Periapical central giant cell granuloma: a potential endodontic misdiagnosis.
Identifieur interne : 002C85 ( PubMed/Checkpoint ); précédent : 002C84; suivant : 002C86Periapical central giant cell granuloma: a potential endodontic misdiagnosis.
Auteurs : P. Dahlkemper [États-Unis] ; J F Wolcott ; G A Pringle ; M L HicksSource :
- 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.
- Adolescent, Adulte, Adulte d'âge moyen, Diagnostic différentiel, Enfant, Erreurs de diagnostic, Femelle, Humains, Incidence, Mâle, Répartition par âge, Sex-ratio, Sujet âgé, Traitement de canal radiculaire, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Distribution, Aged, Child, Dental Pulp Necrosis (diagnosis), Diagnosis, Differential, Diagnostic Errors (prevention & control), Female, Granuloma, Giant Cell (diagnosis), Granuloma, Giant Cell (epidemiology), Granuloma, Giant Cell (pathology), Humans, Incidence, Jaw, Edentulous (pathology), Male, Middle Aged, Periapical Granuloma (diagnosis), Periapical Granuloma (epidemiology), Periapical Granuloma (pathology), Radicular Cyst (pathology), Retrospective Studies, Root Canal Therapy, Sex Ratio, 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.
DOI: 10.1067/moe.2000.108803
PubMed: 11113820
Affiliations:
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(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 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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="MESH" 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>Humains</term><term>Incidence</term><term>Mâle</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></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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11113820</PMID><DateCompleted><Year>2001</Year><Month>01</Month><Day>25</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1079-2104</ISSN><JournalIssue CitedMedium="Print"><Volume>90</Volume><Issue>6</Issue><PubDate><Year>2000</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics</Title><ISOAbbreviation>Oral Surg Oral Med Oral Pathol Oral Radiol Endod</ISOAbbreviation></Journal><ArticleTitle>Periapical central giant cell granuloma: a potential endodontic misdiagnosis.</ArticleTitle><Pagination><MedlinePgn>739-45</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dahlkemper</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>I.B. Bender Division of Endodontics, Albert Einstein Medical Center, Philadelphia, PA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wolcott</LastName><ForeName>J F</ForeName><Initials>JF</Initials></Author><Author ValidYN="Y"><LastName>Pringle</LastName><ForeName>G A</ForeName><Initials>GA</Initials></Author><Author ValidYN="Y"><LastName>Hicks</LastName><ForeName>M L</ForeName><Initials>ML</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Oral Surg Oral Med Oral Pathol Oral Radiol Endod</MedlineTA><NlmUniqueID>9508562</NlmUniqueID><ISSNLinking>1079-2104</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001 Jul;92(1):2-3</RefSource><PMID Version="1">11458236</PMID></CommentsCorrections><CommentsCorrections RefType="ErratumIn"><RefSource>Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001 Jul;92(1):2-3</RefSource><PMID Version="1">11458236</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017677" MajorTopicYN="N">Age Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003790" MajorTopicYN="N">Dental Pulp Necrosis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003951" MajorTopicYN="N">Diagnostic Errors</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006101" MajorTopicYN="N">Granuloma, Giant Cell</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010484" MajorTopicYN="N">Periapical Granuloma</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011842" MajorTopicYN="N">Radicular Cyst</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012390" MajorTopicYN="N">Root Canal Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012744" MajorTopicYN="N">Sex Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019553" MajorTopicYN="N">Tooth, Nonvital</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2000</Year><Month>12</Month><Day>13</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2001</Year><Month>2</Month><Day>28</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2000</Year><Month>12</Month><Day>13</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">11113820</ArticleId><ArticleId IdType="pii">S1079-2104(00)73153-2</ArticleId><ArticleId IdType="doi">10.1067/moe.2000.108803</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Hicks, M L" sort="Hicks, M L" uniqKey="Hicks M" first="M L" last="Hicks">M L Hicks</name><name sortKey="Pringle, G A" sort="Pringle, G A" uniqKey="Pringle G" first="G A" last="Pringle">G A Pringle</name><name sortKey="Wolcott, J F" sort="Wolcott, J F" uniqKey="Wolcott J" first="J F" last="Wolcott">J F Wolcott</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Dahlkemper, P" sort="Dahlkemper, P" uniqKey="Dahlkemper P" first="P" last="Dahlkemper">P. 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