CBCT fine preoperative evaluation of inflammatory radicular cysts and postoperative local integration appreciation of alloplastic grafts materials

Rev Med Chir Soc Med Nat Iasi. 2014 Jul-Sep;118(3):828-32.

Abstract

The purpose of this paper is to point out the value of CBCT exam in pre and postoperative diagnosis assessment of inflammatory radicular cysts together with full appreciation of local integration of alloplastic graft materials used to repair the osseous defects. There were statistically retrospective evaluated the pre and postoperative results of CBCT and x-ray examinations of 34 patients with inflammatory radicular cysts clinically, biologically and histopathologically assessed at Oral and Maxilo-Facial Surgery Clinic from Timisoara. In all cases we proceeded to surgical radicular cysts removement, extraction of the associated non-vital tooth together with alloplastic graft materials repairement of the osseous defects. The CBCT preoperative scans clearly showed the extent, the morphological characteristics and the topoanatomic reports, in all 34 cases of inflammatory radicular cysts together with regional endodontic status. The CBCT postoperative scans revealed the very local integration of alloplastic graft materials used to repair the osseous defects and, in some cases, the dental rehabilitation by metallic implants. CBCT scan is the imaging method of choice in pre and postoperative diagnosis assessment of inflammatory radicular cysts together with alloplastic graft materials repairement of the osseous defects and dental rehabilitation by metallic implants, due to high specific abilities in bone tissue 3D evaluation.

MeSH terms

  • Allografts
  • Bone Substitutes
  • Cone-Beam Computed Tomography* / methods
  • Dental Materials*
  • Dental Prosthesis*
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Mandible / diagnostic imaging
  • Mandible / surgery
  • Maxilla / diagnostic imaging
  • Maxilla / surgery
  • Postoperative Period
  • Predictive Value of Tests
  • Preoperative Period
  • Radicular Cyst / diagnosis*
  • Radicular Cyst / surgery
  • Radicular Cyst / therapy*
  • Radiography, Panoramic / methods
  • Reproducibility of Results
  • Retrospective Studies
  • Sensitivity and Specificity

Substances

  • Bone Substitutes
  • Dental Materials