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Radiograph showing large well defined periapical radiolucency in relation to maxillary first molar, premolars extending to involve the root of canine which was suggestive of a periapical cyst.
Source publication
Maxillary sinus can pose diagnostic dilemma radiographically because of its anatomical variation which can mimic a periapical pathosis. This case report deals with one such diagnostic problem, where a maxillary sinus was interpreted in an intraoral periapical radiograph as a periapical cyst. With the advances in imaging techniques, the use of an Ul...
Context in source publication
Context 1
... getting stuck in that area. On clinical examination, caries was seen in distal aspect of left upper canine with no history of pain or trauma. On routine radiographic examination, a large well defined radiolucency was seen involving the root apices of upper left maxillary first molar, premolars and extending till the root apex of canine (shown in Fig. 1). On performance of vitality tests, all the teeth appeared to be ...
Similar publications
Most periapical lesions are associated with microorganisms from infected root canal systems. Maxillary sinus can pose a diagnostic dilemma radiographically because of its anatomical variation which can mimic a periapical pathosis. The aim of this study was to describe two cases of aberrant anatomical variation of the maxillary sinus that presented...
Citations
... This sign is not typical of a cystic lesion, so an orthopantomogram was taken, which revealed it to be a maxillary sinus extending from the maxillary canine to the maxillary first molar. 57 Clinically, It helps in detecting fractures in the facial region and assesses the pathological nature of the lesions pre-and post-surgery. Furthermore, it is used to supplement radiographs in monitoring the extent and healing of peri-apical lesions and bone formation post treatment. ...
The field of endodontics looks at the future with continual advances in technology and armamentariums for objective diagnostic methods to evaluate pulpal and peri-apical status. Research towards advances in digital technology, especially in imaging techniques and diagnostic tools, which strive to elevate the standard of care is the need of the hour. This review article discusses the technologies that require further research and their transformative potential in endodontic diagnosis.
CPD/Clinical Relevance
Advances in diagnostic tools have improved accuracy in identifying and treating dental pathologies, thereby achieving more predictable outcomes and enhancing patient care.
... This sign is not typical of a cystic lesion, so an orthopantomogram was taken, which revealed it to be a maxillary sinus extending from the maxillary canine to the maxillary first molar. 57 Clinically, It helps in detecting fractures in the facial region and assesses the pathological nature of the lesions pre-and post-surgery. Furthermore, it is used to supplement radiographs in monitoring the extent and healing of peri-apical lesions and bone formation post treatment. ...
The current advances and innovations in material technology and armamentaria help to negate the difficulties faced by clinicians in diagnosing and treating patients. Oral healthcare contributes much to the wellbeing of a person. However, the oral cavity is a small and difficult area in which to work since it is filled with vascularized mobile tissues and various shaped teeth, and connected to sinuses, nerve canals, lungs and the gastrointestinal tract via the trachea and pharynx. Moreover, each tooth has a complex root canal system that must be explored if it is infected or inflamed. Root canal treatment can be compared to entering a blind tunnel and treating something unseen. Endodontics is a field in dentistry where a clinician must use their tactile sense and correlate it with clinical knowledge, as well as skill, to treat dental infections. Digital evolution has simplified diagnosis, treatment planning, documentation and communication with patients, rendering more predictable outcomes and providing evidence for the healing or non-healing of disease. The evolution of digital radiography has offered us the best technology available. The present review discusses various helpful digital tools that are currently available, and future technologies that may guide clinicians in better diagnosis.
CPD/Clinical Relevance
Advances in diagnostic tools have improved accuracy in identifying and treating dental pathologies, thereby achieving more predictable outcomes and enhancing patient care.
... 30 Aberrant anatomy of the maxillary sinus base can even mimic a cyst. 31,32 The odontogenic keratocystic tumor case ( Figure 6) was a good example to demonstrate how accurately our US technique was able to detect a cystic lesion adjacent to the maxillary sinus base. Air (in the sinus) is echo reflective and appears bright on US, whereas fluid (in the cyst) appears as a hypoechoic structure. ...
Objectives:
Plain radiography has been widely used in dentistry. Because of the variability of the quality of equipment, radiographic technique, accuracy of interpretation, and radiation risk to the patients, the field is ripe for the introduction of other newer diagnostic modalities. In this report, we demonstrate the utility of ultrasonography in the diagnostic workup of cystic or cystlike lesions of the jaw.
Methods:
We used a transfacial ultrasonographic scanning approach to examine 32 patients with clinical or radiographic presentation of a jaw cyst. Computed tomography and histopathologic analysis were used as the reference standards to confirm the findings.
Results:
Ultrasonography could establish the presence or absence of a lesion, erosion of the buccal cortical plate, and identification of associated soft tissue involvement in all cases (sensitivity and specificity, 100% and 100%, respectively; area under the receiver operating characteristic curve, 1.0; P < .001).
Conclusions:
Our observations revealed the usefulness of ultrasonography and demonstrated its potential value when introduced as a routine office-based imaging method for dentistry.
... Several cases of benign and malignant lesions mimicking radiographically periapical inflammatory lesions, such as carcinoma [1], odontogenic cyst [2], periapical cemental dysplasia [3], benign tumors, and locally aggressive or malignant neoplasias [4], have been described in the literature. Film-processing errors have also been reported to mimic the appearance of periapical infection and cause diagnostic confusion [5]. Plain radiographs play an important role in the management of dentomaxillofacial lesions especially for detection, treatment, and followup of bone lesion. ...
... These discontinuities are probably illusions caused by the superimposition of small marrow spaces [8]. Superiorly, the roof is formed by the orbital plate and inferiorly it is bordered by the alveolar process of maxilla [5]. ...
... Basnet et al. [5] suggested that, when periapical radiolucency is seen in theradiograph, it may be a distinct pathologic lesion or it could just be an anatomical variation. The gathering of data by clinical and radiographic examinations helps clinicians to form an operational opinion. ...
Most periapical lesions are associated with microorganisms from infected root canal systems. Maxillary sinus can pose a diagnostic dilemma radiographically because of its anatomical variation which can mimic a periapical pathosis. The aim of this study was to describe two cases of aberrant anatomical variation of the maxillary sinus that presented radiographic similarities to a periapical cyst in order to call the attention of clinicians to the fact that several different diseases are able to mimic endodontic periapical lesions. An accurate assessment of this morphology was made with the help of cone-beam computed tomography (CBCT).
