCT slices and PA radiographs were evaluated by 2 board-certified endodontists and a board-certified oral and maxillofacial radiologist for the presence of apical periodontitis. Thirty eight of 67 teeth showed the presence of apical radiolucencies on PA radiographs and on CBCT imaging, whereas 14 teeth had no evidence of apical radiolucencies on either imaging modality. Fifteen cases showed the presence of apical radiolucen...Continue Reading

References

Jul 1, 1978·The Journal of the American Dental Association·R E JordanD H Skinner
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Oct 13, 2014·Journal of Endodontics·Fernanda Ullmann LópezFabiana Vieira Vier-Pelisser

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Citations

Aug 16, 2016·Journal of Oral Rehabilitation·G Bergenholtz
Jan 23, 2018·Clinical Oral Investigations·Eduarda Helena Leandro NascimentoDeborah Queiroz Freitas
Feb 12, 2020·International Endodontic Journal·S PatelF Mannocci
Jul 18, 2019·Clinical Oral Investigations·Sebastian BürkleinDavid Donnermeyer
Mar 15, 2019·International Endodontic Journal·S PatelC Durack
Jan 25, 2021·American Journal of Otolaryngology·John R CraigDavid M Poetker
Feb 15, 2021·International Forum of Allergy & Rhinology·John R CraigAlberto M Saibene

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