[Correlation of clinico-radiographic findings with histopathology in teeth diagnosed as necrotic].

Practica odontologica Pub Date : 1990-08-01
M Garcés Ortiz, E R Leyva Huerta
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Abstract

A correlation between clinical and X-ray findings with histopathology in teeth diagnosed as necrotic 30 permanent human teeth with a deep carious lesion associated with a periapical radiolucency were studied. Results were based on the histopathologic findings, correlated with clinical and radiographic data, analyzed underlight microscope. The clinically diagnosed necrotic teeth with a periapical radiolucency were 19 (63.33%), showed remnants of vital pulp tissue under histologic observation, mainly in the medium and apical root thirds, in multi-rooted teeth. Presence of infiltrated bacteria was also observed at dentinal tubules coronally. 11 teeth (36.66%) remnants did not show any evidence of vital pulp tissue, only total necrosis was observed. This group showed the presence of bacteria infiltrated at the dentinal tubules coronally and into the root canals.

[诊断为坏死的牙齿的临床影像学表现与组织病理学的相关性]。
我们研究了30颗被诊断为坏死的恒牙的临床和x线表现与组织病理学之间的关系,这些恒牙伴有根尖周围的深龋病变。结果根据组织病理表现,结合临床和影像学资料,在光镜下进行分析。临床诊断为根尖周坏死的牙19颗(63.33%),在多根牙中以中、根尖三分之一坏死为主,组织学观察可见重要牙髓组织残留。冠状牙本质小管也可见浸润细菌。11颗牙(36.66%)残牙未见有生命的牙髓组织,仅见全坏死。该组显示细菌在冠状牙本质小管和根管浸润。
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