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2022 | OriginalPaper | Hoofdstuk

5. Pathologie van de periapex

Auteur : Drs. C. J. Warnsinck, MSc

Uitgeverij: Bohn Stafleu van Loghum

Samenvatting

Klinisch laten de aandoeningen van de periapex zich in twee hoofdgroepen indelen: (1) periapicale aandoeningen geassocieerd met pulpitis en pulpanecrose en (2) aandoeningen die zich incidenteel in of bij de periapex manifesteren. Het endodontische belang van de onder (2) opgesomde aandoeningen is het diagnostische probleem dat zij geven doordat hun symptomen vaak moeilijk te onderscheiden zijn van die van parodontitis apicalis. Herkenning voorkomt een misplaatste wortelkanaalbehandeling. Daarnaast is tijdige herkenning bij een aantal van groot belang vanwege de noodzaak van een snelle verwijzing van de patiënt voor specialistische behandeling. De twee hoofdgroepen betreffende de pathologie van de periapex worden in dit hoofdstuk besproken.

vorige hoofdstuk Gevolgen van pulpitis en pulpanecrose

volgende hoofdstuk Pijn van dentogene oorsprong

(Peri)apical of (peri)radicular periodontitis, periapical osteitis.

Polymorfnucleaire leukocyten, PMN’s.

Interleukine.

Tumornecrosefactor.

Transforming growth factor.

In de kliniek wordt voor het afgekapselde ontstekingsgebied van de chronische parodontitis apicalis dikwijls de term granuloom of tandwortelgranuloom (periapical granuloma) gebruikt, aangezien een chronische parodontitis apicalis overwegend een granulomateuze ontsteking is.

Cementhyperplasie.

Focal sclerosing osteomyelitis. Vroeger: condenserende osteïtis.

Dentoalveolair abces, periapicaal abces, veretterd granuloom.

Fistula of sinus tract.

Radiculaire cyste, periapicale cyste, tandwortelcyste.

Odontogeen wil zeggen afkomstig van epitheel dat werd geproduceerd bij de vorming van de gebitselementen.

True apical cyst.

Vroeger bay cyst naar het histologische beeld.

Stratified squamous epithelium.

Voorheen Arachnia propionica.

Cellulose granuloma.

Periapical osteosclerosis, osteomyelitis sicca, idiopathic osteosclerosis, dense bone island, enostosis, focal periapical osteopetrosis.

Traumatische, idiopathische of hemorragische beencyste of beencaviteit, simple bone cyst.

Klinisch wordt vaak de term ‘true’ cementoma gebruikt ter wille van het onderscheid met (false) cementoma of periapical cemental dysplasia.

Periapicale fibreuze of fibro-osseuze dysplasie, focal cemento-osseous dysplasia (FCOD), cementofibroom, periapicaal osteofibroom, cementoom.

Keratocystic odontogenic tumour. Voorheen keratocyste.

Collateral inflammatory cyst, inflammatory lateral periodontal cyst.

O.a. ameloblastoma, giant cell granuloma, schwannoma, bronchogeen carcinoom, lymphoma.

Nair PNR. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004;15:348–81.PubMedCrossRef

Sánchez-Sanhueza G, Bello-Toledo H, González-Rocha G, et al. Metagenomic study of bacterial microbiota in persistent endodontic infections using Next-generation sequencing. Int Endod J. 2018;51(12):1336–48.PubMedCrossRef

Vengerfeldt V, Špilka K, Saag M, et al. Highly diverse microbiota in dental root canals in cases of apical periodontitis (data of illumina sequencing). J Endod. 2014;40(11):1778–83.PubMedCrossRef

Ricucci D, Bergenholtz G. Histologic features of apical periodontitis in human biopsies. Endod Topics. 2004;8:68–87.CrossRef

Ricucci D, Loghin S. Niu L. Changes in the radicular pulp-dentine complexin healthy intact teeth and in response to deep caries or restorations: a histological and histobacterioligical study. J of Dent. 2018;73:76–90.

De Oliveira Rodini C, Batista AC, Lara VS. Comparative immunohistochemical study of the presence of mast cells in apical granulomas and periapical cysts: possible role of mast cells in the course of human periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97:59–63.PubMedCrossRef

McCutcheon JA, Yee H, Hayashi R, Licari B, Lombardo D, Rosenberg PA, Phelan J. Identification of gammadelta T lymphocytes in human periapical lesions. Oral Microbiol Immunol. 2004;19:106–10.PubMedCrossRef

Yamasaki M, Morimito T, Tsuji M, Akihiro I, Maekawa Y, Nakamura H. Role of IL-2 and helper T-lymphocytes in limiting periapical pathosis. J Endod. 2006;32:24–9.PubMedCrossRef

Márton IJ, Kiss C. Characterization of inflammatory infiltrate in dental periapical lesions. Int Endod J. 1993;26:131–6.PubMedCrossRef

10.

Nair PNR, Pajarola G, Luder HU. Ciliated epithelium-lined radicular cysts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:485–93.PubMedCrossRef

11.

Foschi F, Cavrini F, Montebugloli L, Stashenko P, Sambri V, Prati C. Detection of bacteria in endodontic samples by polymerase chain reaction assays and association with defined clinical signs in Italian patients. Oral Microbiol Immunol. 2005;20:289–95.PubMedCrossRef

12.

Sakamoto M, Rôças IN, Siqueira JF Jr, Benno Y. Molecular analysis of bacteria in asymptomatic and symptomatic endodontic infections. Oral Microbiol Immunol. 2006;21:112–22.PubMedCrossRef

13.

Siqueira JF Jr, Rôças IN. Microbiology and treatment of acute apical abscesses. Clin Microbiol Rev. 2013;26:255–73.PubMedPubMedCentralCrossRef

14.

Brasher WJ, Brannon RB. Sequestration of root cementum in an endodontic-periodontally involved tooth: report of an unusual case. J Endod. 1982;8:413–6.PubMedCrossRef

15.

Basdra EK, Stellzig A, Komposch G. Generalized hypercementosis in a young female patient. Oral Surg Oral Med Oral Pathol. 1997;83:418–9.CrossRef

16.

Seed R, Nixon PP. Generalized hypercementosis: a case report. Prim Dent Care. 2004;11:119–22.

17.

Smith BJ, Eveson JW. Paget’s disease of bone with particular reference to dentistry. J Oral Pathol. 1981;10:233–47.PubMedCrossRef

18.

Waal vd I. Mond- en kaakziekten. Een atlas voor de dagelijkse praktijk. 4^e ed. Bohn Stafleu van Loghum; 2017.

19.

Napier Souza L, Monteiro Lima Jr S, Garcia Santos Pimenta FJ, Rodrigues Antunes Souza AC, Santiago Gomez R. Atypical hypercementosis versus cementoblastoma. Dentomaxillofac Radiol. 2004;33:267–70.

20.

Eversole LR, Stone CE, Strub D. Focal sclerosing osteomyelitis/focal periapical osteopetrosis: Radiographic patterns. Oral Surg Oral Med Oral Pathol. 1984;58:456–60.PubMedCrossRef

21.

Douglass GD, Trowbridge HO. Chronic focal sclerosing osteomyelitis associated with a cracked tooth: report of a case. Oral Surg Oral Med Oral Pathol. 1993;76:351–5.PubMedCrossRef

22.

Ricucci D, Pascon EA, Ford TR, Langeland K. Epithelium and bacteria in periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:239–49.PubMedCrossRef

23.

Bergenholtz G, Spångberg L. Controversies in endodontics. Crit Rev Oral Biol Med. 2004;15:99–114.PubMedCrossRef

24.

Ricucci D, Martorano M, Bate AL, Pascon EA. Calculus-like deposit on the apical external root surface of teeth with post-treatment apical periodontitis: report of two cases. Int Endod J. 2005;38:262–71.PubMedCrossRef

25.

Weiger R, Manncke B, Werner H, Lo¨st C. Microbial flora of sinus tracts and root canals of non-vital teeth. Endod Dent Traumatol. 1995;11:15–9.

26.

Michaelson PL, Holland GR. Is pulpitis painful? Int Endod J. 2002;10:829–32.CrossRef

27.

Valderhaug J. A histologic study of experimentally induced radicular cysts. Int J Oral Surg. 1972;1:137–47.PubMedCrossRef

28.

Antoh M, Hasegawa H, Kawakami T, Kage T, Chino T, Eda S. Hyperkeratosis and atypical proliferation appearing in the lining epithelium of a radicular cyst. J Cranio-Maxillofac Surg. 1993;21:210–3.CrossRef

29.

Ricucci D, Amantea M, Girone C, Siqueira JF Jr. Atypically grown large periradicular cyst affecting adjacent teeth and leading to confounding diagnosis of non-endodontic pathology. Aust Endod J. 2020;46(2):272–81.PubMedCrossRef

30.

Smith AT, Cowpe JG. Radicular cyst arising from a traumatized primary incisor: a case report of a rare complication that emphasizes the need for regular follow up. Dent Update. 2005;32:109–10.PubMedCrossRef

31.

Hamada Y, Yamada H, Hamada A, Kondoh T, et al. Simultaneous paresthesia of the lingual nerve and inferior alveolar nerve caused by a radicular cyst. J Endod. 2005;31:764–6.PubMedCrossRef

32.

Skaug N. Intracystic fluid pressure in non-keratinizing jaw cysts. Int J Oral Surg. 1976;5:59–65.PubMedCrossRef

33.

Gundappa M, Ng SY, Whaites EJ. Comparison of ultrasound, digital and conventional radiography in differentiating periapical lesions. Dentomaxillofac Radiol. 2006;35:326–33.PubMedCrossRef

34.

Ricucci D, Mannocci F, Ford TR. A study of periapical lesions correlating the presence of a radiopaque lamina with histological findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101:398–394.

35.

Lalonde ER, Luebke RG The frequency and distribution of periapical cysts and granulomas. An evaluation of 800 specimens. Oral Surg Oral Med Oral Pathol. 1968;25:861–8.

36.

Simon JHS, Enciso R, Malfaz J-M, Roges R, Bailey-Perry M, Patel A. Differential diagnosis of large periapical lesions using cone-beam computed tomography measurements and biopsie. J Endod. 2006;32:833–7.PubMedCrossRef

37.

Lizio G, Salizzoni E, Coe M, et al. Differential diagnosis between a granuloma and a radicular cyst: effectiveness of magnetic resonance imaging. In Endod J. 2018;51:1077–87.CrossRef

38.

Cotti E, Campisi G, Ambu R, Dettori C. Ultrasound real-time imaging in the differential diagnosis of periapical lesions. Int Endod J. 2003;36:556–63.PubMedCrossRef

39.

Cotti E, Simbola V, Dettori C, Campisi G. Echographic evaluation of bone lesions of endodontic origin: report of two cases in the same patient. Endod J. 2006;32:901–5.CrossRef

40.

Musu D, Rossi-Fedele G, Campisi G, Cotti E. Ultrasonography in the diagnosis of bone lesion of the jaws: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;122:19–29.CrossRef

41.

Çaliskan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J. 2004;37:408–16.PubMedCrossRef

42.

Ricucci D, Rôcas IN, Siqueira JF Jr, et al. ‘True’ versus ‘Bay’ apical cysts: clinical, radiographic, histopathologic, and histobacteriologic features. J Endod. 2020;46:1217–27.

43.

Thoden van Velzen SK. Een inleiding tot de endodontie. Leiden: Stafleu & Tholen; 1973, pp. 46–53.

44.

Thoden van Velzen SK, Genet JM, Kersten HW, Moorer WR, Wesselink PR. Endodontologie. Alphen aan den Rijn/Brussel: Stafleu & Tholen; 1983.

45.

Nair PNR. On the causes of persistent apical periodontitis: a review. Int Endod J. 2006;39:249–81.PubMedCrossRef

46.

Ree MH. Decompressie. Een niet-chirurgische behandeling van een grote peri-apicale cysteuze laesie. TandartsPraktijk. 2004;25:16–22.

47.

Soares J, Santos S, Silveira F, Nunes E. Nonsurgical treatment of extensive cyst-like periapical lesion of endodontic origin. Int Endod J. 2006;39:566–75.PubMedCrossRef

48.

Siqueira JF Jr, Rôças IN, Alves FRF, Santos KRN. Selected endodontic pathogens in the apical third of infected root canals: A molecular investigation. J Endod. 2004;30:638–64.PubMedCrossRef

49.

Estrela C, Bueno MR, Leles CR, Azevedo B, Azevedo JR. Accuracy of cone beam computed tomography and panoramic and and periapical radiography for detection of apical periodontitis. J Endod. 2008;34:273–9.PubMedCrossRef

50.

Ten Cate JM. Biofilms: a new approach to the microbiology of dental plaque. Odontology. 2006;94(1):1–9.PubMedCrossRef

51.

Tronstad L, Sunde PT. The evolving new understanding of endodontic infections. Endod Topics. 2003;6:57–77.CrossRef

52.

Sedgley Ch, Nagel A, Dahle´n G, Reit C, Molander A. Real-time quantitative polymerase chain reaction and culture analyses of Enterococcus faecalis in root canals. J Endod. 2006;32:173–7.

53.

Sedgley Ch, Buck G, Appelbe O. Prevalence of Enterococcus faecalis at multiple oral sites in endodontic patients using culture and PCR. J Endod. 2006;32:104–9.

54.

Figdor D, Davies JK, Sundqvist G. Starvation survival, growth and recovery of Enterococcus faecalis in human serum. Oral Microbiol Immunol. 2003;18:234–9.

55.

Nair PNR, Sjögren U, Schumacher E, Sundqvist G. Radicular cyst affecting a root-filled human tooth: a long-term post-treatment follow-up. Int Endod J. 1993;26:225–33.PubMedCrossRef

56.

Koppang HS, Koppang R, Solheim T, et al. Cellulose fibers from endodontic paperpoints as an etiological factor in postendodontic periapical granulomas and cystst. J Endod. 1989;15:369–72.PubMedCrossRef

57.

Kumar V, Abbas AK, Fausto N, et al. Robbins and cotran pathologic basis of disease. 8^th edition. Saunders; 2010.

58.

Nair PNR, Sjögren U, Krey G, et al. Therapy-resistant foreign body giant cell granuloma at the periapex of a root-filled human tooth. J Endod. 1990;16:589–95.PubMedCrossRef

59.

Molven O, Halse A, Grung B. Incomplete healing (scar tissue) after periapical surgery – radiographic findings 8 to 12 years after treatment. J Endod. 1996;22:264–8.PubMedCrossRef

60.

Selden HS. A suspected periradicular scar: treat or not? J Endod. 2000;26:180–1.PubMedCrossRef

61.

De Cleen MJH. Obliteration of pulp canal space after concussion and subluxation: endodontic considerations. Quintessence Int. 2002;33:661–9.PubMed

62.

Bronkhorst MA, Van Damme PhA. Osteomyelitis van de kaak. Ned Tijdschr Tandheelkd. 2006;113:222–5.PubMed

63.

Kannan SK, Sandhya G, Selvarani R. Periostitis ossificans (Garre’s osteomyelitis) radiographic study of two cases. Int J Paediatr Dent. 2006;16:59–64.PubMedCrossRef

64.

Thoden van Velzen SK, Wesselink PR, De Cleen MJH, Moorer WR, Peters LB. Endodontologie. 2^e druk. Houten/Diegem: Bohn Stafleu Van Loghum; 1995.

65.

Collaert B, Fischer C. Dentine hypersensitivity. Endod Dent Traumatol. 1991;7:145–52.PubMedCrossRef

66.

De Lange J, Van den Akker HP. Clinical and radiological features of central giant-cell lesions of the jaw. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99:464–70.PubMedCrossRef

67.

De Lange J. Central giant cell granuloma of the jaw. Proefschrift Universiteit van Amsterdam; 2006.

68.

Lombardi T, Bischof M, Nedir R, Vergain D, Galgano C, Samson J, Küffer R. Periapical central giant cell granuloma misdiagnosed as odontogenic cyst. Int Endod J. 2006;39:510–5.

69.

Silvestros SS, Mamalis AA, Sklavounou AD, Tzerbos FX, Rontoqianni DD. Eosinophilic granuloma masquerading as aggressive periodontitis. J Periodontol. 2006;77:917–21.PubMedCrossRef

70.

Key SJ, O’Brien CJ, Silvester KC, Crean SJ. Eosinophilic granuloma: resolution of maxillofacial bony lesions following minimal intervention. Report of three cases and a review of the literature. J Craniomaxillofac Surg. 2004;32:170–5.

71.

Van der Waal I. Een radiolucentie op de bitewing. Nederlands Tandartsenblad februari. 2009;64:35.

72.

Slootweg PJ. Maxillofacial fibro-osseous lesions: classification and differential diagnosis. Semin Diagn Pathol. 1996;13:104–12.PubMed

73.

Van Merkensteijn JPR. Fibrous dysplasia. Proefschrift Universiteit van Amsterdam; 1988.

74.

Panders AK. Fibro-osseuze en fibro-osseuze-cementeuze dysplasie van de kaken. Proefschrift Rijksuniversiteit Groningen 1970. Leiden: Stafleu & Tholen; 1970.

75.

Galgano C, Samson J, Küffer R, Lombardi T. Focal cemento-osseous dysplasia involving a mandibular lateral incisor. Int Endod J. 2003;36:907–11.PubMedCrossRef

76.

Stoelinga PJW. The treatment of odontogenic keratocysts by excision of the overlying, attached mucosa, enucleation, and treatment of the bony defect with Carnoy solution. J Oral Maxillofac Surg. 2005;63:1662–6.PubMedCrossRef

77.

Stoelinga PJW. Long-term follow-up on keratocysts treated according to a defined protocol. Int J Oral Maxillofac Surg. 2001;30:14–25.PubMedCrossRef

78.

Pace R, Cairo F, Giuliani V, Prato LP, Pagavino G. A diagnostic dilemma: endodontic lesion or odontogenic keratocyst? Int Endod J. 2008;41:800–6.PubMedCrossRef

79.

Silva TA, Batista AC, Camarini ET, Lara VS, Consolaro A. Paradental cyst mimicking a radicular cyst on the adjacent tooth: Case report and review of terminology. J Endod. 2003;29:73–6.PubMedCrossRef

80.

Pontes FSC, Fonseca FP, De Jesus AS, et al. Nonendodontic lesions misdiagnosed as apical periodontitis lesions: series of case reports and review of literature. J Endod. 2014;40:16–26.CrossRef

81.

Chen YK, Chen CH, Lin CC, Hsue SS, Lin YR, Lin LM. Central adenoid cystic carcinoma of the mandible manifesting as an endodontic lesion. Int Endod J. 2004;37:711–6.PubMedCrossRef

82.

Cunha EM, Fernandes AV, Versiani MA, Loyola AM. Unicystic ameloblastoma: a possible pitfall in periapical diagnosis. Int Endod J. 2005;38:334–40.PubMedCrossRef

83.

Gordon SC, MacIntosh RB, Wesley RK. A review of osteoblastoma and case report of metachronous osteoblastoma and unicystic ameloblastoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91:570–5.PubMedCrossRef

84.

Seddon SV, Absi EG, Shepherd JP. Bronchogenic carcinoma presenting as a periapical infection. Br Dent J. 1993;174:455–8.PubMedCrossRef

85.

Wright JM, Radman WP. Intrabony lymphoma simulating periradicular inflammatory disease. J Am Dent Assoc. 1995;126:101–5.PubMedCrossRef

86.

Schuch LF, Vieira CC, Uchoa AC, et al. Malignant lesions mimicking endodontic pathoses lesion: a systemic review. J Endod. 2021;2:178–88.CrossRef

87.

Piattelli A, Perfetti G, Carraro A. Complex odontoma as a periapical and interradicular radiopacity in a primary molar. J Endod. 1996;22:561–3.PubMedCrossRef

88.

Loushine RJ, Weller RN, Kimbrough WF, Liewehr FR. Secondary hyperparathyroidism: A case report. J Endod. 2003;29:272–4.PubMedCrossRef

89.

Jalali P, Kim SG. Multiple periradicular radiolucencies mimicking endodontic lesions in renal osteodystrophy of the mandible: a case report. Int Endod J. 2016;49:706–14.PubMedCrossRef

90.

Hoskinson AE. Hard tissue management: osseous access, curettage, biopsy and root isolation. Endod Topics. 2005;11:98–113.CrossRef

91.

Silva TA, Batista AC, Camarini ET, Lara VS, Consolaro A. Paradental cyst mimicking a radicular cyst on the adjacent tooth: case report and review of terminology. J Endod. 2003;29:73–6.PubMedCrossRef

92.

Stoelinga PJW, Koole R. Decompressie. TandartsPraktijk. 2005;26:53.

Titel: Pathologie van de periapex
Auteur: Drs. C. J. Warnsinck, MSc
Uitgeverij: Bohn Stafleu van Loghum
Boek: Endodontologie
Print ISBN: 978-90-368-2766-9

Elektronisch ISBN: 978-90-368-2767-6

Copyright: 2022
DOI: https://doi.org/10.1007/978-90-368-2767-6_5

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