Ultrasound imaging in the diagnosis of periapical lesions

• Published in: Journal of pharmacy & bioallied science Vol. 4; no. Suppl 2; pp. S369 - S372
• Main Authors: Prince, Christo Naveen, Annapurna, Chandrakala Shekarappa, Sivaraj, S, Ali, I M
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01.08.2012; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Accuracy; Care and treatment; Color power doppler; Cysts; Dental Science - Original; Diagnosis; Diagnosis, Ultrasonic; echography; Methods; Mouth tumors; periapical lesions; Radiography; Tooth diseases; Validity; India; periapical lesions; diagnosis; echography; Color power doppler
• ISSN: 0975-7406; 0976-4879; 0975-7406; 0976-4879
• DOI: 10.4103/0975-7406.100275

To assess the diagnostic capability of real-time ultrasound imaging, together with the application of color power Doppler in the identification and differential diagnosis of the periapical lesions. Fifteen patients with periapical lesions of pulpal origin, diagnosed with clinical and conventional radiographic examination, were examined further using ultrasonography. The results from the biopsies of the lesions were compared and statistically analyzed. The differential diagnosis between periapical granulomas and cystic lesions, which were based on the ultrasonographic findings, were confirmed by the results of the histopathologic examination in 13 (86.7%) of 15 cases, one being granuloma and 14 being cystic lesion. Ultrasound real-time imaging is a technique that may help make a differential diagnosis between cysts and granulomas by revealing the nature of the content of a bony lesion. This technique may have further applications in the study of other lesions of the jaws.