Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions.
Dr. Ove A. Peters: 0000-0001-5222-8718
Brazilian Oral Research
Great attention has been given to the study of radiolucent periapical lesions to avert possible misdiagnosis of apical periodontitis associated with certain radiolucent non-endodontic lesions. However, there are a significant number of radiopaque lesions found in the periapical region, which could be equally relevant to endodontic practice. The diagnosis and management of these radiopaque/hyperdense lesions could be challenging to the endodontist. These bone alterations could be neoplastic, dysplastic or of metabolic origin. In the context of the more widespread use of cone-beam CT, a detailed review of radiopaque inflammatory and non-inflammatory lesions is timely and may aid clinicians perform a differential diagnosis of these lesions. Distinguishing between inflammatory and non-inflammatory lesions simplifies diagnosis and consequently aids in choosing the correct therapeutic regimen. This review discusses the literature regarding the clinical, radiographic, histological and management aspects of radiopaque/hyperdense lesions, and illustrates the differential diagnoses of these lesions.
Silva, B. S.,
Bueno, M. R.,
Yamamoto-Silva, F. P.,
Gomez, R. S.,
Peters, O. A.,
Differential diagnosis and clinical management of periapical radiopaque/hyperdense jaw lesions..
Brazilian Oral Research, 31, 52–52.