The role of radiographic imaging in the assessment of periapical lesions
https://doi.org/10.36377/ET-0163
Abstract
INTRODUCTION. Radiographic imaging is an essential component in the management of destructive forms of periodontitis. It is used for diagnostic purposes, for assessing the quality of treatment after root canal obturation, and for long-term follow-up evaluation of treatment outcomes.
AIM. To perform a comparative analysis of the effectiveness of different radiographic diagnostic methods in chronic destructive periodontitis.
MATERIALS AND METHODS. To determine diagnostic informativeness, radiographic examinations of 413 patients with destructive forms of periodontitis (454 teeth) were analyzed. Intraoral dental radiography using a 5D2 unit was performed in 122 patients (134 teeth), radiovisiography with SOPIX 2 (Acteon Group, France) in 199 patients (228 teeth), and cone-beam computed tomography (CBCT) using Vatech (Model: ECT-12, Korea) in 88 patients (92 teeth).
RESULTS. The overall detection rate of periapical lesions using radiovisiography and CBCT was 37.28% and 21.73%, respectively. With the use of the intraoral dental X-ray unit, only 5.97% of periapical pathology was detected, indicating the low effectiveness of this diagnostic method, especially in severe cases.
CONCLUSIONS. CBCT is effective in detecting periapical lesions that cannot be identified by radiovisiography, particularly in the maxillary region.
About the Authors
V. V. GlinkinRussian Federation
Vladimir V. Glinkin – Dentist, Private Dental Practice
Competing Interests:
The authors declare no conflict of interest.
M.-A. A. Gasbanov
Russian Federation
Magomed-Ali A. Gasbanov – Assistant Lecturer, Department of Therapeutic Dentistry
6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation
Competing Interests:
The authors declare no conflict of interest.
D. F. Rasulova
Russian Federation
Dzhandet F. Rasulova – Laboratory Assistant at the Department of Therapeutic Dentistry, Medical Institute
6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation
Competing Interests:
The authors declare no conflict of interest.
G. G. Avetisyan
Russian Federation
Gor G. Avetisian – Laboratory Assistant at the Department of Therapeutic Dentistry, Medical Institute
6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation
Competing Interests:
The authors declare no conflict of interest.
D. A. Babakhanov
Russian Federation
David A. Babakhanov – Postgraduate Student, Department of Therapeutic Dentistry
6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation
Competing Interests:
The authors declare no conflict of interest.
N. A. Dolzhikov
Russian Federation
Nikita A. Dolzhikov – Resident, Department of Therapeutic Dentistry, Medical Institute
6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation
Competing Interests:
The authors declare no conflict of interest.
Z. S. Khabadze
Russian Federation
Zurab S. Khabadze – Dr. Sci. (Med.), Professor, Head of the Department of Therapeutic Dentistry, Medical Institute
6 Miklukho-Maklaya Str., Moscow 117198, Russian Federation
Competing Interests:
The authors declare no conflict of interest.
References
1. Makarevich K.O., Minenko V.F., Kuten S.A., Verenich K.A. Estimation of effective doses to patients during dental X-ray examinations. Journal of Civil Protection. 2017;1(4):424–430. (In Russ.) https://doi.org/10.33408/2519-237X.2017.1-4.424
2. Antanyan A.A. Effective endodontics. 2 nd ed. Moscow: Meditsinskoe informatsionnoe agentstvo; 2017. 232 p. (In Russ.)
3. Chibisova M.A., Zubareva A.A., Dudarev A.L., Kaiserov E.V. The modern approach to differential clinical and radiological characteristics of odontogenic cysts of the maxillofacial region different etiopathogenic types. The Dental Institute. 2017;3:78–83. (In Russ.)
4. Vandenberghe B., Jacobs R., Bosmans H. Modern dental imaging: a review of the current technology and clinical applications in dental practice. Eur Radiol. 2010;20(11):2637–2655. https://doi.org/10.1007/s00330-010-1836-1
5. Glinkin V.V., Chaikovskaya I.V. X-ray-morphological methods for diagnostics of destructive forms of periodontitis. Cathedra. Dental Education. 2022;(79):42–44. (In Russ.)
6. Olivieri J.G., Duran-Sindreu F., Mercadé M., Pérez N., Roig M. Treatment of a perforating inflammatory external root resorption with mineral trioxide aggregate and histologic examination after extraction. J Endod. 2012;38(7):1007–1011. https://doi.org/10.1016/j.joen.2012.04.002
7. Tsai P., Torabinejad M., Rice D., Azevedo B. Accuracy of cone-beam computed tomography and periapical radiography in detecting small periapical lesions. J Endod. 2012;38(7):965–970. https://doi.org/10.1016/j.joen.2012.03.001
8. Sangaeva L.M., Vasilyev Y.A., Volodina E.I., Ulyanova V.A. Comparative analysis of the doses of radiation exposure during studies of the maxillofacial region. Biotekhnosfera. 2014;(4):41–44. (In Russ.)
9. Stryukova K.S., Marzoeva O.V. Determination of radiation doses in dental diagnostic studies using a dental X-ray unit. Forcipe. 2019;2(S1):1004. (In Russ.) Available at: https://ojs3.gpmu.org/index.php/forcipe/article/download/2221/2222/ (accessed: 13.08.2025).
10. Rogatskin D.V., Ginali N.V. The art of dental radiography. Moscow: Stbook; 2007. 200 p.
11. Kruse C., Spin-Neto R., Reibel J., Wenzel A., Kirkevang L.L. Diagnostic validity of periapical radiography and CBCT for assessing periapical lesions that persist after endodontic surgery. Dentomaxillofac Radiol. 2017;46(7):20170210. https://doi.org/10.1259/dmfr.20170210
12. Uraba S., Ebihara A., Komatsu K., Ohbayashi N., Okiji T. Ability of cone-beam computed tomography to detect periapical lesions that were not detected by periapical radiography: A retrospective assessment according to tooth group. J Endod. 2016;42(8):1186–1190. https://doi.org/10.1016/j.joen.2016.04.026
13. Aanenson J.W., Till J.E., Grogan H.A. Understanding and communicating radiation dose and risk from cone beam computed tomography in dentistry. J Prosthet Dent. 2018;120(3):353–360. https://doi.org/10.1016/j.prosdent.2018.01.008
14. Glinkin V.V. Analysis of the effectiveness of X-ray morphological diagnostic methods for destructive forms of periodontitis. Eurasian Union of Scientists. Series: Medical, Biological and Chemical Sciences. 2021;(10):11–16. (In Russ.) Available at: https://bio-med.euroasia-science.ru/index.php/Euroasia/article/view/758 (accessed: 13.08.2025).
Review
For citations:
Glinkin V.V., Gasbanov M.A., Rasulova D.F., Avetisyan G.G., Babakhanov D.A., Dolzhikov N.A., Khabadze Z.S. The role of radiographic imaging in the assessment of periapical lesions. Endodontics Today. 2026;24(1):86-93. https://doi.org/10.36377/ET-0163

























