scholarly journals Optimization of radiological diagnosis of periapical distructive diseases

Author(s):  
Vasili Popozoglo ◽  
◽  
Vasile Zagnat ◽  

The basic paraclinical method of diagnosis in dentistry is the radiological examination. It is constantly used in therapeutic dentistry – in diagnosis and in the treatment process. The analysis of the literature and comparative study have concluded that out of all the radio-diagnostic methods, cone beam computed tomography (CBCT) is the most effective in determining periapical destructive diseases. In this study we aimed to confirm this moment based on our own clinical data. Conclusions: 1) The radiological examination gives us information on the shape, size and structure of periapical lesions and different methods of investigation give us different degrees of veracity of the results. 2) The comparative analysis of the effectiveness of radiological examination methods of patients with periapical destruction showed that CBCT is the most informative method of imaging examination compared to orthopantography and periapical radiographs.

2009 ◽  
Vol 17 (spe) ◽  
pp. 27-34 ◽  
Author(s):  
Amanda de Freitas Ferreira ◽  
João César Guimarães Henriques ◽  
Guilherme Araújo Almeida ◽  
Asbel Rodrigues Machado ◽  
Naila Aparecida de Godoi Machado ◽  
...  

Author(s):  
PRISCILA QUINTINO CHABOT ◽  
TÂNIA MARA PIMENTA AMARAL ◽  
LOLIZA LUIZ FIGUEIREDO HOURI CHALUB ◽  
CLÁUDIA BORGES BRASILEIRO

2013 ◽  
Vol 2013 ◽  
pp. 1-12
Author(s):  
Vijay Shekhar ◽  
K. Shashikala

The aim of this case report is to present two cases where cone beam computed tomography (CBCT) was used for the diagnosis, treatment planning, and followup of large periapical lesions in relation to maxillary anterior teeth treated by endodontic surgery. Periapical disease may be detected sooner using CBCT, and their true size, extent, nature, and position can be assessed. It allows clinician to select the most relevant views of the area of interest resulting in improved detection of periapical lesions. CBCT scan may provide a better, more accurate, and faster method to differentially diagnose a solid (granuloma) from a fluid-filled lesion or cavity (cyst). In the present case report, endodontic treatment was performed for both the cases followed by endodontic surgery. Biopsy was done to establish the confirmatory histopathological diagnosis of the periapical lesions. Long-term assessment of the periapical healing following surgery was done in all the three dimensions using CBCT and was found to be more accurate than IOPA radiography. It was concluded that CBCT was a useful modality in making the diagnosis and treatment plan and assessing the outcome of endodontic surgery for large periapical lesions.


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