A Clinical Study of Periapical Lesions

Kim, Sang Woo; Woo, Soon Seop; Yoo, Im Hag; Lee, Young Soo; Shim, Kwang Sup

Abstract

The purpose of this study was to find the clinical features of periapical lesions. A total of 130 periapical lesions which were obtained from biopsy and diagnosed histopathologically as periapical cyst, periapical abscess, and periapical granuloma at the Department of Dentistry in Hanyang University Hospital were throughly analysed according to the distribution and incidence of age, sex, location, and so on. The following results were obtained: 1. Out of 130 periapical lesions, 88 cases (67.7%) were periapical cysts, 30 cases (23.1%) were periapical abscesses, and 12 cases (9.2%) were periapical granulomas. 2. The periapical lesions occurred most frequently in the third decade, and followed by the fourth, fifth, sixth, and second decade. The periapical cysts occurred most frequently in the third decade (26.1%), the periapical granulomas in the fourth decade (33.3%) the periapical abscesses in the sixth decade (26.7%). 3. The periapical lesions were more frequent in men than in women with the ratio of men to women of 1.4 : 1. The ratio of men to women of periapical cysts was 1.6 : 1, that of periapical granulomas was 0.5 : 1, and that of periapical abscesses was 1.3 : 1.4. The periapical lesions were more frequent in maxilla than in mandible with the ratio of 1.2 : 1. The ratio of maxilla to mandible of periapical cysts was 1.5 : 1, that of periapical granulomas was 0.5 : 1, that of periapical abscesses was 1 : 1.5. The most commonly involved location of the periapical lesions was maxillary anterior teeth (40.8%), and followed by mandibular molars, mandibular premolars, and mandibular anterior teeth and maxillary molars. The most frequent location of the periapical cysts was maxillary anterior teeth (48.9%), that of periapical granulomas was mandibular molars (50.0%), that of periapical abscesses was mandibular molars (40.0%).