Year : 2018

Volume : Volume 9

Issue : Issue 2s

Address for correspondence :
Dr. Megha Trehan.
meghatrehan@gmail.com

Abstract

Background:  Majority of periapical lesions are the result of apical periodontal or pulpal disease. If left untreated, disease related to the tooth may spread to adjacent tissues, including the sinuses, orbits, deep fascial spaces of the neck. The present study was conducted with the aim to evaluate chronic inflammatory periapical lesions among the known population. Material and methods: A sample of 60 teeth diagnosed with chronic inflammatory periapical lesions, with or without previous nonsurgical endodontic treatment, were evaluated clinically and radiographically and selected for the study. Histological evaluation was obtained after surgical endodontic treatment. Semi-serial slices were obtained and stained with hematoxylin/eosin and Gomori trichrome for light microscopy evaluation. The data obtained was used to correlate the clinical, radiographic, and histological findings to verify the occurrence of inflammatory development of chronic periapical lesions. Statistical analysis was done by using SPSS, version 22 (SPSS, Inc., Chicago, IL) and p<0.05 was considered statistically significant. Results: A total of 60 chronic inflammatory periapical lesions were analyzed clinically and radiographically. Out of which 28(46.66%) were diagnosed as chronic apical periodontitis, 19 (31.66%) as inflammatory cysts and 13 (21.66%) had no characterization. When histological examinations were done, 33 cases (55%) were diagnosed as chronic apical periodontitis and 27(45%) as inflammatory cysts. Conclusion: Our study concluded that there was a significant difference in clinical radiographic as well as histological diagnosis. Therefore, histological examination must be considered important in the diagnosis of chronic inflammatory periapical lesions.

Keywords: Chronic inflammatory periapical lesions, chronic apical periodontitis, inflammatory cysts.