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Index
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ORLPATH OWN
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Chapter 1
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DISEASES OF THE PERIAPICAL TISSUE
level: DISEASES OF THE PERIAPICAL TISSUE
Questions and Answers List
level questions: DISEASES OF THE PERIAPICAL TISSUE
Question
Answer
Inflammation is confined in the pulp
Pulpitis
chronic inflammatory disorder of periradicular tissues caused by etiological agents of endodontic origin.
Apical Periodontitis
serves an important protective function, aimed at confining bacteria discharged from the root canal space and preventing them from spreading into adjacent bone marrow spaces and other remote sites.
Apical Periodontitis
serves an important protective function, aimed at confining bacteria discharged from the root canal space and preventing them from spreading into adjacent bone marrow spaces and other remote sites.
Apical Periodontitis
tissue injury and inflammation developed within the periodontal ligament
Acute Apical Periodontitis
ETIOLOGY: Acute Traumatic Apical Periodontitis
Blow, kick or fall upon the face and teeth; Injuries during dental operation; Excessive occlusal stress
ETIOLOGY: Acute Chemical Apical Periodontitis
drugs introduced into pulp canal
medicament that causes necrosis of periodontal membrane with bone resorption
phenol
pathology of acute chemical apical periodontitis
phenol
medications used that may cause acute chemical apical periodontitis
sodium hypochloride, phenol, hydrogen perioxide, formocresol
acute inflammation of periapical tissues due to pathogenic microorganisms that reached the apical foramen through the pulp canal and spreads into periodontal tissues
Acute Infective Apical Periodontitis
pathology of acute infective apical periodontitis
heperemia of blood vessel, slowing of circulation of blood in the pulp, migration of WBC
Acute Dento-Alveolar Abscess: upper lip swollen stiff & distended
Mx anteriors
Acute Dento-Alveolar Abscess: upper portion of cheek swollen, lower eyelid edematous
Mx PMs & M
Acute Dento-Alveolar Abscess: lower lip & chin region swollen
Mnd Anteriors
Acute Dento-Alveolar Abscess: swollen lower part of cheek, angle of mandible, submaxillary region
Mnd Posteriors
refers to the feeling of strangling and choking, secondary to obstruction of the airway.
Ludwig's angina
Chronic Periapical Inflammation factors:
low virulence of bacteria, high body resistance, presence of drainage
possible drainage:
crown of tooth, fistula
Types of Chronic Periapical Inflammation:mass of granulation tissue at periapical area as response to mild irritation
Dental Granuloma
Types of Chronic Periapical Inflammation:simplest form of chronic periapical inflammation
Dental Granuloma
Types of Chronic Periapical Inflammation:constant seepage of toxic products into periapical tissues from infected pulp
Dental Granuloma
Types of Chronic Periapical Inflammation:inflammatory exudates near the apical foramen is confined at the center or within the fibrous wall of the granuloma
Closed granuloma
Types of Chronic Periapical Inflammation:pus develops at the center of granuloma and succeeds in perforating through bone into the oral cavity forming a sinus where discharge exudate passes
Discharging granuloma
an abnormal passage from the apical periodontal area of a tooth to the surface of the oral mucous membrane, permitting the discharge of inflammatory or suppurative material
Fistula
Types of Chronic Periapical Inflammation:Epithelium encloses the areas of necrotic granulation tissue or lining the inner surface of the abscess sac after the center has broken down
Epitheliated granuloma
Types of Chronic Periapical Inflammation:Epithelial cells derived from the epithelial rest of Malassez found in the periodontal ligament
Epitheliated granuloma
Types of Chronic Periapical Inflammation:represents a healed abscess after infection has subdued
Sclerosed Granuloma
Types of Chronic Periapical Inflammation:granulation tissue is replaced by collagen fiber bundles
Sclerosed Granuloma
Types of Chronic Periapical Inflammation:inflammatory cells disappear
Sclerosed Granuloma
Types of Chronic Periapical Inflammation:root-end cyst or periapical cyst or apical periodontal cyst
Radicular cyst
Types of Chronic Periapical Inflammation:results from bacterial infection and necrosis of dental pulp
Radicular cyst
Types of Chronic Periapical Inflammation:develop from epitheliated granuloma
Radicular cyst
Types of Chronic Periapical Inflammation:originates from acute periapical abscess or granuloma
Chronic Periapical Abscess
Types of Chronic Periapical Inflammation:complaints of transient uneasiness
Chronic Periapical Abscess
Types of Chronic Periapical Inflammation:may have slight nodule on gingiva
Chronic Periapical Abscess
Types of Chronic Periapical Inflammation: in acute exacerbation, pain and swelling and small spherical mass of gum (gumboil) with fistula is observed
Chronic Periapical Abscess
Types of Chronic Periapical Inflammation:in chronic state, sensitive to percussion, gingiva on apical region is swollen and red
Chronic Periapical Abscess