DIAGNOSTIC CRITERIA FOR CHRONIC APICAL PERIODONTITIS: CLINICAL AND RADIOLOGICAL DATA
DOI:
https://doi.org/10.5281/zenodo.24185229Keywords:
chronic apical periodontitis, diagnosis, periapical index (PAI), periapical radiography, cone-beam computed tomography, pulp necrosis, sensitivity and specificityAbstract
Chronic apical periodontitis is an inflammatory lesion of the tissues surrounding the root apex of a tooth. It most often results from infection of the root canal system and typically develops with few or no clinical symptoms. According to a meta-analysis, apical periodontitis is detected in at least one tooth in 52% of individuals [3]. Because of the poorly expressed clinical picture, the diagnosis is often made late and relies on radiographic findings. This article reviews the clinical criteria (patient complaints, clinical examination, pulp sensibility tests, percussion, palpation, and the presence of a sinus tract) and the radiographic criteria (the periapical index [PAI], and the capabilities of periapical radiography and cone-beam computed tomography). It also covers differential diagnosis and proposes a diagnostic algorithm.Downloads
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