Chronic inflammatory periapical diseases: a Brazilian multicenter study of 10,381 cases and literature review
Abstract The aim of this study was to investigate the epidemiological and clinical characteristics of chronic inflammatory periapical diseases in different regions of Brazil and to compare with data from the literature. A multicenter study was carried out in four Brazilian referral centers in oral diagnosis. Histopathological records were reviewed, and all cases diagnosed microscopically as periapical granuloma, radicular cyst, and periapical abscess were included. Demographic and clinical data were collected. Descriptive statistics and Pearson’s chi-square test were performed. A total of 10,381 cases of chronic inflammatory periapical diseases were found (13.8% of 74,931 archived specimens) over a period of 65 years. Radicular cysts were the most common lesion (59.9%). Women (56.1%) with a mean age of 37.01 years old (range 13 to 100 ± 14.42) and people of white skin color (59.2%) were the most affected individuals by chronic inflammatory periapical diseases. The lesions were generally asymptomatic (28.1%), located in the maxilla (60.1%), and posterior region (49.8%). The radicular cysts were larger when compared to periapical granulomas (p < 0.001). The disagreement between the clinical and histopathological diagnoses was higher when the final diagnosis was a periapical granuloma (p < 0.001). Chronic inflammatory periapical diseases continue to be common lesions affecting mainly adults. This should be a consequence of the burden of untreated caries in permanent teeth. Women are more affected and radicular cyst was the most common lesion.
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oai:scielo:S1806-832420210001002312021-03-12Chronic inflammatory periapical diseases: a Brazilian multicenter study of 10,381 cases and literature reviewCOUTO,Aline Maria doMEIRELLES,Daniela PereiraVALERIANO,Alline TeixeiraALMEIDA,Douglas Silva deMORAES,Êmile deTARQUINIO,Sandra Beatriz ChavesBATISTA,Aline CarvalhoMENDONÇA,Elismauro Francisco deCOSTA,Nádia do LagoALVES,Pollianna MunizNONAKA,Cassiano Francisco WeegeABREU,Lucas GuimarãesAGUIAR,Maria Cássia Ferreira de Periapical Diseases Periapical Granuloma Radicular Cyst Periapical Abscess Epidemiology Abstract The aim of this study was to investigate the epidemiological and clinical characteristics of chronic inflammatory periapical diseases in different regions of Brazil and to compare with data from the literature. A multicenter study was carried out in four Brazilian referral centers in oral diagnosis. Histopathological records were reviewed, and all cases diagnosed microscopically as periapical granuloma, radicular cyst, and periapical abscess were included. Demographic and clinical data were collected. Descriptive statistics and Pearson’s chi-square test were performed. A total of 10,381 cases of chronic inflammatory periapical diseases were found (13.8% of 74,931 archived specimens) over a period of 65 years. Radicular cysts were the most common lesion (59.9%). Women (56.1%) with a mean age of 37.01 years old (range 13 to 100 ± 14.42) and people of white skin color (59.2%) were the most affected individuals by chronic inflammatory periapical diseases. The lesions were generally asymptomatic (28.1%), located in the maxilla (60.1%), and posterior region (49.8%). The radicular cysts were larger when compared to periapical granulomas (p < 0.001). The disagreement between the clinical and histopathological diagnoses was higher when the final diagnosis was a periapical granuloma (p < 0.001). Chronic inflammatory periapical diseases continue to be common lesions affecting mainly adults. This should be a consequence of the burden of untreated caries in permanent teeth. Women are more affected and radicular cyst was the most common lesion.info:eu-repo/semantics/openAccessSociedade Brasileira de Pesquisa Odontológica - SBPqOBrazilian Oral Research v.35 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100231en10.1590/1807-3107bor-2021.vol35.0033 |
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COUTO,Aline Maria do MEIRELLES,Daniela Pereira VALERIANO,Alline Teixeira ALMEIDA,Douglas Silva de MORAES,Êmile de TARQUINIO,Sandra Beatriz Chaves BATISTA,Aline Carvalho MENDONÇA,Elismauro Francisco de COSTA,Nádia do Lago ALVES,Pollianna Muniz NONAKA,Cassiano Francisco Weege ABREU,Lucas Guimarães AGUIAR,Maria Cássia Ferreira de |
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COUTO,Aline Maria do MEIRELLES,Daniela Pereira VALERIANO,Alline Teixeira ALMEIDA,Douglas Silva de MORAES,Êmile de TARQUINIO,Sandra Beatriz Chaves BATISTA,Aline Carvalho MENDONÇA,Elismauro Francisco de COSTA,Nádia do Lago ALVES,Pollianna Muniz NONAKA,Cassiano Francisco Weege ABREU,Lucas Guimarães AGUIAR,Maria Cássia Ferreira de Chronic inflammatory periapical diseases: a Brazilian multicenter study of 10,381 cases and literature review |
author_facet |
COUTO,Aline Maria do MEIRELLES,Daniela Pereira VALERIANO,Alline Teixeira ALMEIDA,Douglas Silva de MORAES,Êmile de TARQUINIO,Sandra Beatriz Chaves BATISTA,Aline Carvalho MENDONÇA,Elismauro Francisco de COSTA,Nádia do Lago ALVES,Pollianna Muniz NONAKA,Cassiano Francisco Weege ABREU,Lucas Guimarães AGUIAR,Maria Cássia Ferreira de |
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COUTO,Aline Maria do |
title |
Chronic inflammatory periapical diseases: a Brazilian multicenter study of 10,381 cases and literature review |
title_short |
Chronic inflammatory periapical diseases: a Brazilian multicenter study of 10,381 cases and literature review |
title_full |
Chronic inflammatory periapical diseases: a Brazilian multicenter study of 10,381 cases and literature review |
title_fullStr |
Chronic inflammatory periapical diseases: a Brazilian multicenter study of 10,381 cases and literature review |
title_full_unstemmed |
Chronic inflammatory periapical diseases: a Brazilian multicenter study of 10,381 cases and literature review |
title_sort |
chronic inflammatory periapical diseases: a brazilian multicenter study of 10,381 cases and literature review |
description |
Abstract The aim of this study was to investigate the epidemiological and clinical characteristics of chronic inflammatory periapical diseases in different regions of Brazil and to compare with data from the literature. A multicenter study was carried out in four Brazilian referral centers in oral diagnosis. Histopathological records were reviewed, and all cases diagnosed microscopically as periapical granuloma, radicular cyst, and periapical abscess were included. Demographic and clinical data were collected. Descriptive statistics and Pearson’s chi-square test were performed. A total of 10,381 cases of chronic inflammatory periapical diseases were found (13.8% of 74,931 archived specimens) over a period of 65 years. Radicular cysts were the most common lesion (59.9%). Women (56.1%) with a mean age of 37.01 years old (range 13 to 100 ± 14.42) and people of white skin color (59.2%) were the most affected individuals by chronic inflammatory periapical diseases. The lesions were generally asymptomatic (28.1%), located in the maxilla (60.1%), and posterior region (49.8%). The radicular cysts were larger when compared to periapical granulomas (p < 0.001). The disagreement between the clinical and histopathological diagnoses was higher when the final diagnosis was a periapical granuloma (p < 0.001). Chronic inflammatory periapical diseases continue to be common lesions affecting mainly adults. This should be a consequence of the burden of untreated caries in permanent teeth. Women are more affected and radicular cyst was the most common lesion. |
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Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
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2021 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100231 |
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