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Updated: Oct 4, 2025
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Published on: August 6, 2019
Morphological changes of the root apex in anterior teeth with periapical periodontitis: an in-vivo study
Chen-Chen Zhang1, Ya-Jing Liu1, Wei-Dong Yang2
1Department of Endodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Zhongyang Road 30, Nanjing City, 210008, Jiangsu Province, China.
Introduction:
The aim was to analyze the morphological changes of root apex in anterior teeth with periapical periodontitis.
Methods:
32 untreated anterior teeth with periapical periodontitis were enrolled, compared with the healthy contralateral teeth. Two-dimensional measurement of Cone-beam computed tomography was used to determine the location and measure diameter of the apical constriction according to Schell's methods. An open-source software (3D Slicer) was used to reconstruct the teeth. The apical constriction form was analysis according to Schell's topography. The distances of apical constriction to apical foramen and anatomical apex were measured respectively.
Results:
The difference value between buccolingual and mesiodistal diameter was (0.06 ± 0.09) mm and (0.04 ± 0.04) mm in periapical periodontitis and controls (p < 0.05). The mean distance between apical constriction and anatomical apex was significantly shorter in periapical periodontitis than controls, so was the mean distance of apical constriction to apical foramen. The most common form of apical constriction was flaring (65.6%) in periapical periodontitis.
Conclusions:
The anterior teeth with periapical periodontitis had shorter distances of apical constriction to anatomical apex and apical foramen, bigger disparities between the diameters of buccolingual and mesiodistal, and higher proportion of flaring apical constriction.
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