12. Inflammatory Conditions of the Jaw - Sheet1 (1)

Question 1

3

What are the 5 cardinal signs of inflammation and what does each mean?

Question 2

4

What is the localized inflammation on a radiograph?

Question 3

4

What is diffuse inflammation on a radiograph?

Question 4

5

What is the effect of inflammation on the PDL space?

Question 5

5

What is the effect of inflammation on the cortical plate?

Question 6

5

What is the effect of inflammation on the root in a radiograph?

Question 7

5

What may happen to the periosteum due to inflammation?

Question 8

6

Acute apical periodontitis leads to _____ which leads to _____.

Question 9

6

Chronic apical periodontitis leads to ______ which leads to ________.

Question 10

7

What are three things seen at the apex due to acute inflammation?

Question 11

7

What is seen at the apex due to chronic inflammation?

Question 12

8

What are two cell changes seen in acute inflammation?

Question 13

8

What are 4 cell changes seen in chronic inflammation?

Question 14

8

What is the tissue change seen in acute inflammation?

Question 15

8

What are 2 tissue changes seen in chronic inflammation?

Question 16

10

Mechanism of PA Inflammatory Disease:
- ____ necrosis
- Metabolites derived from necrotic pulp exit the ______.
- Cause inflammatory response in _______ and ______.

Question 17

11

What is the range of clinical features for apical periodontitis?

Question 18

11

Apical periodontitis can be seen with or without what three things?

Question 19

12

What three image types are used to examine apical periodontitis?

Question 20

12

What are panoramic images useful for with apical periodontitis examination?

Question 21

12

What are occlusal images used to detect during examination of apical periodontitis?

Question 22

13

Is the periphery of apical periodontitis well defined or ill-defined?

Question 23

13

Are there any changes to the internal structure in apical periodontitis in the early stage?

Question 24

13

Changes to the internal structure during late stage of apical periodontitis:
- _____ of PDL space with apical loss of _____
- periapical ______
- may be surrounded by zone of _____
- possible root resorption

Question 25

14

Apical Periodontitis Effects on Surrounding Structures:

What may be seen around the focus of the radiolucency?

Question 26

14

Apical Periodontitis Effects on Surrounding Structures:

Occassionally, the lesion may be entirely made up of ____ bone, with some evidence of _____ of
PLS. This is called ______.

Question 27

18

What are the four differential diagnoses for Apical Periodontitis?

Question 28

19

In the early stages of PA cemento-osseous dysplasia, what can appear similar to apical periodontitis?

Question 29

19

Are the teeth vital in PA cemento-osseous dysplasia?

Question 30

19

Are there single or multiple apices involved in PA cemento-osseous dysplasia?

Question 31

20

What is another name for idiopathic osteosclerosis?

Question 32

20

Describe the PDL space in dense bone island.

Question 33

20

Are the teeth vital in dense bone island?

Question 34

20

Describe the transition between normal and abnormal bone in dense bone island.

Question 35

20

Dense bone island may cause what?

Question 36

22

Is it possible for a radiolucency to persist at the root apex in Fibrous Scar even after successful
orthograde endodontic treatment or retrograde treatment?

Question 37

22

Fibrous scars are areas of ______ tissue.

Question 38

22

What should be considered in regard to the patient with Fibrous Scar?

Question 39

22

What is essential in Fibrous Scar if they are available?

Question 40

24

In rare cases, what may develop within the periapical regions?

Question 41

24

With metaplastic lesions, you should watch for _________ of the PDL space.

Question 42

27

What is the term for inflammation of soft tissues surrounding the crown of a partially erupted tooth?

Question 43

27

Pericornitis is most often seen in association with which teeth and which age group?

Question 44

27

What are three common presentations associated with pericornitits?

Question 45

28

What two things can be seen around the root and tooth in pericornitis imaging?

Question 46

28

What may happen if the inflammatory response becomes exuberant in pericornitis and changes extend
to bone?

Question 47

28

Is the periphery of pericornitis well or poorly defined?

Question 48

29

What are two other lesions that can be associated with pericornitis?

Question 49

29

How can you manage pericornitis?

Question 50

33

What is Osteomyeltitis?

Question 51

33

What is the hallmark feature of Osteomyelitis?

Question 52

33

If persistent, how does osteomyelitis spread?

Question 53

35

What is the most common source of osteomyelitis?

Question 54

35

Besides spread of PA infection to bone, what is another source of osteomyelitis?

Question 55

36

What age can osteomyelitis affect?

Question 56

36

What gender is more affected by osteomyelitis?

Question 57

36

Is osteomyeltitis more common in the maxilla or the mandible?

Question 58

36

What are 6 symptoms of osteomyelitis?

Question 59

36

Are the involved teeth in osteomyelitis mobile and sensitive to percussion?

Question 60

36

Parasthesia of the ____ has been reported with osteomyelitis.

Question 61

36

What are two ways that chronic osteomyelitis may arise?

Question 62

38

A clinical feature of osteomyletitis is intermittent, recurrent episodes of _____, _____, ____, and _____.

Question 63

38

Do patients with osteomyeltitis have pain?

Question 64

38

Are culture results usually positive or negative for osteomyelitis?

Question 65

39

What are panoramic images used for with osteommyelitis imaging?

Question 66

39

What are occlusal images used for with osteomyleitis imaging examination?

Question 67

39

What are CBCTs used for with osteomyelitis imaging examination?

Question 68

39

What might MRIs be useful for detecting for osteomyelitis imaging?

Question 69

39

What is nuclear imaging used for for osteomyelitis?

Question 70

40

What is the most common location for osteomyelitis?

Question 71

40

Is the periphery for osteomyelitis well or ill-defined?

Question 72

41

What does this describe?

“Onion skin pattern of periosteal new bone formation may be seen; seen more often in children

Question 73

41

What does this describe?

“The radiolucency line that separates layers of periosteal new bone from one another may begin to fill up
with sclerotic bone pattern; may be visible clinically as facial asymmetry; may also develop a fistula

Question 74

50

What is the differential diagnosis for a unilateral facial swelling in adults?

Question 75

50

What is the differential diagnosis for a unilateral facial swelling in children?

Question 76

51

What is the difference in the bone in Fibrous dysplasia vs. osteomyelitis?

Question 77

52

What are four examples of malignant lesions that cause onion skinning?

Question 78

52

When do you consider a malignancy vs. osteomyelitis?

Question 79

52

Oseosarcoma and chondrosarcoma have the capability of laying _____, which may be ____ or ____.

Question 80

53

What effect does Paget disease have on the mandible? Is this also seen in Osteomyelitis?

Question 81

53

Are sequestrae seen in Paget disease?

Question 82

54

What are the two treatments for Osteomyelitis?

Question 83

56

Radiation-induced changes in jaws greater than ____ grays lead to exposed bone for at least ____ months.
This is typically seen in the _____ and there may or may not be pain.

Question 84

57

Are the margins of Osteoradionecrosis well-defined or ill-defined?

Question 85

57

Can Osteoradionecrosis have sequestra?

Question 86

62

What are two drugs that inhibit osteoclastic function and bone resorption?

Question 87

62

Bisphosphonates are important in the treatment of ____, ____, ______, and _____.

Question 88

64

What is the main radiographic finding of osteonecrosis of the jaw?

Question 89

64

What effect does osteoradionecrosis have on the lamina dura and PDL space?

Question 90

69

What is the mainstream of therapy for osteonecrosis of the jaw?