Periapical central giant cell granuloma : A potential endodontic misdiagnosis
Identifieur interne : 009074 ( Main/Exploration ); précédent : 009073; suivant : 009075Periapical central giant cell granuloma : A potential endodontic misdiagnosis
Auteurs : Patrick Dahlkemper [États-Unis] ; James F. Wolcott [États-Unis] ; Gordon A. Pringle [États-Unis] ; M. Lamar Hicks [États-Unis]Source :
- Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics [ 1079-2104 ] ; 2000.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Dent dévitalisée (diagnostic), Diagnostic différentiel, Enfant, Erreurs de diagnostic (), Femelle, Granulome périapical (anatomopathologie), Granulome périapical (diagnostic), Granulome périapical (épidémiologie), Granulome à cellules géantes (anatomopathologie), Granulome à cellules géantes (diagnostic), Granulome à cellules géantes (épidémiologie), Humains, Incidence, Kyste radiculaire (anatomopathologie), Mâchoire édentée (anatomopathologie), Mâle, Nécrose pulpaire (diagnostic), Répartition par âge, Sex-ratio, Sujet âgé, Traitement de canal radiculaire, Études rétrospectives.
- MESH :
- anatomopathologie : Granulome périapical, Granulome à cellules géantes, Kyste radiculaire, Mâchoire édentée.
- diagnostic : Dent dévitalisée, Granulome périapical, Granulome à cellules géantes, Nécrose pulpaire.
- épidémiologie : Granulome périapical, Granulome à cellules géantes.
- Pascal (Inist)
- Adolescent, Adulte, Adulte d'âge moyen, Diagnostic différentiel, Enfant, Erreurs de diagnostic, Femelle, Granulome réparation cellule géante, Dent, Humains, Incidence, Mâle, Nécrose, Incidence, Forme clinique, Endodontie, Histopathologie, Répartition par âge, Sex-ratio, Sujet âgé, Traitement de canal radiculaire, Type histologique, Rétrospective, Diagnostic, Homme, Biopsie, Périapical, Études rétrospectives.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Distribution, Aged, Biopsy, Child, Clinical form, Dental Pulp Necrosis (diagnosis), Diagnosis, Diagnosis, Differential, Diagnostic Errors (prevention & control), Endodontic procedures, Female, Giant cell granuloma, Granuloma, Giant Cell (diagnosis), Granuloma, Giant Cell (epidemiology), Granuloma, Giant Cell (pathology), Histological type, Histopathology, Human, Humans, Incidence, Jaw, Edentulous (pathology), Male, Middle Aged, Necrosis, Periapical Granuloma (diagnosis), Periapical Granuloma (epidemiology), Periapical Granuloma (pathology), Radicular Cyst (pathology), Retrospective, Retrospective Studies, Root Canal Therapy, Sex Ratio, Tooth, Tooth, Nonvital (diagnosis).
- MESH :
- diagnosis : Dental Pulp Necrosis, Granuloma, Giant Cell, Periapical Granuloma, Tooth, Nonvital.
- epidemiology : Granuloma, Giant Cell, Periapical Granuloma.
- pathology : Granuloma, Giant Cell, Jaw, Edentulous, Periapical Granuloma, Radicular Cyst.
- prevention & control : Diagnostic Errors.
- Adolescent, Adult, Age Distribution, Aged, Child, Diagnosis, Differential, Female, Humans, Incidence, Male, Middle Aged, Retrospective Studies, Root Canal Therapy, Sex Ratio.
Abstract
This retrospective study ascertained the incidence and clinicopathologic features of central giant cell granulomas (CGCGs) associated with teeth with necrotic pulps or teeth that had received previous endodontic treatment and determined whether periapical CGCGs can result in endodontic misdiagnosis. Clinical and histopathologic data of biopsy specimens diagnosed as CGCG were collected from the archives of the Oral Pathology Laboratory, Temple University, and were reviewed. Over the 9-year period, 16 of 79 cases (20%) of CGCG were associated with a tooth that had a history of pulp necrosis. Of those, 14 (88%) were associated with previous root canal treatment. The data from this series of 79 cases of CGCG also showed that CGCGs were less common in women, less common before age 30, and did not cross the midline of the jaw as often as previously reported. Clinical and histopathologic data were compared from (1) CGCGs associated with teeth with vital pulps or that occurred in edentulous areas; (2) CGCGs associated with teeth with necrotic pulps; and (3) 194 cases of periapical granulomas and radicular cysts. These data strongly suggest that CGCGs associated with teeth with necrotic pulps are not directly related to periapical inflammation and may be misdiagnosed as endodontic lesions. Posttreatment follow-up and routine submission of periapical surgical specimens are emphasized.
Affiliations:
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Pringle</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Albert Einstein Medical Center and Temple University School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Albert Einstein Medical Center and Temple University School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Lamar Hicks, M" sort="Lamar Hicks, M" uniqKey="Lamar Hicks M" first="M." last="Lamar Hicks">M. Lamar Hicks</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Albert Einstein Medical Center and Temple University School of Medicine</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Albert Einstein Medical Center and Temple University School of Medicine</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics</title><title level="j" type="abbreviated">Oral surg. oral med. oral pathol. oral radiol. endo.</title><idno type="ISSN">1079-2104</idno><imprint><date when="2000">2000</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics</title><title level="j" type="abbreviated">Oral surg. oral med. oral pathol. oral radiol. endo.</title><idno type="ISSN">1079-2104</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Distribution</term><term>Aged</term><term>Biopsy</term><term>Child</term><term>Clinical form</term><term>Dental Pulp Necrosis (diagnosis)</term><term>Diagnosis</term><term>Diagnosis, Differential</term><term>Diagnostic Errors (prevention & control)</term><term>Endodontic procedures</term><term>Female</term><term>Giant cell granuloma</term><term>Granuloma, Giant Cell (diagnosis)</term><term>Granuloma, Giant Cell (epidemiology)</term><term>Granuloma, Giant Cell (pathology)</term><term>Histological type</term><term>Histopathology</term><term>Human</term><term>Humans</term><term>Incidence</term><term>Jaw, Edentulous (pathology)</term><term>Male</term><term>Middle Aged</term><term>Necrosis</term><term>Periapical Granuloma (diagnosis)</term><term>Periapical Granuloma (epidemiology)</term><term>Periapical Granuloma (pathology)</term><term>Radicular Cyst (pathology)</term><term>Retrospective</term><term>Retrospective Studies</term><term>Root Canal Therapy</term><term>Sex Ratio</term><term>Tooth</term><term>Tooth, Nonvital (diagnosis)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dent dévitalisée (diagnostic)</term><term>Diagnostic différentiel</term><term>Enfant</term><term>Erreurs de diagnostic ()</term><term>Femelle</term><term>Granulome périapical (anatomopathologie)</term><term>Granulome périapical (diagnostic)</term><term>Granulome périapical (épidémiologie)</term><term>Granulome à cellules géantes (anatomopathologie)</term><term>Granulome à cellules géantes (diagnostic)</term><term>Granulome à cellules géantes (épidémiologie)</term><term>Humains</term><term>Incidence</term><term>Kyste radiculaire (anatomopathologie)</term><term>Mâchoire édentée (anatomopathologie)</term><term>Mâle</term><term>Nécrose pulpaire (diagnostic)</term><term>Répartition par âge</term><term>Sex-ratio</term><term>Sujet âgé</term><term>Traitement de canal radiculaire</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Granulome périapical</term><term>Granulome à cellules géantes</term><term>Kyste radiculaire</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dental Pulp Necrosis</term><term>Granuloma, Giant Cell</term><term>Periapical Granuloma</term><term>Tooth, Nonvital</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dent dévitalisée</term><term>Granulome périapical</term><term>Granulome à cellules géantes</term><term>Nécrose pulpaire</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Granuloma, Giant Cell</term><term>Periapical Granuloma</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Granuloma, Giant Cell</term><term>Jaw, Edentulous</term><term>Periapical Granuloma</term><term>Radicular Cyst</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Diagnostic Errors</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Granulome périapical</term><term>Granulome à cellules géantes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Distribution</term><term>Aged</term><term>Child</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Root Canal Therapy</term><term>Sex Ratio</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Diagnostic différentiel</term><term>Enfant</term><term>Erreurs de diagnostic</term><term>Femelle</term><term>Granulome réparation cellule géante</term><term>Dent</term><term>Humains</term><term>Incidence</term><term>Mâle</term><term>Nécrose</term><term>Incidence</term><term>Forme clinique</term><term>Endodontie</term><term>Histopathologie</term><term>Répartition par âge</term><term>Sex-ratio</term><term>Sujet âgé</term><term>Traitement de canal radiculaire</term><term>Type histologique</term><term>Rétrospective</term><term>Diagnostic</term><term>Homme</term><term>Biopsie</term><term>Périapical</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This retrospective study ascertained the incidence and clinicopathologic features of central giant cell granulomas (CGCGs) associated with teeth with necrotic pulps or teeth that had received previous endodontic treatment and determined whether periapical CGCGs can result in endodontic misdiagnosis. Clinical and histopathologic data of biopsy specimens diagnosed as CGCG were collected from the archives of the Oral Pathology Laboratory, Temple University, and were reviewed. Over the 9-year period, 16 of 79 cases (20%) of CGCG were associated with a tooth that had a history of pulp necrosis. Of those, 14 (88%) were associated with previous root canal treatment. The data from this series of 79 cases of CGCG also showed that CGCGs were less common in women, less common before age 30, and did not cross the midline of the jaw as often as previously reported. Clinical and histopathologic data were compared from (1) CGCGs associated with teeth with vital pulps or that occurred in edentulous areas; (2) CGCGs associated with teeth with necrotic pulps; and (3) 194 cases of periapical granulomas and radicular cysts. These data strongly suggest that CGCGs associated with teeth with necrotic pulps are not directly related to periapical inflammation and may be misdiagnosed as endodontic lesions. Posttreatment follow-up and routine submission of periapical surgical specimens are emphasized.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Dahlkemper, Patrick" sort="Dahlkemper, Patrick" uniqKey="Dahlkemper P" first="Patrick" last="Dahlkemper">Patrick Dahlkemper</name></noRegion><name sortKey="Lamar Hicks, M" sort="Lamar Hicks, M" uniqKey="Lamar Hicks M" first="M." last="Lamar Hicks">M. Lamar Hicks</name><name sortKey="Pringle, Gordon A" sort="Pringle, Gordon A" uniqKey="Pringle G" first="Gordon A." last="Pringle">Gordon A. Pringle</name><name sortKey="Wolcott, James F" sort="Wolcott, James F" uniqKey="Wolcott J" first="James F." last="Wolcott">James F. Wolcott</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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