| Texto completo | |
| Autor(es): |
Petean, Igor Bassi Ferreira
;
Gaeta-Araujo, Hugo
;
Mazzi-Chaves, Jardel Francisco
;
Silva-Sousa, Alice Correa
;
Lopes-Olhe, Fabiane Carneiro
;
de Paula-Silva, Francisco Wanderley Garcia
;
de Sousa-Neto, Manoel Damiao
Número total de Autores: 7
|
| Tipo de documento: | Artigo Científico |
| Fonte: | CLINICAL ORAL INVESTIGATIONS; v. 29, n. 1, p. 9-pg., 2025-01-21. |
| Resumo | |
ObjectivesTo evaluate cases of persistent apical periodontitis (PAP) and what are the imaging and clinical aspects that could be considered in the PAP diagnosis and in their treatment decision-making process.Methodology423 patients with apical periodontitis at the time of non-surgical root canal treatment (NSRCT) were followed-up for at least 1 year. Periapical radiographic images were used to compare and determine periapical status at each time using the PAI scoring system. Cases scored as PAI 5 at the follow-up appointment were evaluated by CBCT, using the CBCTPAI scoring system. Associated, the data from imaging exams and from clinical evaluation were considered to make a decision for PAP treatment.ResultsRegarding sample composition, it was observed an association with ethnicity and PAP (p = 0.045). After follow-up, cases classified as PAI Score 1 and 2 and absence of symptoms/complaint were classified as successful. Cases classified as PAI Score 3 and absence of symptoms/complaint were referred for new follow-up visits until complete resolution of PAP. Cases scored as PAI 4 with clinical symptoms were indicated for non-surgical root canal retreatment. Cases scored as PAI 5 were assessed by CBCT, and in the presence of symptoms/complaint and a CBCTPAI score 3 were related to non-surgical root canal retreatment, while CBCTPAI scores 4 and 5 were refereed for endodontic surgery.ConclusionsClinical data, PAI and CBCTPAI scoring systems from image exams can be useful for PAP diagnosis and their treatment.Clinical relevanceIn the decision-making process, clinical and imaging data are fundamental for the choose of an ideal protocol for treating PAP. (AU) | |
| Processo FAPESP: | 18/21130-3 - Aspectos moleculares da resposta do hospedeiro na periodontite apical persistente |
| Beneficiário: | Manoel Damiao de Sousa Neto |
| Modalidade de apoio: | Auxílio à Pesquisa - Regular |