Accuracy for diagnosis of periapical cystic lesions

Abstract Clinical differentiation between cystic lesions of endodontic and non-endodontic origin is of importance because correct diagnosis may affect treatment decision making. Most radicular cysts are treated with conservative approaches and, therefore, are not surgically removed. The objective of...

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Autores principales:	Igor Tsesis, Gal Krepel, Tal Koren, Eyal Rosen, Anda Kfir
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/71da08d39e374b1c83ad17ddecdfa5ad
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spelling	oai:doaj.org-article:71da08d39e374b1c83ad17ddecdfa5ad2021-12-02T19:02:32ZAccuracy for diagnosis of periapical cystic lesions10.1038/s41598-020-71029-32045-2322https://doaj.org/article/71da08d39e374b1c83ad17ddecdfa5ad2020-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-71029-3https://doaj.org/toc/2045-2322Abstract Clinical differentiation between cystic lesions of endodontic and non-endodontic origin is of importance because correct diagnosis may affect treatment decision making. Most radicular cysts are treated with conservative approaches and, therefore, are not surgically removed. The objective of this study was to determine the accuracy of clinical diagnosis of periapical lesions as compared to the histological findings, and to evaluate various associated factors. All biopsy specimens submitted for histological evaluation from 2002 to 2009 were assessed. Only cases of periapical lesions with complete patient data and clinical diagnosis were included. Sensitivity, specificity and accuracy of the clinical diagnosis were calculated and various patient-related factors were evaluated. Of the 4,908 cases, 183 met inclusion criteria. Histologically, there were 171 lesions of radicular cysts and 12 cases of non-endodontic cysts, including OKC and Incisive Canal Cyst. The diagnostic accuracy for clinical diagnosis for radicular cysts was 91.84% and 91.84% for non-endodontic cysts. There was a high accuracy of clinical differentiation between cystic lesions of endodontic and non-endodontic origin. However, some non-endodontic lesions may be incorrectly diagnosed clinically as lesions of endodontic origin. Histological evaluation may be necessary for the correct diagnosis. Further clinical studies are needed to evaluate clinical examination and histological diagnosis of periapical lesions.Igor TsesisGal KrepelTal KorenEyal RosenAnda KfirNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-5 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Igor Tsesis Gal Krepel Tal Koren Eyal Rosen Anda Kfir Accuracy for diagnosis of periapical cystic lesions
description	Abstract Clinical differentiation between cystic lesions of endodontic and non-endodontic origin is of importance because correct diagnosis may affect treatment decision making. Most radicular cysts are treated with conservative approaches and, therefore, are not surgically removed. The objective of this study was to determine the accuracy of clinical diagnosis of periapical lesions as compared to the histological findings, and to evaluate various associated factors. All biopsy specimens submitted for histological evaluation from 2002 to 2009 were assessed. Only cases of periapical lesions with complete patient data and clinical diagnosis were included. Sensitivity, specificity and accuracy of the clinical diagnosis were calculated and various patient-related factors were evaluated. Of the 4,908 cases, 183 met inclusion criteria. Histologically, there were 171 lesions of radicular cysts and 12 cases of non-endodontic cysts, including OKC and Incisive Canal Cyst. The diagnostic accuracy for clinical diagnosis for radicular cysts was 91.84% and 91.84% for non-endodontic cysts. There was a high accuracy of clinical differentiation between cystic lesions of endodontic and non-endodontic origin. However, some non-endodontic lesions may be incorrectly diagnosed clinically as lesions of endodontic origin. Histological evaluation may be necessary for the correct diagnosis. Further clinical studies are needed to evaluate clinical examination and histological diagnosis of periapical lesions.
format	article
author	Igor Tsesis Gal Krepel Tal Koren Eyal Rosen Anda Kfir
author_facet	Igor Tsesis Gal Krepel Tal Koren Eyal Rosen Anda Kfir
author_sort	Igor Tsesis
title	Accuracy for diagnosis of periapical cystic lesions
title_short	Accuracy for diagnosis of periapical cystic lesions
title_full	Accuracy for diagnosis of periapical cystic lesions
title_fullStr	Accuracy for diagnosis of periapical cystic lesions
title_full_unstemmed	Accuracy for diagnosis of periapical cystic lesions
title_sort	accuracy for diagnosis of periapical cystic lesions
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/71da08d39e374b1c83ad17ddecdfa5ad
work_keys_str_mv	AT igortsesis accuracyfordiagnosisofperiapicalcysticlesions AT galkrepel accuracyfordiagnosisofperiapicalcysticlesions AT talkoren accuracyfordiagnosisofperiapicalcysticlesions AT eyalrosen accuracyfordiagnosisofperiapicalcysticlesions AT andakfir accuracyfordiagnosisofperiapicalcysticlesions
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Accuracy for diagnosis of periapical cystic lesions

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