Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions

• Hauptverfasser: Brunno Santos Freitas SILVA (VerfasserIn), Mike Reis BUENO (VerfasserIn), Fernanda P. YAMAMOTO-SILVA (VerfasserIn), Ricardo Santiago GOMEZ (VerfasserIn), Ove Andreas PETERS (VerfasserIn), Carlos ESTRELA (VerfasserIn)
• Format: Buch
• Veröffentlicht: Sociedade Brasileira de Pesquisa Odontológica, 2017-07-01T00:00:00Z.
• Schlagworte: article
• Online-Zugang: Connect to this object online.
• Notes: 1807-3107; 10.1590/1807-3107bor-2017.vol31.0052
• Keywords: Periapical Peridodontitis; Diagnosis, Differential; Dentistry; RK1-715
• Source: Brazilian Oral Research, Vol 31, Iss 0 (2017)

Abstract Great attention has been given to the study of radiolucent periapical lesions to avert possible misdiagnosis of apical periodontitis associated with certain radiolucent non-endodontic lesions. However, there are a significant number of radiopaque lesions found in the periapical region, which could be equally relevant to endodontic practice. The diagnosis and management of these radiopaque/hyperdense lesions could be challenging to the endodontist. These bone alterations could be neoplastic, dysplastic or of metabolic origin. In the context of the more widespread use of cone-beam CT, a detailed review of radiopaque inflammatory and non-inflammatory lesions is timely and may aid clinicians perform a differential diagnosis of these lesions. Distinguishing between inflammatory and non-inflammatory lesions simplifies diagnosis and consequently aids in choosing the correct therapeutic regimen. This review discusses the literature regarding the clinical, radiographic, histological and management aspects of radiopaque/hyperdense lesions, and illustrates the differential diagnoses of these lesions.