Year : 2019

Volume : Volume 10

Issue : Issue 2

Address for correspondence :
Dr. Santosh Singh.
santoshsingh37@gmail.com

Abstract

Background:  Significance of clinical signs as a sequel of pulpal pathosis and diagnosing of periapical pathology, also with each variant of periapical pathology. Materials and methods: A total of 1522 subjects were examined for the presence of tooth related, pulp based clinical signs and symptoms and later subjected to periapical radiography. All the data were entered into Microsoft Excel and analyzed using Chi-square test (SPSS, 16.0) setting a value of p < 0.05 for significance of clinical signs of pulp involvement and diagnosing of every variant of periapical pathology and use of Z-test (SPSS, 16.0) setting a value of p < 0.05 to see the significance of periapical radiography to find the prevalence of periapical pathology and significance of these clinical signs with each variant of periapical pathology. Results: In total, 1522 patients were examined and 1323 intraoral periapical radiographs were diagnosed with periapical pathology, where 87% of the patients had radiographic findings, giving a prevalence of 86.93%. Widening of periodontal ligament space was most prevalent and present in almost every fourth radiograph. About 13% of the radiographs did not show any periapical changes. On comparing the clinical findings with periapical radiographs, clinical signs were significant with the various radiographic diagnoses.  Conclusion: The result of present study shows a high significance to various signs of pulp associated pathologies in diagnosing inflammatory periapical lesions.  Further studies are suggested using a better and accurate imaging modality like CBCT for better understanding of these pathologies.

Keywords: Periapical pathologies, central India, population study.