Large Reactional Osteogenesis in Maxillary Sinus Associated with Secondary Root Canal Infection Detected Using Cone-beam Computed Tomography
Abstract Inflammatory injuries in the maxillary sinus may originate from root canal infections and lead to bone resorption or regeneration. This report describes the radiographic findings of 4 asymptomatic clinical cases of large reactional osteogenesis in the maxillary sinus (MS) associated with se...
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| Veröffentlicht in: | Journal of endodontics 2015-12, Vol.41 (12), p.2068-2078 |
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| creator | Estrela, Carlos, DDS, MSc, PhD Porto, Olavo César Lyra, DDS, MSc Costa, Nádia Lago, DDS, MSc, PhD da Silva Garrote, Marcel, DDS, MSc Decurcio, Daniel Almeida, DDS, MSc, PhD Bueno, Mike R., DDS, MSc, PhD de Freitas Silva, Brunno Santos, DDS, MSc, PhD |
| description | Abstract Inflammatory injuries in the maxillary sinus may originate from root canal infections and lead to bone resorption or regeneration. This report describes the radiographic findings of 4 asymptomatic clinical cases of large reactional osteogenesis in the maxillary sinus (MS) associated with secondary root canal infection detected using cone-beam computed tomographic (CBCT) imaging. Apical periodontitis, a consequence of root canal infection, may lead to a periosteal reaction in the MS and osteogenesis seen as a radiopaque structure on imaging scans. The use of a map-reading strategy for the longitudinal and sequential slices of CBCT images may contribute to the definition of diagnoses and treatment plans. Root canal infections may lead to reactional osteogenesis in the MS. High-resolution CBCT images may reveal changes that go unnoticed when using conventional imaging. Findings may help define initial diagnoses and therapeutic plans, but only histopathology provides a definitive diagnosis. Surgical enucleation of the periapical lesion is recommended if nonsurgical root canal treatment fails to control apical periodontitis. |
| doi_str_mv | 10.1016/j.joen.2015.09.004 |
| format | Article |
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This report describes the radiographic findings of 4 asymptomatic clinical cases of large reactional osteogenesis in the maxillary sinus (MS) associated with secondary root canal infection detected using cone-beam computed tomographic (CBCT) imaging. Apical periodontitis, a consequence of root canal infection, may lead to a periosteal reaction in the MS and osteogenesis seen as a radiopaque structure on imaging scans. The use of a map-reading strategy for the longitudinal and sequential slices of CBCT images may contribute to the definition of diagnoses and treatment plans. Root canal infections may lead to reactional osteogenesis in the MS. High-resolution CBCT images may reveal changes that go unnoticed when using conventional imaging. Findings may help define initial diagnoses and therapeutic plans, but only histopathology provides a definitive diagnosis. Surgical enucleation of the periapical lesion is recommended if nonsurgical root canal treatment fails to control apical periodontitis.</description><identifier>ISSN: 0099-2399</identifier><identifier>EISSN: 1878-3554</identifier><identifier>DOI: 10.1016/j.joen.2015.09.004</identifier><identifier>PMID: 26478436</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Apical periodontitis ; cone-beam computed tomographic imaging ; Cone-Beam Computed Tomography ; Dentistry ; Endocrinology & Metabolism ; Female ; Humans ; maxillary sinus ; Maxillary Sinus - diagnostic imaging ; Maxillary Sinus - physiopathology ; Middle Aged ; Osteogenesis ; Periapical Periodontitis - diagnostic imaging ; Periapical Periodontitis - physiopathology ; radiopaque lesion ; reactional osteogenesis, root canal infection ; Root Canal Therapy - adverse effects</subject><ispartof>Journal of endodontics, 2015-12, Vol.41 (12), p.2068-2078</ispartof><rights>American Association of Endodontists</rights><rights>2015 American Association of Endodontists</rights><rights>Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-23bb0e1ad7152441ea91126a4ba80f16b30befa4224e3a04a231b993d7d4839f3</citedby><cites>FETCH-LOGICAL-c411t-23bb0e1ad7152441ea91126a4ba80f16b30befa4224e3a04a231b993d7d4839f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joen.2015.09.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26478436$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Estrela, Carlos, DDS, MSc, PhD</creatorcontrib><creatorcontrib>Porto, Olavo César Lyra, DDS, MSc</creatorcontrib><creatorcontrib>Costa, Nádia Lago, DDS, MSc, PhD</creatorcontrib><creatorcontrib>da Silva Garrote, Marcel, DDS, MSc</creatorcontrib><creatorcontrib>Decurcio, Daniel Almeida, DDS, MSc, PhD</creatorcontrib><creatorcontrib>Bueno, Mike R., DDS, MSc, PhD</creatorcontrib><creatorcontrib>de Freitas Silva, Brunno Santos, DDS, MSc, PhD</creatorcontrib><title>Large Reactional Osteogenesis in Maxillary Sinus Associated with Secondary Root Canal Infection Detected Using Cone-beam Computed Tomography</title><title>Journal of endodontics</title><addtitle>J Endod</addtitle><description>Abstract Inflammatory injuries in the maxillary sinus may originate from root canal infections and lead to bone resorption or regeneration. This report describes the radiographic findings of 4 asymptomatic clinical cases of large reactional osteogenesis in the maxillary sinus (MS) associated with secondary root canal infection detected using cone-beam computed tomographic (CBCT) imaging. Apical periodontitis, a consequence of root canal infection, may lead to a periosteal reaction in the MS and osteogenesis seen as a radiopaque structure on imaging scans. The use of a map-reading strategy for the longitudinal and sequential slices of CBCT images may contribute to the definition of diagnoses and treatment plans. Root canal infections may lead to reactional osteogenesis in the MS. High-resolution CBCT images may reveal changes that go unnoticed when using conventional imaging. Findings may help define initial diagnoses and therapeutic plans, but only histopathology provides a definitive diagnosis. Surgical enucleation of the periapical lesion is recommended if nonsurgical root canal treatment fails to control apical periodontitis.</description><subject>Adult</subject><subject>Aged</subject><subject>Apical periodontitis</subject><subject>cone-beam computed tomographic imaging</subject><subject>Cone-Beam Computed Tomography</subject><subject>Dentistry</subject><subject>Endocrinology & Metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>maxillary sinus</subject><subject>Maxillary Sinus - diagnostic imaging</subject><subject>Maxillary Sinus - physiopathology</subject><subject>Middle Aged</subject><subject>Osteogenesis</subject><subject>Periapical Periodontitis - diagnostic imaging</subject><subject>Periapical Periodontitis - physiopathology</subject><subject>radiopaque lesion</subject><subject>reactional osteogenesis, root canal infection</subject><subject>Root Canal Therapy - adverse effects</subject><issn>0099-2399</issn><issn>1878-3554</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Ustu1DAUtRCIDoUfYIG8ZJPUrzwsIaRqyqPSoEqddm05zs3UIbEHOwHmI_gHvoUvw-kUFixY3Svdc450zrkIvaQkp4SWZ33ee3A5I7TIicwJEY_QitZVnfGiEI_RihApM8alPEHPYuwJoRXn1VN0wkpR1YKXK_Rjo8MO8DVoM1nv9ICv4gR-Bw6ijdg6_El_t8OgwwFvrZsjPo_RG6snaH_9_GanO7wF4127AK69n_BaLyqXroN7RXwBU9qgxbfRuh1eewdZA3pM27ifl8ONH_0u6P3d4Tl60ukhwouHeYpu37-7WX_MNlcfLtfnm8wISqdkqWkIUN1WtGBCUNCSUlZq0eiadLRsOGmg04IxAVwToRmnjZS8rVpRc9nxU_T6qLsP_ssMcVKjjQaSTQd-jirlVImqEkWZoOwINcHHGKBT-2DH5FZRopYaVK-WGtRSgyJSpRoS6dWD_tyM0P6l_Mk9Ad4cAZBcfrUQVDQWnIHWhpSWar39v_7bf-hmsM4aPXyGA8TezyGVkHyoyBRR2-URlj-gBSE1KQr-G5wCsJs</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Estrela, Carlos, DDS, MSc, PhD</creator><creator>Porto, Olavo César Lyra, DDS, MSc</creator><creator>Costa, Nádia Lago, DDS, MSc, PhD</creator><creator>da Silva Garrote, Marcel, DDS, MSc</creator><creator>Decurcio, Daniel Almeida, DDS, MSc, PhD</creator><creator>Bueno, Mike R., DDS, MSc, PhD</creator><creator>de Freitas Silva, Brunno Santos, DDS, MSc, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Large Reactional Osteogenesis in Maxillary Sinus Associated with Secondary Root Canal Infection Detected Using Cone-beam Computed Tomography</title><author>Estrela, Carlos, DDS, MSc, PhD ; Porto, Olavo César Lyra, DDS, MSc ; Costa, Nádia Lago, DDS, MSc, PhD ; da Silva Garrote, Marcel, DDS, MSc ; Decurcio, Daniel Almeida, DDS, MSc, PhD ; Bueno, Mike R., DDS, MSc, PhD ; de Freitas Silva, Brunno Santos, DDS, MSc, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-23bb0e1ad7152441ea91126a4ba80f16b30befa4224e3a04a231b993d7d4839f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Apical periodontitis</topic><topic>cone-beam computed tomographic imaging</topic><topic>Cone-Beam Computed Tomography</topic><topic>Dentistry</topic><topic>Endocrinology & Metabolism</topic><topic>Female</topic><topic>Humans</topic><topic>maxillary sinus</topic><topic>Maxillary Sinus - diagnostic imaging</topic><topic>Maxillary Sinus - physiopathology</topic><topic>Middle Aged</topic><topic>Osteogenesis</topic><topic>Periapical Periodontitis - diagnostic imaging</topic><topic>Periapical Periodontitis - physiopathology</topic><topic>radiopaque lesion</topic><topic>reactional osteogenesis, root canal infection</topic><topic>Root Canal Therapy - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Estrela, Carlos, DDS, MSc, PhD</creatorcontrib><creatorcontrib>Porto, Olavo César Lyra, DDS, MSc</creatorcontrib><creatorcontrib>Costa, Nádia Lago, DDS, MSc, PhD</creatorcontrib><creatorcontrib>da Silva Garrote, Marcel, DDS, MSc</creatorcontrib><creatorcontrib>Decurcio, Daniel Almeida, DDS, MSc, PhD</creatorcontrib><creatorcontrib>Bueno, Mike R., DDS, MSc, PhD</creatorcontrib><creatorcontrib>de Freitas Silva, Brunno Santos, DDS, MSc, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Estrela, Carlos, DDS, MSc, PhD</au><au>Porto, Olavo César Lyra, DDS, MSc</au><au>Costa, Nádia Lago, DDS, MSc, PhD</au><au>da Silva Garrote, Marcel, DDS, MSc</au><au>Decurcio, Daniel Almeida, DDS, MSc, PhD</au><au>Bueno, Mike R., DDS, MSc, PhD</au><au>de Freitas Silva, Brunno Santos, DDS, MSc, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Large Reactional Osteogenesis in Maxillary Sinus Associated with Secondary Root Canal Infection Detected Using Cone-beam Computed Tomography</atitle><jtitle>Journal of endodontics</jtitle><addtitle>J Endod</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>41</volume><issue>12</issue><spage>2068</spage><epage>2078</epage><pages>2068-2078</pages><issn>0099-2399</issn><eissn>1878-3554</eissn><abstract>Abstract Inflammatory injuries in the maxillary sinus may originate from root canal infections and lead to bone resorption or regeneration. This report describes the radiographic findings of 4 asymptomatic clinical cases of large reactional osteogenesis in the maxillary sinus (MS) associated with secondary root canal infection detected using cone-beam computed tomographic (CBCT) imaging. Apical periodontitis, a consequence of root canal infection, may lead to a periosteal reaction in the MS and osteogenesis seen as a radiopaque structure on imaging scans. The use of a map-reading strategy for the longitudinal and sequential slices of CBCT images may contribute to the definition of diagnoses and treatment plans. Root canal infections may lead to reactional osteogenesis in the MS. High-resolution CBCT images may reveal changes that go unnoticed when using conventional imaging. Findings may help define initial diagnoses and therapeutic plans, but only histopathology provides a definitive diagnosis. Surgical enucleation of the periapical lesion is recommended if nonsurgical root canal treatment fails to control apical periodontitis.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26478436</pmid><doi>10.1016/j.joen.2015.09.004</doi><tpages>11</tpages></addata></record> |
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| subjects | Adult Aged Apical periodontitis cone-beam computed tomographic imaging Cone-Beam Computed Tomography Dentistry Endocrinology & Metabolism Female Humans maxillary sinus Maxillary Sinus - diagnostic imaging Maxillary Sinus - physiopathology Middle Aged Osteogenesis Periapical Periodontitis - diagnostic imaging Periapical Periodontitis - physiopathology radiopaque lesion reactional osteogenesis, root canal infection Root Canal Therapy - adverse effects |
| title | Large Reactional Osteogenesis in Maxillary Sinus Associated with Secondary Root Canal Infection Detected Using Cone-beam Computed Tomography |
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