Microstructure analysis of periapical area in abscess patients before and after endodontic treatment
Abstract
Objectives: The study aims to analyze the microstructure of the alveolar bone in the periapical area by knowing the area of the lesion, the number of particles, and the area of the particles in patients before and after endodontic treatment in the diagnosis of inflammatory periapical abscess lesions through digitizing periapical radiographs using ImageJ software. By using this approach, it is hoped that more objective and accurate data can be obtained in evaluating changes that occur in periapical lesions, thereby improving the overall quality of endodontic treatment.Materials and Methods: This research uses an observational analysis design using the paired t-test and the Wilcoxon. Samples were taken using a purposive sampling technique, namely 28 pairs of periapical radiographs before and after endodontic treatment, with a diagnosis of periapical abscess carried out at Hasanuddin University Dental Hospital in the period February-April 2024, who met the radiographic inclusion criteria were included in this study.
Results: The results showed that from 28 pairs of, there was a decrease in the average lesion area from 20.00 ± 16.71 to 18.19 ± 6.92mm2, an increase in the average number of particles from 4.89 ± 2.15 to 4.93 ± 1.82, and an increase in the average area of particles from 130.14 ± 2.15mm2 to 131.82 ± 24.28 mm².
Conclusion: The conclusion of this research is that there was a difference in decreasing the area of the lesion, the number of, but the results were not significant within three months during endodontic treatment. Minimal changes are obtained from the minimal and particles produced.
Keywords: Periapical abscess, digitization of periapical radiographs, ImageJ software
References
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3. Janani M, Ghasemi N, Johari M, Nazari L. Comparison of Root Canal Filling Quality and Periapical Health Using Periapical, Panoramic, and Cone-beam Computed Tomography Radiographic Techniques. J Dent Mater Tech. 2022;11(1).
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7. Abdelgawad LM, Kenawi LM. Clinical and radiographic evaluation of healing effect of low level laser therapy on chronic apical lesions. Egypt Dent J. 2016;62(1-January (Part 5)):1039–49
8. Duncan HF, Kirkevang L, Peters OA, El‐Karim I, Krastl G, Del Fabbro M, et al. Treatment of pulpal and apical disease: the European Society of Endodontology (ESE) S3‐level clinical practice guideline. Int Endod J. 2023;56:238–95
9. Thomas A, Firman RN, Azhari A. Analisis radiograf periapikal menggunakan software ImageJ pada granuloma periapikal pada perawatan endodontik. Maj Kedokt Gigi Indones. 2017;3(2):105–10
10. Soltani P, Sami S, Yaghini J, Golkar E, Riccitiello F, Spagnuolo G. Application of fractal analysis in detecting trabecular bone changes in periapical radiograph of patients with periodontitis. Int J Dent. 2021;2021(1):1-5
11. Epsilawati L, Wulansari DP, Asykarie INA. Fractal Dimension Approach for Quantitative Analysis Radiograph in Periapical Inflammation: A Systematic Review. Acta Med Philipp. 2025;59(3):125
12. Sumantri DDS, Firman RN, Azhari A. Analisis radiograf periapikal menggunakan software imageJ pada abses periapikal setelah perawatan endodontik. Maj Kedokt Gigi Indones. 2017;3(1):29–34
13. Saeed SS, Ibraheem UM, Alnema MM. Quantitative analysis by pixel intensity and fractal dimensions for imaging diagnosis of periapical lesions. Int J Enhanc Res Sci Technol Eng. 2014;3(5):138–44.
14. Fayyaz A, Ehsan S, Waseem RF. Radiographic Evaluation of Endodontic Treatment Performed by Undergraduate Students and Interns. J Pakistan Dent Assoc. 2018;27(3)
15. Mahasneh SA, Al-Hadidi A, Kadim Wahab F, Sawair FA, AL-Rabab’ah MA, Al-Nazer S, et al. A cone beam CT study on the correlation between crestal bone loss and periapical disease. J Clin Med. 2023;12(6):2423
16. Al-Fouzan KS. A new classification of endodontic‐periodontal lesions. Int J Dent.2014(1):919173
Published
2025-08-31
How to Cite
DONA, Adriani Prima; WULANSARI, Dwi Putri.
Microstructure analysis of periapical area in abscess patients before and after endodontic treatment.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 9, n. 2, p. 82-86, aug. 2025.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1330>. Date accessed: 29 nov. 2025.
doi: https://doi.org/10.32793/jrdi.v9i2.1330.
Section
Original Research Article
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
