Journal of Oral Science Research ›› 2022, Vol. 38 ›› Issue (6): 505-508.DOI: 10.13701/j.cnki.kqyxyj.2022.06.004

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Differential Diagnosis and Overview of Nonendodontic Periapical Lesions

ZENG Kangrui, XIA Wenwei*   

  1. Department of Endodontics and Operative Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai 200001, China
  • Received:2021-02-23 Online:2022-06-28 Published:2022-06-23

Abstract: Nonendodontic periapical lesions occur in the periapical area, which may lead to misdiagnosis and mistreatment when confused with pulp-derived periapical periodontitis. The differential diagnosis of nonendodontic periapical lesions mainly depends on clinical examination, imaging manifestations, and pulp vitality test. The nature of the lesion, the apical condition, and pulp vitality of the teeth involved in the lesion and other factors should be considered in determining the optimum treatment. In this review, we summarized the differential diagnosis of nonendodontic periapical lesions and the treatment of involved teeth, in order to deepen the understanding of the disease and provide reference for clinical diagnosis and treatment.

Key words: periapical periodontitis, involved teeth, nonendodontics, differential diagnosis, decompression