AI Article Synopsis

  • Resorption, particularly external inflammatory root resorption, is mostly caused by apical periodontitis or apical cysts; severe cases may lead to treatment failure and often require extraction based on advanced diagnosis.
  • A study conducted at a dental college in central India analyzed radiovisiography (RVG) images from 190 patients to assess apical root resorption associated with periapical pathologies before extraction and histological examination.
  • Results showed that severe root resorption was more common in patients with abscesses and periapical granulomas compared to apical periodontitis, with statistical analysis confirming the significance of these differences.

Article Abstract

Introduction Resorption often takes the form of external inflammatory root resorption. Apical periodontitis or an apical cyst is the most typical cause of external inflammatory root resorption. Failure of endodontic treatment can occur if severe apical root resorption occurs.This is due to the difficulty of reaching these sites.Apical root resorption is usually discovered during routine radiographs and is usually in its later stages. If the lesion is advanced, extraction is the only viable solution. An accurate diagnosis of incipient root resorption is essential. This research is designed to analyze the effectiveness of digital intraoral periapical radiographs in assessing apical root resorption (ARR) related to periapical pathologies. Material and methods This cross-sectional radiographic observational research was conducted in a dental college and hospital in central India. Radiovisiography (RVG) images of 190 patients' teeth with inflammatory periapical pathologies were evaluated to determine the presence or absence of resorption in the apical area of the root. After the radiographic assessment of the apical root resorption, the extraction of the affected teeth was done under all aseptic conditions. The periapical tissue was sent for histological analysis and the extracted tooth sample was examined for the presence or absence of apical root resorption. Results In comparison to apical periodontitis, the proportion of severe root resorption patients was significantly higher in abscess and periapical granuloma. Using Pearson's Chi-square test, the difference in patient proportions according to the kind of resorption in the three radiological diagnosis groups was statistically significant with a p-value of 0.0058. Conclusion It was concluded that on radiographic examination, digital intraoral periapical radiographs were found to be accurate in determining periapical apical pathologies and apical root resorption.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560382PMC
http://dx.doi.org/10.7759/cureus.44885DOI Listing

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