Radiolucent inflammatory jaw lesions: a twenty-year analysis.

摘要: Abstract Becconsall-Ryan K, Tong D, Love RM. Radiolucent inflam-matory jaw lesions: a twenty-year analysis. International End-odontic Journal, 43, 859–865, 2010. Aim To determine the range and demographic andclinical features of radiolucent inflammatory jawlesions.Methodology Histopathology reports were reviewedto identify lesions. There noclinical exclusive criteria, samples representeda wide clinical presentation treatmenthistory from multiple providers. Data analysedusing SPSS. evaluate concordance andhistological diagnoses, clinician’s provisional diag-nosis was compared with final histopathologicaldiagnosis.Results A total 17 038 specimens reviewed;of these, 4983 (29.2%) lesions, ofwhich lesions accounted for 72.8%(n = 3626). Periapical granulomas (59.7%) thelargest group followed by radicular cysts (29.2%). Themean age 44 years (range 2–100 years), men andwomen equally represented anteriormaxilla most common site biopsiedlesions. diagnosis correct only48.3% periapical 36% radicularcysts.Conclusions This study included all presentations ofperiapical showed that theincidence cystic change in ofendodontic origin is high at approximately 30% allinflammatory Notwithstanding relativefrequencies, demographics location radiolucentinflammatory presenting New Zealandpopulation are comparable to other populations.No lesion can be reliablyaccurately diagnosed and/orradiographic appearance alone.Keywords: diagnosis, cyst, periapicalgranuloma, pathology.