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http://dx.doi.org/10.5624/isd.20210239

Evaluation of ultrasonography as a diagnostic tool in the management of periapical cysts and granulomas: A clinical study  

Avci, Fatma (Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, University of Erciyes)
Etoz, Meryem (Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, University of Erciyes)
Ustun, Yakup (Department of Endodontics, Faculty of Dentistry, University of Erciyes)
Arslan, Tugrul (Department of Endodontics, Faculty of Dentistry, University of Erciyes)
Publication Information
Imaging Science in Dentistry / v.52, no.2, 2022 , pp. 209-217 More about this Journal
Abstract
Purpose: The aim of this study was, firstly, to determine the concordance of ultrasonographic and histopathological diagnoses in patients in whom apical resection was already indicated. Secondly, this study aimed to determine whether lesions were periapical granulomas or cysts, and to compare them after root canal treatment using ultrasonography and periapical radiographs. Materials and Methods: In the first stage of the study, ultrasonographic and histopathologic diagnoses of 10 lesions were compared. Secondly, the periapical radiographs and ultrasonographic images of 44 lesions were measured. The presence of internal vascularity was determined by ultrasonographic color and power Doppler modes. Follow-up examinations of healing after root canal treatment were performed using ultrasonography and periapical radiographs, and these modalities were compared. Results: In the periapical granuloma and cyst groups, the measurement values decreased for all variables. There was no significant difference in the dimensional changes of lesions between the 2 groups, and ultrasonography and periapical radiographs were compatible. The pre-diagnoses were compared with histopathological diagnoses and were found to be compatible. Conclusion: The ultrasonographic color and power Doppler techniques could be an effective method for diagnosing periapical lesions as cysts or granulomas. After root canal treatment of granulomas and cysts, the dimensional shrinkage and healing patterns appear to be similar. Ultrasonography and periapical radiographs were consistent in terms of dimensional comparisons, and ultrasonography may be an alternative method for follow-up of the healing of periapical lesions.
Keywords
Periapical Granuloma; Radicular Cyst; Ultrasonography; Radiography;
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1 Cotti E, Campisi G, Garau V, Puddu G. A new technique for the study of periapical bone lesions: ultrasound real time imaging. Int Endod J 2002; 35: 148-52.   DOI
2 Sonmez G, Kamburoglu K, Yilmaz F, Koc C, Baris E, Tuzuner A. Versatility of high resolution ultrasonography in the assessment of granulomas and radicular cysts: a comparative in vivo study. Dentomaxillofac Radiol 2019; 48: 20190082.   DOI
3 Ramachandran Nair PN, Pajarola G, Schroeder HE. Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 81: 93-102.   DOI
4 Ozan U, Er K. Endodontic treatment of a large cyst-like periradicular lesion using a combination of antibiotic drugs: a case report. J Endod 2005; 31: 898-900.   DOI
5 Ricucci D, Pascon EA, Ford TR, Langeland K. Epithelium and bacteria in periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 239-49.   DOI
6 Aggarwal V, Singla M. Use of computed tomography scans and ultrasound in differential diagnosis and evaluation of nonsurgical management of periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 917-23.   DOI
7 Sumer AP, Danaci M, Ozen Sandikci E, Sumer M, Celenk P. Ultrasonography and Doppler ultrasonography in the evaluation of intraosseous lesions of the jaws. Dentomaxillofac Radiol 2009; 38: 23-7.   DOI
8 Cotti E, Campisi G, Ambu R, Dettori C. Ultrasound real-time imaging in the differential diagnosis of periapical lesions. Int Endod J 2003; 36: 556-63.   DOI
9 Raghav N, Reddy SS, Giridhar AG, Murthy S, Yashodha Devi BK, Santana N, et al. Comparison of the efficacy of conventional radiography, digital radiography, and ultrasound in diagnosing periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110: 379-85.   DOI
10 Musu D, Rossi-Fedele G, Campisi G, Cotti E. Ultrasonography in the diagnosis of bone lesions of the jaws: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 122: e19-29.   DOI
11 Rajendran N, Sundaresan B. Efficacy of ultrasound and color power Doppler as a monitoring tool in the healing of endodontic periapical lesions. J Endod 2007; 33: 181-6.   DOI
12 Lin LM, Ricucci D, Lin J, Rosenberg PA. Nonsurgical root canal therapy of large cyst-like inflammatory periapical lesions and inflammatory apical cysts. J Endod 2009; 35: 607-15.   DOI
13 Nair PN. New perspectives on radicular cysts: do they heal? Int Endod J 1998; 31: 155-60.   DOI
14 Shahidi S, Shakibafard A, Zamiri B, Mokhtare MR, Houshyar M, Mahdian S. The feasibility of ultrasonography in defining the size of jaw osseous lesions. J Dent (Shiraz) 2015; 16: 335-40.
15 Nobuhara WK, del Rio CE. Incidence of periradicular pathoses in endodontic treatment failures. J Endod 1993; 19: 315-8.   DOI
16 Goel S, Nagendrareddy SG, Raju MS, Krishnojirao DR, Rastogi R, Mohan RP, et al. Ultrasonography with color Doppler and power Doppler in the diagnosis of periapical lesions. Indian J Radiol Imaging 2011; 21: 279-83.   DOI
17 Torabinejad M, Fouad AF, Walton RE. Endodontics: principles and practice. St. Louis: Elsevier; 2015. p. 51-67.
18 Gulsahi A, Yuzugullu B, Imirzalioglu P, Genc Y. Assessment of panoramic radiomorphometric indices in Turkish patients of different age groups, gender and dental status. Dentomaxillofac Radiol 2008; 37: 288-92.   DOI
19 Ishii J, Nagasawa H, Wadamori T, Yamashiro M, Ishikawa H, Yamada T, et al. Ultrasonography in the diagnosis of palatal tumors. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 87: 39-43.   DOI
20 Maity I, Kumari A, Shukla AK, Usha H, Naveen D. Monitoring of healing by ultrasound with color power doppler after root canal treatment of maxillary anterior teeth with periapical lesions. J Conserv Dent 2011; 14: 252-7.   DOI
21 Tikku AP, Bharti R, Sharma N, Chandra A, Kumar A, Kumar S. Role of ultrasound and color doppler in diagnosis of periapical lesions of endodontic origin at varying bone thickness. J Conserv Dent 2016; 19: 147-51.   DOI
22 Lauria L, Curi MM, Chammas MC, Pinto DS, Torloni H. Ultrasonography evaluation of bone lesions of the jaw. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82: 351-7.   DOI
23 Tiwari B, Krishnan M, Popli M, Iyer SR, Arora V. Ultrasonography and color Doppler in the differential diagnosis of periapical cyst and granuloma. J Contemp Dent 2014; 4: 17-21.   DOI
24 Adibi S, Shakibafard A, Karimi Sarvestani Z, Saadat N, Khojastepour L. Effect of cortical bone thickness on detection of intraosseous lesions by ultrasonography. Radiol Res Pract 2015: 2015; 797593.   DOI
25 Parvathy V, Kumar R, James EP, George S. Ultrasound imaging versus conventional histopathology in diagnosis of periapical lesions of endodontic origin: a comparative evaluation. Indian J Dent Res 2014; 25: 54-7.   DOI
26 Gundappa M, Ng SY, Whaites EJ. Comparison of ultrasound, digital and conventional radiography in differentiating periapical lesions. Dentomaxillofac Radiol 2006; 35: 326-33.   DOI
27 Nair P, Sjogren U, Schumacher E, Sundqvist G. Radicular cyst affecting a root-filled human tooth: a long-term post-treatment follow-up. Int Endod J 1993; 26: 225-33.   DOI
28 Prince CN, Annapurna CS, Sivaraj S, Ali IM. Ultrasound imaging in the diagnosis of periapical lesions. J Pharm Bioallied Sci 2012; 4 (Suppl 2): S369-72.
29 Fernandes M, De Ataide I. Non-surgical management of a large periapical lesion using a simple aspiration technique: a case report. Int Endod J 2010; 43: 536-42.   DOI
30 Caliskan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J 2004; 37: 408-16.   DOI
31 Soares JA, Brito-Junior M, Silveira FF, Nunes E, Santos SM. Favorable response of an extensive periapical lesion to root canal treatment. J Oral Sci 2008; 50: 107-11.   DOI
32 Franzen R, Gutknecht N, Falken S, Heussen N, Meister J. Bactericidal effect of a Nd: YAG laser on Enterococcus faecalis at pulse durations of 15 and 25 ms in dentine depths of 500 and 1,000 ㎛. Lasers Med Sci 2011; 26: 95-101.   DOI
33 Gad K, Ellabban M, Sciubba J. Utility of transfacial dental ultrasonography in evaluation of cystic jaw lesions. J Ultrasound Med 2018; 37: 635-44.   DOI
34 Tikku AP, Kumar S, Loomba K, Chandra A, Verma P, Aggarwal R. Use of ultrasound, color Doppler imaging and radiography to monitor periapical healing after endodontic surgery. J Oral Sci 2010; 52: 411-6.   DOI