Assessment of conformity between clinical (radiological) and histopathological diagnoses of chronic inflammatory periapical lesions treated with apicoectomy

2020
journal article
article
2
cris.lastimport.wos2024-04-09T23:25:22Z
dc.abstract.enObjectives: Periapical inflammation is one of the most common pathologies within the jaws, leading to the destruction of periodontal ligaments, bone resorption and the formation of periapical granulomas or radicular cysts. The final diagnosis can be made only on the basis of histopathological examination. The aim of the study was to assess the conformity between clinical and histopathological diagnosis of inflammatory periapical lesions treated with apicoectomy. Materials and Methods: The case histories of 52 patients subjected to surgical treatment at the Clinic of Conservative Dentistry with Endodontics between 2008 and 2018 were analyzed. Demographic data (age, gender), clinical (radiological) diagnosis, and data on the presence of sinus tracts and causal tooth were obtained from patients’ records. Results: In the light of clinical and radiological examination, 32 (61.5%) periapical granulomas, 18 (34.6%) radicular cysts and 2 (3.9%) periapical scars were diagnosed, whereas the result of histopathological examination revealed granuloma in 34 (65.4%) cases and in 18 (34.6%) - radicular cyst. For clinical diagnosis of granuloma, the result coincided with the result of the histopathological examination in 28 cases, and in the case of cysts in 14. The analysis showed a significant relationship between the clinical and histopathological diagnoses (p <0.05). Conclusions: The study emphasizes the importance of histopathological assessment for the proper diagnosis of periapical lesions. Clinical Relevance: The article emphasizes the high importance of histopathological examination for the correct diagnosis of chronic inflammatory periapical lesions.pl
dc.affiliationWydział Lekarski : Instytut Stomatologiipl
dc.cm.date2021-04-15
dc.cm.id103284
dc.contributor.authorMyciński, Paweł - 131085 pl
dc.contributor.authorDobroś, Katarzyna - 141786 pl
dc.contributor.authorKaczmarzyk, Tomasz - 129950 pl
dc.contributor.authorZarzecka, Joanna - 133894 pl
dc.date.accessioned2021-04-29T09:31:55Z
dc.date.available2021-04-29T09:31:55Z
dc.date.issued2020pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number4pl
dc.description.physical103-111pl
dc.description.points70
dc.description.versionostateczna wersja wydawcy
dc.description.volume60pl
dc.identifier.doi10.24425/fmc.2020.136208pl
dc.identifier.issn0015-5616pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/270295
dc.languageengpl
dc.language.containerengpl
dc.relation.uri*
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/3.0/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enperiapical lesionspl
dc.subject.enclinical examinationpl
dc.subject.enhistopathological examinationpl
dc.subject.enradicular cystpl
dc.subtypeArticlepl
dc.titleAssessment of conformity between clinical (radiological) and histopathological diagnoses of chronic inflammatory periapical lesions treated with apicoectomypl
dc.title.journalFolia Medica Cracoviensiapl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-09T23:25:22Z
dc.abstract.enpl
Objectives: Periapical inflammation is one of the most common pathologies within the jaws, leading to the destruction of periodontal ligaments, bone resorption and the formation of periapical granulomas or radicular cysts. The final diagnosis can be made only on the basis of histopathological examination. The aim of the study was to assess the conformity between clinical and histopathological diagnosis of inflammatory periapical lesions treated with apicoectomy. Materials and Methods: The case histories of 52 patients subjected to surgical treatment at the Clinic of Conservative Dentistry with Endodontics between 2008 and 2018 were analyzed. Demographic data (age, gender), clinical (radiological) diagnosis, and data on the presence of sinus tracts and causal tooth were obtained from patients’ records. Results: In the light of clinical and radiological examination, 32 (61.5%) periapical granulomas, 18 (34.6%) radicular cysts and 2 (3.9%) periapical scars were diagnosed, whereas the result of histopathological examination revealed granuloma in 34 (65.4%) cases and in 18 (34.6%) - radicular cyst. For clinical diagnosis of granuloma, the result coincided with the result of the histopathological examination in 28 cases, and in the case of cysts in 14. The analysis showed a significant relationship between the clinical and histopathological diagnoses (p <0.05). Conclusions: The study emphasizes the importance of histopathological assessment for the proper diagnosis of periapical lesions. Clinical Relevance: The article emphasizes the high importance of histopathological examination for the correct diagnosis of chronic inflammatory periapical lesions.
dc.affiliationpl
Wydział Lekarski : Instytut Stomatologii
dc.cm.date
2021-04-15
dc.cm.id
103284
dc.contributor.authorpl
Myciński, Paweł - 131085
dc.contributor.authorpl
Dobroś, Katarzyna - 141786
dc.contributor.authorpl
Kaczmarzyk, Tomasz - 129950
dc.contributor.authorpl
Zarzecka, Joanna - 133894
dc.date.accessioned
2021-04-29T09:31:55Z
dc.date.available
2021-04-29T09:31:55Z
dc.date.issuedpl
2020
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
4
dc.description.physicalpl
103-111
dc.description.points
70
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
60
dc.identifier.doipl
10.24425/fmc.2020.136208
dc.identifier.issnpl
0015-5616
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/270295
dc.languagepl
eng
dc.language.containerpl
eng
dc.relation.uri*
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
https://creativecommons.org/licenses/by-nc-nd/3.0/legalcode
dc.share.type
otwarte czasopismo
dc.subject.enpl
periapical lesions
dc.subject.enpl
clinical examination
dc.subject.enpl
histopathological examination
dc.subject.enpl
radicular cyst
dc.subtypepl
Article
dc.titlepl
Assessment of conformity between clinical (radiological) and histopathological diagnoses of chronic inflammatory periapical lesions treated with apicoectomy
dc.title.journalpl
Folia Medica Cracoviensia
dc.typepl
JournalArticle
dspace.entity.type
Publication

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