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Year : 2020  |  Volume : 9  |  Issue : 1  |  Page : 235-238

Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions – A clinical study

1 Department of Conservative Dentistry, AL Rass Dental College, Qassim University, Kingdom of Saudi Arabia
2 Department of Conservative Dentistry and Endodontics, Malla Reddy Institute of Dental Sciences, Suraram, Hyderabad, Telengana, India
3 Department of Conservative Dentistry and Endodontics, Awadh Dental College and Hospital, Jamshedpur, Westbengal, India
4 Department of Prosthodontics, College of Dental Scinecs and Hospital, Rau, Indore, MP, India

Correspondence Address:
Dr. Shilpa Jain
Department of Prosthodontics, College of Dental Sciences and Hospital, Rau, Indore, MP
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_715_19

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Aim: The present study aimed at comparing clinical, radiographical, and histological findings in chronic periapical lesions such as cysts, granuloma, and abscess. Methodology: The present study was conducted on 148 teeth having chronic inflammatory periapical lesions with or without nonsurgical endodontic treatment. Endodontic surgery was performed by single trained endodontist. After surgical endodontic treatment, biopsy sections of teeth were assessed histologically. All slides stained with hematoxylin/eosin and Gomori trichrome for light microscopy assessment. Results: Out of 148 teeth, 41 had chronic inflammatory lesions, 34 had inflammatory cysts, and 25 had indefinite lesions. Chronic inflammatory lesions assessed histologically found chronic apical periodontitis in 86 cases and inflammatory cysts in 62 cases. The difference was significant (P < 0.05). Out of 86 cases of chronic apical periodontitis confirmed clinical radiographically, 64% found positive, whereas 36% were not histologically. Out of 62 cases of inflammatory cysts confirmed clinically and radiographically, 78% found positive while 36% were not histologically. Out of 25 indefinite lesions, 56% found chronic inflammatory lesions while 44% found inflammatory cyst. Conclusion: There was significant disagreement in clinical radiographic as well as histological diagnosis.

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