DIAGNOSTIC ACCURACY OF CLINICO-RADIOLOGICAL AND HISTOLOGICAL EXAMINATION IN CHRONIC PERI-APICAL PATHOLOGIES

Authors

  • Syed Umer Farooq MPhil Assistant Professor Department of Oral Pathology , KMU Institute of Dental Sciences, Peshawar
  • Muhammad Raza FCPS Associate Professor Department of Prosthodontics Peshawar Dental College, Peshawar
  • Syed Muhammad Awais MPhil Assistant Professor Department of Science of Dental Materials Bacha Khan Dental College, Mardan
  • Nuzhat Sultana Khattak FCPS Assistant Professor Department of Pathology , Khyber Medical College, Peshawar
  • Ihsan Ullaha PhD Assistant Professor, Institute of Basic Medical Sciences, KMU, Peshawar
  • Sana Ahmad BDS MPhil Scholar Oral Pathology, Peshawar Dental College Peshawar

Keywords:

chronic inflammatory peri-apical pathologies, apical granuloma, radicular cyst

Abstract

 Objective of this study was to determine the diagnostic accuracy of clinico-radiological and histo­logical examination in chronic peri-apical pathologies.

Observational cross sectional study was carried out in the histopathology laboratory of Khyber Teaching Hospital (KTH). Peri-apical Tissue samples from 100 patients with chronic inflammatory peri-apical pathologies diagnosed clinico-radiologically were collected after extraction of affected teeth. These samples were subsequently processed and stained with eosin and hemotoxylin staining for histological assessment. The patients’ age and gender distribution along with the relationship of clinico-radiological and histological diagnosis of these pathologies were analyzed by applying chi square test. Statistical significance was set at ? 0.05.

The clinical and radiological diagnosis of 15% of cases concluded by various dentists was incorrect. Of those, 14% diagnosed previously as peri-apical granulomas were actually radicular cysts while 1% were apical scars (p < 0.05).

Histological examination of chronic peri-apical pathologies must be performed along with clini­co-radiological examination in order to reach accurate diagnosis.

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Published

30-06-2017

Issue

Vol. 37 No. 2 (2017): April-June 2017

Section

Oral Pathology

How to Cite

1.
Farooq SU, Raza M, Awais SM, Khattak NS, Ullaha I, Ahmad S. DIAGNOSTIC ACCURACY OF CLINICO-RADIOLOGICAL AND HISTOLOGICAL EXAMINATION IN CHRONIC PERI-APICAL PATHOLOGIES. Pak Oral Dent J [Internet]. 2017 Jun. 30 [cited 2026 Apr. 18];37(2):238-41. Available from: https://www.podj.com.pk/index.php/podj/article/view/87