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http://dx.doi.org/10.5395/JKACD.2010.35.1.024

THE RELATIONSHIP OF RADIOGRAPHIC LESION SIZE AND CHARACTERISTICS TO DIAGNOSIS OF PERIAPICAL CYSTS AND GRANULOMAS  

Choi, Ho-Sik (Department of Conservative Dentistry, School of Dentistry, Seoul National University)
Lee, Woo-Cheol (Department of Conservative Dentistry, School of Dentistry, Seoul National University)
Shon, Won-Jun (Department of Conservative Dentistry, School of Dentistry, Seoul National University)
Kum, Kee-Yeon (Department of Conservative Dentistry, School of Dentistry, Seoul National University)
Bae, Kwang-Shik (Department of Conservative Dentistry, School of Dentistry, Seoul National University)
Baek, Seung-Ho (Department of Conservative Dentistry, School of Dentistry, Seoul National University)
Publication Information
Restorative Dentistry and Endodontics / v.35, no.1, 2010 , pp. 24-29 More about this Journal
Abstract
The purpose of this study was to find out the relationship of radiographic lesion size, gender, age of patients and radiographic character to the diagnosis of periapical cyst and granuloma. The data was collected from 187 periapical lesions of 167 patients who undergone apical surgery at Department of Conservative Dentistry, Seoul National University Dental Hospital from 2003 to 2005. The lesion were surgically removed and send for biopsy to the Oral Pathology Laboratory. From the initial radiograph, lesion size was calculated using $PiViewSTAR^{(R)}$ (INFINITT, Korea) program. The obtained data were statistically evaluated using SPSS (p<0.05). The result were as followings: 1. From 187 biopsy samples, the incidence of periapical cyst was 28.34% and granuloma was 65.24%. 2. There was a significant correlation between periapical cyst and the size of radiographic lesion (p<0.01). 3. There were no significant correlations between age, gender, location of lesion and the final diagnosis (p>0.05). 4. There was a significant correlation between the non-demarcation of the lesion and the incidence of periapical granuloma (p<0.01).
Keywords
Periapical granuloma; Periapical cyst; Biopsy; Incidence; Radiographic character;
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  • Reference
1 Patterson SS, Shafer WG, Healey HJ. Periapical lesions associated with endodontically treated teeth. J Am Dent Asso 68:191-194, 1964.   DOI
2 Block RM, Bushell A, Rodrigues H, Langeland K. A histopathological, histobacteriologic and radiographic study of periapical endodontic surgical specimens. Oral Surg 42:656-678, 1976.   DOI   ScienceOn
3 Stafne EC. Oral roentgenographic and direct observation of experimental lesions in bone. J Am Dent Asso 62:708-716, 1961.   DOI
4 Sommer R. Clinical evaluation of diagnostic aids. D. Radiog. and Patholog. 27:17, 1954.
5 Preibe WA, Lazansky JP, Wuehrmann AH. The Value of the roentgenographic film in the diffrential diagnosis of periapical lesions. Oral Surg 7:979-983, 1954.   DOI   ScienceOn
6 Langeland K. Block RM. Grossman LI. A histopathologic and histobacteriologic study of 35 periapical endodontic surgical specimens. J Endod 3:8-23, 1977.   DOI   ScienceOn
7 Yanagisawa S. Pathologic study of periapical lesions 1. Periapical granulomas: clinical. histopathologic and immunohistopathologic studies. J Oral Pathol Med 9: 288-300. 1980.   DOI
8 Skaug N, Nilsen R, Matre R, Bernhoff CH, Johannessen AC. In situ characterization of cell infiltrates in human dental periapieal granulomas. J Oral Pathol Med 11:47-57. 1982.   DOI
9 McCall JO. Wald SS. Clinical Dental Roentgenology, 3rd ed., WB Saunders Co., Philadelphia. PA. p192, 1952.
10 Lalonde ER. A new rationale for management of periapical granulomas and cysts. An evaluation of histopathological and radiographic findings. J Am Dent Asso 80:1056-1059, 1970.   DOI
11 Sommer RF, Ostrander FD, Crowley MC. Clinical Endodontics. 1st ed., WB Saunders Co., Philadelphia, PA. p424-426, 1956.
12 Bhaskar SN. Periapical lesions-types, incidence and clinical features. Oral Surg 21:657-671, 1966.   DOI   ScienceOn
13 Morse DR, Patnik JW, Schacterle GR. Electrophoretic diffrentiation of radicular cyst and granulomas. Oral Surg 35:249-264, 1973.   DOI   ScienceOn
14 Natkin E, Oswald RJ, Carnes LI. The relationship of lesion size to diagnosis, incidence, and treatment of periapical cysts and granulomas, Oral Surg 57: 82-93, 1984.   DOI   ScienceOn
15 Nair PNR. New perspectives on radicular cysts: do they heal-, Int Endod J 31: 155-160, 1998,   DOI   ScienceOn
16 Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral Surg 34:458-468, 1972.   DOI   ScienceOn
17 Forsberg A. Hagglund F. Diffrential diagnosis of radicular cyst and granuloma: Use of X-ray contrast medium. Dent Radiogra Photogr 33:84-88, 1960.
18 Toller PA. Protein substances in odontogenic cyst fluids. Br Dent J 128: 317-322, 1970.   DOI
19 Morse DR, Schacterle GR, Wolfson EM. A rapid chairside diffrentiation of radicular cysts and granulomas. J Endod 2:17-20, 1976.   DOI   ScienceOn
20 Grossmann LI, Root Canal Therapy, 3rd ed., Lea & Febiger, Philadelphia. PA. p.99, 1950.
21 Baumann L, Rossmann SR. Clinical roentgenologic and histopathologic findings in teeth with apical radiolucent areas. Oral Surg 9:1330-1336, 1956.   DOI   ScienceOn
22 Linenberg WB, Waldron CA, De Laune GF Jr. A clinical. roentgenographic and histopathologic evaluation of periapical lesions. Oral Surg 17:467-472, 1964.   DOI   ScienceOn
23 부정선, 임성삼. 실험적 백서 치근단 병소에서의 면역글로불린 분포에 관한 면역조직화학적 연구. 대한치과보존학회지 15:58-75, 1990.
24 Malassez ML. Sur l' existence de masses epitheliales dans le ligament alveolodentaire chez l' homme adulte et a l' etat normal. Com Rend Soc Biol 36:241-244, 1884.
25 Torabinejad M, Kettering J. Identification and relative concentration of Band T lymphocytes in human chronic periapical lesions, J Endod 11:122-125, 1985.   DOI   ScienceOn
26 Bohne W. Light and ultrastructural studies on human chronic periapical lesions. J Oral Pathol Med 19:215-20, 1990.   DOI   ScienceOn
27 조수진, 윤태철, 박동수. 치근단병소에서 면역글로불린의 분포에 관한 연구. 대한치과보존학회지 20:55-70, 1995.
28 백승호, 임성삼. 실험적 백서 치수 및 치근단 병소에서의 면역글로불린 G 아강분포에 관한 면역조직화학적 연구. 대한치과보존학회지 16:41-59, 1991.