Volume 5, 2021

Medical Imaging

APPLICATION OF COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF CHRONIC APICAL PERIODONTITIS

Anatoly A. Adamchik, Valerii V. Tairov, Maria V. Adamchik, Natalya I. Bykova, Ekaterina S. Zaporozhskaya-Abramova, Viktoria A. Ivashenko, Kseniya D. Kirsh, Zhanna V. Solovyeva

Pages: 62–67

DOI: 10.21175/RadProc.2021.12

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The present study is a descriptive comparison of the obtained data for the assessment of the optical density zones of the apical focus of destruction, in chronic apical periodontitis, carried out by the method of cone-beam computed tomography (CBCT) and histological examination of the obtained material after CBCT. The material of the study was extracted teeth with a diagnosis of chronic apical periodontitis with periapical tissues. The assessment of the zones of the apical focus of destruction was carried out in different surfaces of the CBCT. The analysis was carried out by evaluating the values in the center, maximum and minimum on the HU optical unit scale. Histological preparations were obtained after CBCT by removing 30 teeth for medical reasons with the preservation of adjacent tissues. The results of the study demonstrated a diagnostic model with minimal indicators and a statistically significant focal area at P=0.0008.
  1. М.А. Чибисова, Н.М. Батюков, «Методы рентгенологического обследования и современной лучевой диагностики, используемые в стоматологии», Институт Стоматологии, том 88, номер 3, стр. 24-33, 2020. (M.A. Chibisova, N.M. Batyukov, “Methods of X-ray examination and modern radiation diagnostics used in dentistry”, The Dental Institute, vol. 88, no. 3, pp. 24-33, 2020.)
    Retrieved from: https://elibrary.ru/download/elibrary_44076240_42799355.pdf
    Retrieved on: Jun. 15, 2021
  2. А.И. Громов, «Проблема точности денситометрических показателей в современной многослойной компьютерной томографии», Медицинская визуализация, но. 3, стр. 133-142, 2016. (A.I. Gromov et al., “The problem of the accuracy of densitometric indicators in modern multilayer computed tomography”, Medical Vizualization, no. 6, pp. 133-142, 2016.)
    Retrieved from: https://medvis.vidar.ru/jour/article/viewFile/368/356
    Retrieved on: Jul. 21, 2021
  3. Е. В. Кайзеров, А. В. Холин, М. А. Чибисова, А. А. Зубарева, «Дифференциальная клинико–рентгенологическая характеристика различных типов одонтогенных кист челюстно–лицевой области», Лучевая диагностика и терапия, но. 1, стр. 11-23, 2018. (E.V. Kaiserov, A.V. Kholin, M.A. Chibisova, A.A. Zubareva, Differential clinical and radiological characteristics of odontogenic cysts of the maxillofacial region are of different types, Diagnostic radiology and radiotherapy, no. 1, pp. 11-23, 2018.)
    DOI: https://doi.org/10.22328/2079-5343-2018-9-1-11-23
  4. В.В. Ким, Ю.А. Мингазеев, В.С. Новиков, «Клинический опыт применения метода конусно-лучевой компьютерной томографии в эндодонтии», Эндодонтия Today, том 10, но. 1, стр. 53-56, 2012. (V.V. Kim, Ju.A. Mingazeeva, V.S. Novikov, “Clinical experience of using the method of cone-beam computed tomography in endodontics”, Endodontics Today, no. 1, pp. 53-56, 2012.)
    Retrieved from: https://www.endodont.ru/jour/article/view/709/583
    Retrieved on: Jun. 15, 2021
  5. И.П. Королюк, «ROC анализ (операционные характеристики наблюдателя): базовые принципы и применение в лучевой диагностике», Медицинская визуализация, но. 6, стр. 113-123, 2013. (I.P. Korolyuk, “ROC analysis (Receiver Operating Characteristic Analysis): basic principles and application in diagnostic radiology”, Medical Vizualization, no .6, pp. 113-123, 2013.)
    Retrieved from: http://vidar.ru/Article.asp?fid=MV_2013_6_113
    Retrieved on: Jun. 15, 2021
  6. А.Ю. Ногина, «Особенности применения метода конусно-лучевой компьютерной томографии в эндодонтической практике», Эндодонтия Today, но. 2, стр. 50-54, 2015. (A.Yu. Nogina, “Application features of the cone-beam computerized tomography method in endodontic practice”, Endodontics Today, no. 2, pp. 50-54, 2015.)
    Retrieved from: https://www.endodont.ru/jour/article/view/436/350
    Retrieved on: Jun. 16, 2021
  7. Г.И. Ронь и др., «Количественная оценка трехмерной реконструкции челюстно-лицевой области и возможности проведения денситометрии на конусно-лучевом компьютерном томографе в динамическом наблюдении пациентов с заболеваниями пародонта», Институт Стоматологии, но. 4, стр. 55-57, 2015. (G.I. Ron et al., “Quantitative assessment of three-dimensional reconstruction of the maxillofacial region and the possibility of densitometry on a cone-beam computed tomograph in the dynamic observation of patients with periodontal diseases”, The Dental Institute, no. 4, pp. 55-57, 2015.)
    Retrieved from: https://instom.spb.ru/catalog/article/10380/?view=pdf
    Retrieved on: Jun. 15, 2021
  8. О.Б. Селина и др., «Сравнительный анализ данных традиционной рентгенографии и дентальной конусно-лучевой компьютерной томографии при диагностике хронического гранулирующего периодонтита», Российский стоматологический журнал, том 20, номер 4, стр. 201-205, 2016. (O.B. Selina et al., “Comparative analysis of traditional dental radiography and cone beam computed tomography in the diagnosis of chronic granulating periodontitis”, Russian Journal of Dentistry, vol. 20, no. 4, pp. 201-205, 2016.)
    Retrieved from: https://rjdentistry.com/1728-2802/article/view/42068
    Retrieved on: Jun. 15, 2021
  9. С. В. Сирак и др., «Морфологические и гистохимические изменения в околокорневых гранулемах при хроническом гранулематозном периодонтите», Медицинский алфавит, том 2, но. 11, стр. 48–51, 2017. (S.V. Sirak et al., “Morphological and histochemical changes in oculocardiac granulomas in chronic granulomatous periodontitis”, Medical Alphabet, vol. 2, no. 11, pp. 48–51, 2017.)
    Retrieved from: https://www.med-alphabet.com/jour/article/view/178/178
    Retrieved on: Jun. 15, 2021
  10. С. В. Сирак и др., «Экспериментальная оценка регенераторного потенциала тканей пародонта», Пародонтология, том 21, но. 3, стр. 15-18, 2016. (S.V. Sirak еt al., “Experimental evaluation of the regenerative potential of periodontal tissues” Parodontology, vol. 21, no. 3, pp. 15-18, 2016.)
    Retrieved from: https://www.parodont.ru/jour/article/view/187/187
    Retrieved on: Jun. 16, 2021
  11. М.А. Чибисова, А.А. Зубарева, А.Л. Дударев, Е.В. Кайзеров, «Современные подходы к дифференциальной клинико-рентгенологической характеристике одонтогенных кист челюстно-лицевой области различных этиопатогенетических типов», Институт Стоматологии, но. 3, стр. 78-83, 2017. (M.A. Chibisova, D.V. Zubarev, A.L. Dudarev, E.V. Kajzerov, “Modern approaches to the differential clinical and radiological characteristics of odontogenic cysts of the maxillofacial region of various etiopathogenetic types”, The Dental Institute, no. 3, pp. 78-83, 2017.)
    Retrieved from: https://instom.spb.ru/catalog/article/10954/?view=pdf
    Retrieved on: Jun. 15, 2021
  12. J. Guo et al., “Evaluation of the reliability and accuracy of using cone-beam computed tomography for diagnosing periapical cysts from granulomas”, J. Endod., vol. 39, no. 12, pp. 1485-1490, 2013.
    DOI: https://doi.org/10.1016/j.joen.2013.08.019
  13. W.D. Grimm et al., “Neural crest-related stem cells of oral origins in vitro and used in osteoporotic sheep model for being investigated due to therapeutic effects in alveolar bone regeneration”, Medical News of North Caucasus, vol. 11, no. 2, pp. 192-196, 2016.
    DOI: https://doi.org/10.14300/mnnc.2016.11034
  14. C.S. De Rosa et al., “Differentiation of periapical granuloma from radicular cyst using cone beam computed tomography images texture analysis”, Heliyon, vol.6, no. 10, article no. E05194, 2020.
    DOI: https://doi.org/10.1016/j.heliyon.2020.e05194
  15. P.N.R. Nair, U. Sjögren, E. Schumacher, G. Sundqvist, “Radicular cyst affecting a root-filled human tooth: a long-term post-treatment follow-up”, Int. Endod. J., vol. 26, no. 4, pp. 225–233, 1993.
    DOI: https://doi.org/10.1111/j.1365-2591.1993.tb00563.x
    PMid: 8225641
  16. P.N.R. Nair, “New perspectives on radicular cysts: do they heal?”, Int. Endod. J., vol. 31, no. 3, pp. 155–160, 1998.
    DOI: https://doi.org/10.1046/j.1365-2591.1998.00146.x
    PMid: 10321160
  17. E. Natkin, R.J. Oswald, L.I. Carnes “The relationship of lesion size to diagnosis, incidence and treatment of periapical cysts and granulomas”, Oral Surg., Oral Med., Oral Pathol., vol. 57, no. 1, pp. 82–94, 1984.
    DOI: https://doi.org/10.1016/0030-4220(84)90267-6
    PMid: 6364008
  18. S. Patel at al., “European Society of Endodontology position statement: The use of CBCT in Endodontics”, Int. Endod. J., vol. 47, no. 6, pp. 502-504, 2014.
    DOI: https://doi.org/10.1111/iej.12267
    PMid: 24815882
  19. P.A. Rosenberg et al., “Evaluation of pathologists (histopathology) and radiologists (cone beam computed tomography) differentiating radicular cysts from granulomas”, J. Endod., vol. 36, no. 3, pp. 423–428, 2010.
    DOI: https://doi.org/10.1016/j.joen.2009.11.005
    PMid: 20171356
  20. J.H.S. Simon, “Incidence of periapical cysts in relation to the root canal”, J. Endod., vol. 6, no. 11, pp. 845–847, 1980.
    DOI: https://doi.org/10.1016/S0099-2399(80)80039-2
    PMid: 6935342
Anatoly A. Adamchik, Valerii V. Tairov, Maria V. Adamchik, Natalya I. Bykova, Ekaterina S. Zaporozhskaya-Abramova, Viktoria A. Ivashenko, Kseniya D. Kirsh, Zhanna V. Solovyeva , "Application of computed tomography in the diagnosis of chronic apical periodontitis",RAD Conf. Proc, vol. 5, 2021, pp. 62-67, http://doi.org/10.21175/RadProc.2021.12