Radiographic patterns of periosteal bone reactions associated with endodontic lesions
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Objectives: The formation of new bone by periosteum due to an insult is called periosteal bone reaction (PBR). This study assessed the cone beam computed tomography (CBCT) patterns of periosteal bone reactions associated with periapical inflammatory lesion (apical periodontitis/periapical rarefying osteitis). Materials and Methods: Twenty-two small field of view CBCT images of patients with PBR were selected from a database of a private practice limited to endodontics. The volume of the periapical inflammatory lesion, the presence of cortical fenestration, the distance of the root apices to the affected cortex, and the location, pattern, and longest diameter of the periosteal reaction were recorded. Statistical analysis was performed using Wilcoxon Ranksum, Fischer’s exact, Spearman Correlation Coefficient, and paired t-test. Results: In all cases, periosteal bone reaction manifested as either parallel (90.9%) or irregular (9.1%). No correlation was found between periapical inflammatory lesion volume and the periosteal reaction's longest diameter (p > 0.05). Cortical fenestration was noted in 72.7% of the cases. In addition, the findings showed that periosteal reactions were located mostly on the buccal and were present 53.8% and 100% of the time in the mandible and maxilla, respectively. Conclusions: The periosteal reactions of endodontic origin had a nonaggressive form (i.e., parallel or irregular), and none of the lesions resulted in a periosteal reaction with an ominous Codman’s triangle or spicule pattern.
Abstract
Objectives: The formation of new bone by periosteum due to an insult is called periosteal bone reaction (PBR). This study assessed the cone beam computed tomography (CBCT) patterns of periosteal bone reactions associated with periapical inflammatory lesion (apical periodontitis/periapical rarefying osteitis). Materials and Methods: Twenty-two small field of view CBCT images of patients with PBR were selected from a database of a private practice limited to endodontics. The volume of the periapical inflammatory lesion, the presence of cortical fenestration, the distance of the root apices to the affected cortex, and the location, pattern, and longest diameter of the periosteal reaction were recorded. Statistical analysis was performed using Wilcoxon Ranksum, Fischer’s exact, Spearman Correlation Coefficient, and paired t-test. Results: In all cases, periosteal bone reaction manifested as either parallel (90.9%) or irregular (9.1%). No correlation was found between periapical inflammatory lesion volume and the periosteal reaction's longest diameter (p > 0.05). Cortical fenestration was noted in 72.7% of the cases. In addition, the findings showed that periosteal reactions were located mostly on the buccal and were present 53.8% and 100% of the time in the mandible and maxilla, respectively. Conclusions: The periosteal reactions of endodontic origin had a nonaggressive form (i.e., parallel or irregular), and none of the lesions resulted in a periosteal reaction with an ominous Codman’s triangle or spicule pattern.
참고문헌 (12)
- Chen EM, "Periosteal reaction : review of various patterns associated with specific pathology", Contemp Diagn Radiol, 35, pp.1~5 (2012)
- Rana RS, "Periosteal reaction", AJR Am J Roentgenol, 193, pp.W259~W272 (2009)
- Hyun Seok, "Proliferative periostitis of the mandibular ramus and condyle: a case report", 대한구강악안면외과학회지, 41(4), pp.198~202 (2015), 대한구강악안면외과학회
- Koorbusch GF, "How can we diagnose and treat osteomyelitis of the jaws as early as possible?", Oral Maxillofac Surg Clin North Am, 23, pp.557~567 (2011)
- Ida M, "Periosteal new bone formation in the jaws. A computed tomographic study", Dentomaxillofac Radiol, 26, pp.169~176 (1997)
- Jalali P, "Dynamics of bone loss in cases with acute or chronic apical abscess", J Endod, 45, pp.1114~1118 (2019)
- Ida M, "CT findings as a significant predictive factor for the curability of mandibular osteomyelitis : multivariate analysis", Dentomaxillofac Radiol, 34, pp.86~90 (2005)
- Hayashi Y, "Radiographic study of periosteal new bone formation in osteomyelitis of the mandible", Oral Radiol, 8, pp.19~26 (1992)
- Bougatef H, "Periostitis ossificans : report of two cases resolved with endodontic treatment", Case Rep Dent, 2020, pp.8876268~ (2020)
- Zand V, "Proliferative periostitis : a case report", J Endod, 34, pp.481~483 (2008)
- de Andrade Freitas Oliveira LS, "Computed Tomography findings of periostitis ossificans", Braz J Oral Sci, 9, pp.59~62 (2010)
- Ebihara A, "Garrè’s osteomyelitis managed by root canal treatment of a mandibular second molar : incorporation of computed tomography with 3D reconstruction in the diagnosis and monitoring of the disease", Int Endod J, 38, pp.255~261 (2005)