DETECÇÃO E ANÁLISE DE LESÕES DO PERIÁPICE EM RADIOGRAFIAS PERIAPICAIS
DOI:
https://doi.org/10.61164/rmnm.v11i1.3566Palavras-chave:
Abscesso Periapical, Cisto Radicular, Granuloma Periapical, Patologia Bucal, PrevalênciaResumo
O estudo teve como objetivo determinar a prevalência de lesões periapicais em relação às arcadas dentárias e correlacionar a ocorrência dessas lesões em dentes não tratados endodonticamente e em dentes que já receberam intervenção endodôntica. Para isso, foi realizado um estudo observacional e transversal com exames de imagem obtidos na consulta de triagem da clínica de odontologia da faculdade de Odontologia de uma universidade pública em Belém, no decorrer de 2022 e no primeiro semestre de 2023. Foram analisados 4.492 exames de imagem, dos quais 4.423 foram excluídos, resultando em uma amostra final de 95 exames. A partir desses exames, foram coletadas informações sobre os pacientes, incluindo gênero e idade, além da caracterização das lesões quanto ao contorno (regular ou irregular). A calibração do avaliador foi verificada por meio do coeficiente Kappa. Para o processamento dos dados, foram utilizados os programas Jamovi (versão 1.1.9; Oxford, Reino Unido) e Excel.
Referências
BECONSALL-RYAN, K.; TONG, D.; LOVE, R. M. Radiolucent inflammatory jaw lesions: twenty-year analysis. International Endodontic Journal, v. 43, p. 859-865, 2010.
CARR, G. B. et al. Ultrastructural examination of failed molar retreatment with secondary apical periodontitis: an examination of endodontic biofilms in an endodontic retreatment failure. Journal of Endodontics, v. 35, n. 9, p. 1303-1309, set. 2009.
CHUNG, M. P.; CHEN, C. P.; SHIEH, Y. S. Floating retained root lesion mimicking apical periodontitis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, v. 108, n. 4, p. e63-e66, out. 2009.
DELANTONI, A.; PAPADEMITRIOU, P. An unusually large asymptomatic periapical lesion that presented as a random finding on a panoramic radiograph. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, v. 104, n. 2, p. e62-e65, ago. 2007.
ESTRELA, C. et al. Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis. Journal of Endodontics, v. 34, n. 3, p. 273-279, 2008.
GARCÍA, C. C. et al. The post-endodontic periapical lesion: histologic and etiopathogenic aspects. Medicina Oral, Patología Oral y Cirugía Bucal, v. 12, n. 8, p. E585-E590, dez. 2007.
GUIMARÃES, M. R. F. S. G. et al. Evaluation of the relationship between obturation length and presence of apical periodontitis by CBCT: an observational cross-sectional study. Clinical Oral Investigations, v. 23, p. 2055–2060, 2019.
KARAMIFAR, K.; TONDARI, A.; SAGHIRI, M. A. Endodontic periapical lesion: an overview on the etiology, diagnosis and current treatment modalities. European Endodontic Journal, v. 2, p. 54-67, 2020.
KUC, I.; PETERS, E.; PAN, J. Comparison of clinical and histologic diagnoses in periapical lesions. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, v. 89, n. 3, p. 333-337, mar. 2000.
LIN, L. M. et al. Nonsurgical root canal therapy of large cyst-like inflammatory periapical lesions and inflammatory apical cysts. Journal of Endodontics, v. 35, n. 5, p. 607-615, maio 2009.
MOURA, M. S. et al. Influence of length of root canal obturation on apical periodontitis detected by periapical radiography and cone beam computed tomography. Journal of Endodontics, v. 35, n. 6, p. 805-809, jun. 2009.
PETERSON, A. et al. Radiological diagnosis of periapical bone tissue lesions in endodontics: a systematic review. International Endodontic Journal, v. 45, p. 783-801, 2012.
POCIASK, E. et al. Differential diagnosis of cysts and granulomas supported by texture analysis of intraoral radiographs. Sensors, v. 21, p. 7481, 2021.
RICUCCI, D. et al. A study of periapical lesions correlating the presence of a radiopaque lamina with histological findings. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, v. 101, n. 3, p. 389-394, mar. 2006.
RICUCCI, D. et al. Histologic investigation of root canal-treated teeth with apical periodontitis: a retrospective study from twenty-four patients. Journal of Endodontics, v. 35, n. 4, p. 493-502, abr. 2009.
RICUCCI, D.; LIN, L. M.; SPÅNGBERG, L. S. Wound healing of apical tissues after root canal therapy: a long-term clinical, radiographic, and histopathologic observation study. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, v. 108, n. 4, p. 609-621, out. 2009.
ROSENBERG, P. A. et al. Evaluation of pathologists (histopathology) and radiologists (cone beam computed tomography) differentiating radicular cysts from granulomas. Journal of Endodontics, v. 36, n. 3, p. 423-428, mar. 2010.
SCHULZ, M. et al. Histology of periapical lesions obtained during apical surgery. Journal of Endodontics, v. 35, n. 5, p. 634-642, maio 2009.
SELWITZ, R. H.; ISMAIL, A. I.; PITTS, N. B. Dental caries. The Lancet, v. 369, n. 9555, p. 51-59, jan. 2007.
SOARES, J. A. et al. Favorable response of an extensive periapical lesion to root canal treatment. Journal of Oral Science, v. 50, n. 1, p. 107-111, 2008.
SYED ISMAIL, P. M. et al. Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – a clinical study. Journal of Family Medicine and Primary Care, v. 9, p. 235-238, 2020.
TADA, A.; HANADA, N. Sexual differences in oral health behaviour and factors associated with oral health behaviour in Japanese young adults. Public Health, v. 118, n. 2, p. 104-109, mar. 2004.
TANOMARU, J. M. G. et al. Microbial distribution in the root canal system after periapical lesion induction using different methods. Brazilian Dental Journal, v. 19, n. 2, p. 124-129, 2008.
YU, V. S. et al. Lesion progression in post-treatment persistent endodontic lesions. Journal of Endodontics, v. 38, n. 10, p. 1316-1321, 2012.
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