A retrospective brazilian multicenter study of biopsies at the periapical area: identification of cases of nonendodontic periapical lesions

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dc.creatorCarolina Clasen Vieira
dc.creatorMaria Cássia Ferreira de Aguiar
dc.creatorAna Carolina Uchoa Vasconcelos
dc.creatorFernanda Geraldo Pappen
dc.creatorLaura Borges Kirschnick
dc.creatorMariana Gonzalez Cademartori
dc.creatorKaio Heide Sampaio Nóbrega
dc.creatorAline Maria do Couto
dc.creatorLauren Frenzel Schuch
dc.creatorLeonardo Araújo Melo
dc.creatorJean Nunes dos Santos
dc.date.accessioned2024-08-14T21:43:50Z
dc.date.accessioned2025-09-08T23:29:35Z
dc.date.available2024-08-14T21:43:50Z
dc.date.issued2020
dc.identifier.doihttps://doi.org/10.1016/j.joen.2020.01.003
dc.identifier.issn0099 -2399
dc.identifier.urihttps://hdl.handle.net/1843/74109
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Endodontics
dc.rightsAcesso Restrito
dc.subject: Diagnosis
dc.subjectPeriapical diseases
dc.subjectPeriapical granuloma
dc.subjectRadicular cyst
dc.subjectEndodontics
dc.subjectInfections
dc.subjectNeoplasms
dc.subjectOdontogenic cysts
dc.subject.otherDiagnosis
dc.titleA retrospective brazilian multicenter study of biopsies at the periapical area: identification of cases of nonendodontic periapical lesions
dc.typeArtigo de periódico
local.citation.epage495
local.citation.issue4 Journal of endodontics Diagnosis assunto
local.citation.spage490
local.citation.volume46
local.description.resumoIntroduction: The purpose of this study was to analyze the features of lesions obtained from biopsies at the periapical area of teeth with a radiographic or clinical initial diagnosis of apical periodontitis. Methods: A retrospective study was conducted on biopsies obtained from 1953-2018 at 3 Brazilian oral and maxillofacial pathology centers. Cases of endodontic and nonendodontic periapical lesions (NPLs) with a clinical diagnosis of endodontic pathoses were retrieved. Data regarding patient age, sex, and anatomic location were obtained from patients' records. The frequency and percentage of cases with clinical diagnoses of a periapical cyst, periapical granuloma, or dentoalveolar abscess were recorded, and the final histopathologic diagnosis was documented. Results: Among 66,179 oral biopsies, 7246 (10.94%) were clinically diagnosed as periapical disease, 306 (4.22%) of which were histopathologically diagnosed as NPLs. The most frequent NPLs were odontogenic keratocysts (n = 107, 34.96%) followed by dentigerous cysts (n = 48, 15.68%). The mean age at diagnosis was 39.68 years with a range of 6-80 years. A total of 159 (51.96%) cases occurred in females and 147 (48.03%) in males (female to male ratio = 1.08:1). Most lesions (137, 44.77%) were located in the posterior mandible. Conclusions: A wide variety of histopathologic diagnoses, including benign odontogenic and nonodontogenic cystic and tumorous lesions, infectious diseases, and malignant neoplasms, was reported in the present survey. The features presented in this study were consistent with previous findings reported in the literature.
local.identifier.orcidhttps://orcid.org/0000-0001-9273-376X
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0099239920300042?via%3Dihub

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