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Neoplasia masquerading as periapical infection.
I L Hutchison1, C Hopper, H S Coonar
1Department of Oral and Maxillofacial Surgery, St Bartholomew's Hospital, West Smithfield, London.
British Dental Journal
|April 7, 1990
Summary
Dentists should suspect neoplasia, not infection, when periapical radiolucencies show atypical signs like vital teeth or lack of response to endodontic therapy. Histological examination of surgical samples is crucial for accurate diagnosis and preventing overlooked tumors.
Area of Science:
- Oral pathology
- Dental radiology
- Oncology
Background:
- Periapical radiolucencies are often mistaken for periapical infections.
- Neoplasms can present atypically, mimicking inflammatory conditions.
Observation:
- Seven cases of neoplasia presenting as periapical radiolucencies were initially treated for infection.
- Atypical features included vital teeth, root resorption, irregular radiolucent borders, mobility, nerve anesthesia, and poor endodontic treatment response.
Findings:
- Neoplastic lesions can mimic periapical infections, leading to delayed diagnosis.
- Specific clinical and radiographic features can raise suspicion for malignancy.
Implications:
- Dentists must consider neoplasia in differential diagnosis for periapical radiolucencies.
- Histological examination of all apical surgical specimens is essential for early cancer detection.
- Prompt diagnosis and treatment of oral neoplasms improve patient outcomes.