Artículos de investigación

Análise radiográfica de lesões periapicais em pacientes submetidos a tratamento de condutos radiculares

v. 10 n. 18 (2014)
Publicado: 2014-06-30
Gisella Osorio-Cabarcas
Área de Endodoncia, Corporación Universitaria Rafael Núñez
Edison Quintero-Ricardo
Consulta privada en endodoncia
Eduardo Covo-Morales
Facultad de Odontología, Universidad de Cartagena
Antonio José Díaz-Caballero
Facultad de Odontología, Universidad de Cartagena
Miguel Ángel Simancas-Pallares
Facultad de Odontología, Universidad de Cartagena
Introdução:as lesões periapicais são uma descoberta importante na prática endodôntica pela informação que fornecem ao diagnóstico e plano de tratamento. O objetivo desta pesquisa foi descrever as descobertas radiográficas de lesões periapicais encontradas nos prontuários de pa-cientes com tratamentos endodônticos. Métodos: estudo descritivo em que se mediu tamanho, localização, alargamento do ligamento periodon-tal, lâmina dura e perda óssea das lesões apicais e os dentes tratados. Incluíram-se 576 radiografias obtidas entre 2003-2007, levando em con-ta critérios de seleção definidos. Criou-se um formato e as radiografias foram padronizadas através de um leitor digital calibrado. Realizou-se uma análise estatística no programa STATA. Resultados: a média de idade foi 32,1 ±14,6 anos. As radiografias pertenciam a pacientes femininas em 59,4% e masculinos em 40,6%. 38% apresentou lesões grandes (> 7 mm). A perda óssea foi detectável em 18,2%. Finalmente, a lâmina dura teve maior continuidade na faixa de 8 a 10 milímetros com 37,5%. Conclusões: os resultados sugerem que as características das lesões periapicais foram consistentes com outras descobertas descritas na literatura. É ne-cessário, além das radiografias, levar em consideração outras descobertas para um correto diagnóstico e tratamento.
Palavras-chave: endodontia, periodontite apical, epidemiologia, radiogra-fia dental.

Como Citar

Análise radiográfica de lesões periapicais em pacientes submetidos a tratamento de condutos radiculares. (2014). Revista Nacional de Odontología, 10(18), 41-48. https://doi.org/10.16925/od.v10i18.720

JOE Editorial Board. Pulpal and periradicular diagnosis: an online study guide. J Endod. 2008;34(Suppl 5): e45-52.

Evidenced-based review of clinical studies on endodontic diagnosis. J Endod. 2009;35(8):1155-7.

JOE Editorial Board. Immunologic reactions and endodontics: an online study guide. J Endod. 2008;34(Suppl 5):e181-6.

Alshwaimi E, Purcell P, Kawai T, Sasaki H, Oukka M, Campos-Neto A, et al. Regulatory T cells in mouse pe- riapical lesions. J Endod. 2009;35(9):1229-33.

Yang J, Peng B. Correlation between the expression of c-Fos and osteoclasts in induced periapical lesions in rats. J Endod. 2008;34(1):22-5.

Takeichi O, Hama S, Iwata K, Ito K. Confocal immunolocalization of VE-cadherin- and CXC chemokine- expressing endothelial cells in periapical granulomas. Int Endod J. 2008;41(5):401-7.

Silva TA, Garlet GP, Fukada SY, Silva JS, Cunha FQ. Chemokines in oral inflammatory diseases: apical periodontitis and periodontal disease. J Dent Res. 2007;86(4):306-19.

JOE Editorial Board. Microbiology in endodontics: an online study guide. J Endod. 2008;34(Suppl 5):e151-64.

Manzur A, Gonzalez AM, Pozos A, Silva-Herzog D, Friedman S. Bacterial quantification in teeth with apical periodontitis related to instrumentation and different intracanal medications: a randomized clinical trial. J Endod. 2007;33(2):114-8.

Siqueira JF Jr., Rôcas IN. The microbiota of acute apical abscesses. J Dent Res. 2009;88(1):61-5.

Siqueira JF Jr., Rôcas IN. Community as the unit of pathogenicity: an emerging concept as to the microbial pathogenesis of apical periodontitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(6):870-8.

Rôcas IN, Siqueira JF Jr. Root canal microbiota of teeth with chronic apical periodontitis. J Clin Microbiol. 2008;46(11):3599-606.

Kirkevang LL, Vaeth M, Horsted-Bindslev P, Bahrami G, Wenzel A. Risk factors for developing apical periodontitis in a general population. Int Endod J. 2007;40(4):290-9.

Ricucci D, Siqueira JF Jr. Anatomic and microbiologic challenges to achieving success with endodontic treatment: a case report. J Endod. 2008;34(10):1249-54.

Patel S, Dawood A, Mannocci F, Wilson R, Pitt Ford T. Detection of periapical bone defects in human jaws using cone beam computed tomography and intraoral radiography. Int Endod J. 2009;42(6):507-15.

Ortega-Sánchez B, Penarrocha-Diago M, Rubio-Martínez LA, Vera-Sempere JF. Radiographic morphometric study of 37 periapical lesions in 30 patients: validation of success criteria. J Oral Maxillofac Surg. 2009;67(4):846-9.

Frisk F. Epidemiological aspects on apical periodonti- tis. Studies based on the Prospective Population Study of Women in Göteborg and the Population Study on Oral Health in Jönköping, Sweden. Swed Dent J Suppl. 2007(189):11-78.

Bender IB. Factors influencing the radiographic appearance of bony lesions. J Endod. 1997;23(1):5-14.

Schweitzer JL. The endodontic diagnostic puzzle. Gen Dent. 2009;57(6):560-7.

Ridao-Sacie C, Segura-Egea JJ, Fernández-Palacin A, Bullon-Fernández P, Ríos-Santos JV. Radiological as- sessment of periapical status using the periapical index: comparison of periapical radiography and digital pano- ramic radiography. Int Endod J. 2007;40(6):433-40.

Eriksen HM. Endodontology—epidemiologic conside- rations. Endod Dent Traumatol. 1991;7(5):189-95.

Da Silva K, Lam JM, Wu N, Duckmanton P. Cross-sectional study of endodontic treatment in an Australian population. Aust Endod J. 2009;35(3):140-6.

Aleksejuniene J, Eriksen HM, Sidaravicius B, Haapasalo M. Apical periodontitis and related factors in an adult Lithuanian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(1):95-101.

Kirkevang LL, Wenzel A. Risk indicators for api- cal periodontitis. Community Dent Oral Epidemiol. 2003;31(1):59-67.

Genc Y, Gulsahi K, Gulsahi A, Yavuz Y, Cetinyurek A, Ungor M, et al. Assessment of possible risk indicators for apical periodontitis in root-filled teeth in an adult Turkish population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(4):e72-7.

Bahrami G, Wenzel A, Kirkevang LL, Isidor F, Vaeth M. Risk indicators for a reduced marginal bone level in the individual. Oral Health Prev Dent. 2006;4(3):215-22.

Frisk F, Hakeberg M. Socio-economic risk indicators for apical periodontitis. Acta Odontol Scand. 2006;64(2):123-8.

Chazel JC, Tramini P, Valcarcel J, Pelissier B. A comparative analysis of periapical health based on historic and current data. Int Endod J. 2005;38(5):277-84.

Kirkevang LL, Vaeth M, Wenzel A. Tooth-specific risk indicators for apical periodontitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(6):739-44.

Vier FV, Figueiredo JA. Prevalence of different periapical lesions associated with human teeth and their corre- lation with the presence and extension of apical external root resorption. Int Endod J. 2002;35(8):710-9.

Ohba T, Takata Y, Ansai T, Morimoto Y, Tanaka T, Akifusa S, et al. Evaluation of the relationship between peri- apical lesions/sclerotic bone and general bone density as a possible gauge of general health among 80-year- olds. Oral Surg Oral Med Oral Pathol Oral Radiol En- dod. 2005;99(3):355-60.

Tyndall DA, Rathore S. Cone-beam CT diagnostic applications: caries, periodontal bone assessment, and endodontic applications. Dent Clin North Am. 2008;52(4):825-41.

Kirkevang LL, Horsted-Bindslev P, Orstavik D, Wenzel A. Frequency and distribution of endodontically treated teeth and apical periodontitis in an urban Danish population. Int Endod J. 2001;34(3):198-205.

Eriksen HM, Bjertness E. Prevalence of apical periodontitis and results of endodontic treatment in middle-aged adults in Norway. Endod Dent Traumatol. 1991;7(1):1-4.

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