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Submitted: 12 Apr 2013
Revision: 18 Jun 2013
Accepted: 07 May 2018
ePublished: 25 Jun 2015
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Avicenna J Dent Res. 2015;7(1): 1-1.
doi: 10.17795/ajdr-19435
  Abstract View: 257
  PDF Download: 172

Review Article

Periapical Lesions: a Review of Clinical, Radiographic, and Histopathologic Features

Seyed Mohammad Razavi 1, Sima Kiani 2, Saeedeh Khalesi 3 *

1 Department of Oral and Maxillofacial Pathology, Dental Implants Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IR Iran
2 Department of Periodontology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IR Iran
3 Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IR Iran
*Corresponding author: Saeedeh Khalesi, Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IR Iran. Tel: +98- 3117922879/+98-9131079487, Fax: +98-3116687080, E-mail: s_khalesi@dnt.mui.ac.ir

Abstract

Context: The essential role of a general dental practitioner is recognizing the nature of the oral cavity lesions. Periapical lesions, which are observed in radiographs of patients, may have odontogenic or nonodontogenic origins. This review aimed to study differential diagnosis of common and important periapical lesions.

Evidence Acquisition: English-language literature were searched by manual and electronic search with the terms “periapical lesions”, “jaw neoplasms”, and “non-odontogenic lesions” in three data bases of MEDLINE, Google scholar, and SCOPUS among published studies since 2000 to 2013. All review articles, original articles, case reports, and case series were evaluated.

Results: In this study, it has been showed that many periapical lesions have not endodontic origin and not healing by root canal therapy.

Conclusions: The authors recommended to have paraclinical tests, especially vitality tests, in addition to clinical and radiographic examinations to avoid endodontic mistreatment. In suspicious cases, biopsy of lesions, referral to pathologist, and long-term fallow-up is required.

Keywords: Jaw Neoplasms, Diagnostic Errors, Odontogenic Cysts, Periapical Diseases
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Abstract View: 257

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PDF Download: 172

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