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Apical Lesion (apical + lesion)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

Internal apical resorption and its correlation with the type of apical lesion

INTERNATIONAL ENDODONTIC JOURNAL, Issue 11 2004
F. V. Vier
Abstract Aim, To determine the presence of various periapical pathologies and their association with the presence and extent of internal apical inflammatory root resorption in human teeth. Methodology, A total of 75 root apices from extracted teeth with periapical lesions were examined. Semi-serial sections of soft tissue lesions were stained with HE. The lesions were classified as non-cystic or cystic, and according to the degree of abscess severity: 0, 1, 2 or 3. The apices were reduced to 3 mm in length and longitudinally cut so that the internal aspect could be analyzed under scanning electron microscopy (SEM). Internal root resorption was also classified as 0, 1, 2 or 3 according to the extent of the resorbed area. Additionally, six vital teeth were used as a control. Results, Non-cystic lesions with severe abscesses were the most common finding (70.7%), while 20% of the lesions were cystic (4% little or no abscess; 16% severe abscesses). Non-cystic lesions with little or no abscess comprised 9.3% of the sample. Of the root canals containing periapical lesions, 48% had internal apical resorption in more than half of the area, while 25.3% of the sample had no internal resorption. Resorption degree 1 was identified in 12% of the cases, and 14.7% showed resorption degree 2. The control group displayed significantly less internal resorption than the test groups. Conclusions, Most periapical lesions (86.7%), whether cystic (16.0%) or non-cystic (70.7%), showed large collections of acute inflammatory cells. Apical internal resorption was present in 74.7% of roots and was associated with periapical lesions. There was no correlation between internal apical resorption and the histological diagnosis of the lesions. [source]

Endodontic and periodontal treatments of a geminated mandibular first premolar

INTERNATIONAL ENDODONTIC JOURNAL, Issue 2 2002
S. Aryanpour
Abstract Aim, To describe a rare case of gemination involving a mandibular first premolar. Summary The complex morphology of geminated teeth renders their endodontic and periodontal management difficult. Root canal and periodontal treatments were performed on a geminated mandibular first premolar with three canals. Clinical examination showed two separated crowns with united roots. Radiographically, two distinct pulp chambers with two joined and a third independent canal were seen. Conventional root canal treatment resulted in complete healing of the apical lesion. However, the occurrence of a vertical fracture led to the extraction of the mesial segment. At the follow-up visit, the distal segment was clinically healthy and continued to satisfy functional demands. Key learning points ,Failure to diagnose the initial crack along a gemination groove resulted in further propagation and finally complete vertical fracture. ,Owing to the abnormal morphology of the crown and the complexity of the root canal system in geminated teeth, treatment protocols require special attention. ,For asymptomatic cases without aesthetic or orthodontic problems and without associated pathosis, routine review and careful maintenance are required. [source]

Association between alcohol consumption and dental health

JOURNAL OF CLINICAL PERIODONTOLOGY, Issue 5 2008
Leif Jansson
Abstract Objectives: To study the association of alcohol consumption with dental health in a sample from the County of Stockholm. Material and Methods: In a longitudinal investigation, 513 individuals were examined in 1970 and 1990. Clinical and radiographic examinations were performed as well as an interview including questions on alcohol consumption. The clinical investigation consisted of the registration of the number of remaining teeth, dental restorations, caries and periodontal conditions. The marginal bone level and longitudinal bone loss were determined by assessments on the proximal surfaces of all measurable teeth on the radiographs. Stepwise multiple regression analyses were adopted to calculate the partial correlations between alcohol consumption and the investigated odontological variables. Results: The group of subjects with the highest alcohol consumption (>5 cl pure alcohol per day) had more tooth surfaces with caries, more calculus and more teeth with apical lesions compared with those who reported an alcohol consumption 5 cl of pure alcohol per day. Alcohol consumption was not associated with periodontal disease. Conclusion: The observations do not support any association between alcohol consumption and periodontal disease. However, individuals with high alcohol consumption had significantly more teeth with decayed surfaces and apical lesions indicating that lifestyle-related factors may influence dental health. [source]

Interleukin-6 and granulocyte-macrophage colony-stimulating factor in apical periodontitis: correlation with clinical and histologic findings of the involved teeth

MOLECULAR ORAL MICROBIOLOGY, Issue 1 2003
T. Radics
Apical periodontitis is characterized by the presence of immunocompetent cells producing a wide variety of inflammatory mediators. Releasing cytokines with long-range action, such as interleukin-6 (IL-6) and granulocyte-macrophage colony-stimulating factor (GM-CSF), apical periodontitis may induce changes in remote organs of the host. This study quantified the levels of IL-6 and GM-CSF in symptomatic and asymptomatic human periradicular lesions. Lesions were also characterized by size and histologic findings. Tissue samples were homogenized and supernatants were assayed using an enzyme-linked immunosorbent assay (ELISA). Correlations between cytokine levels and characteristic features (as single variables) of the lesions were analysed. There was a trend for higher levels of IL-6 and GM-CSF in symptomatic than in asymptomatic lesions, but the difference was not significant. Levels also tended to be higher in large than in small lesions, in polymorphonuclear (PMN) cell-rich than in PMN cell-poor samples, and in epithelialized than in non-epithelialized lesions. Significantly higher levels of IL-6 (778.1 ± 220.5 pg/,g) and GM-CSF (363.3 ± 98.4 pg/,g) were found in samples coincidentally possessing symptomatic and epithelialized features than in asymptomatic, small, PMN cell-poor, non-epithelialized lesions (IL-6: 45.2 ± 13.1 pg/,g and GM-CSF: 135.1 ± 26.4 pg/,g). These results suggest that symptomatic lesions containing epithelial cells represent an immunologically active stage of apical periodontitis, whereas asymptomatic, small, PMN cell-poor, non-epithelialized lesions represent healing apical lesions. [source]