Periapical central giant cell granuloma : A potential endodontic misdiagnosis
Identifieur interne : 000673 ( PascalFrancis/Checkpoint ); précédent : 000672; suivant : 000674Periapical 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.
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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.
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Wolcott</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="Pringle, Gordon A" sort="Pringle, Gordon A" uniqKey="Pringle G" first="Gordon A." last="Pringle">Gordon A. 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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>Biopsy</term><term>Clinical form</term><term>Diagnosis</term><term>Endodontic procedures</term><term>Giant cell granuloma</term><term>Histological type</term><term>Histopathology</term><term>Human</term><term>Incidence</term><term>Necrosis</term><term>Retrospective</term><term>Tooth</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Granulome réparation cellule géante</term><term>Dent</term><term>Nécrose</term><term>Incidence</term><term>Forme clinique</term><term>Endodontie</term><term>Histopathologie</term><term>Type histologique</term><term>Rétrospective</term><term>Diagnostic</term><term>Homme</term><term>Biopsie</term><term>Périapical</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><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>1079-2104</s0></fA01><fA03 i2="1"><s0>Oral surg. oral med. oral pathol. oral radiol. endo.</s0></fA03><fA05><s2>90</s2></fA05><fA06><s2>6</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Periapical central giant cell granuloma : A potential endodontic misdiagnosis</s1></fA08><fA11 i1="01" i2="1"><s1>DAHLKEMPER (Patrick)</s1></fA11><fA11 i1="02" i2="1"><s1>WOLCOTT (James F.)</s1></fA11><fA11 i1="03" i2="1"><s1>PRINGLE (Gordon A.)</s1></fA11><fA11 i1="04" i2="1"><s1>LAMAR HICKS (M.)</s1></fA11><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></fA14><fA20><s1>739-745</s1></fA20><fA21><s1>2000</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>5101</s2><s5>354000093561070110</s5></fA43><fA44><s0>0000</s0><s1>© 2001 INIST-CNRS. 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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. 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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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