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Morphological changes of the root apex in anterior teeth with periapical periodontitis: an in-vivo study.


ABSTRACT:

Introduction

The aim was to analyze the morphological changes of root apex in anterior teeth with periapical periodontitis.

Methods

32 untreated anterior teeth with periapical periodontitis were enrolled, compared with the healthy contralateral teeth. Two-dimensional measurement of Cone-beam computed tomography was used to determine the location and measure diameter of the apical constriction according to Schell's methods. An open-source software (3D Slicer) was used to reconstruct the teeth. The apical constriction form was analysis according to Schell's topography. The distances of apical constriction to apical foramen and anatomical apex were measured respectively.

Results

The difference value between buccolingual and mesiodistal diameter was (0.06 ± 0.09) mm and (0.04 ± 0.04) mm in periapical periodontitis and controls (p < 0.05). The mean distance between apical constriction and anatomical apex was significantly shorter in periapical periodontitis than controls, so was the mean distance of apical constriction to apical foramen. The most common form of apical constriction was flaring (65.6%) in periapical periodontitis.

Conclusions

The anterior teeth with periapical periodontitis had shorter distances of apical constriction to anatomical apex and apical foramen, bigger disparities between the diameters of buccolingual and mesiodistal, and higher proportion of flaring apical constriction.

SUBMITTER: Zhang CC 

PROVIDER: S-EPMC8817522 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Publications

Morphological changes of the root apex in anterior teeth with periapical periodontitis: an in-vivo study.

Zhang Chen-Chen CC   Liu Ya-Jing YJ   Yang Wei-Dong WD   Zhang Qian-Nan QN   Zha Ming-Zhu MZ   Wen Shan-Hui SH   Wang Qi Q  

BMC oral health 20220205 1


<h4>Introduction</h4>The aim was to analyze the morphological changes of root apex in anterior teeth with periapical periodontitis.<h4>Methods</h4>32 untreated anterior teeth with periapical periodontitis were enrolled, compared with the healthy contralateral teeth. Two-dimensional measurement of Cone-beam computed tomography was used to determine the location and measure diameter of the apical constriction according to Schell's methods. An open-source software (3D Slicer) was used to reconstruc  ...[more]

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