12. Inflammatory Conditions of the Jaw - Sheet1 (1) Flashcards
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What are the 5 cardinal signs of inflammation and what does each mean?
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What is the localized inflammation on a radiograph?
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What is diffuse inflammation on a radiograph?
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What is the effect of inflammation on the PDL space?
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What is the effect of inflammation on the cortical plate?
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What is the effect of inflammation on the root in a radiograph?
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What may happen to the periosteum due to inflammation?
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Acute apical periodontitis leads to _____ which leads to _____.
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Chronic apical periodontitis leads to ______ which leads to ________.
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What are three things seen at the apex due to acute inflammation?
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What is seen at the apex due to chronic inflammation?
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What are two cell changes seen in acute inflammation?
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What are 4 cell changes seen in chronic inflammation?
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What is the tissue change seen in acute inflammation?
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What are 2 tissue changes seen in chronic inflammation?
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Mechanism of PA Inflammatory Disease:
- ____ necrosis
- Metabolites derived from necrotic pulp exit the ______.
- Cause inflammatory response in _______ and ______.
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What is the range of clinical features for apical periodontitis?
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Apical periodontitis can be seen with or without what three things?
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What three image types are used to examine apical periodontitis?
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What are panoramic images useful for with apical periodontitis examination?
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What are occlusal images used to detect during examination of apical periodontitis?
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Is the periphery of apical periodontitis well defined or ill-defined?
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Are there any changes to the internal structure in apical periodontitis in the early stage?
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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
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Apical Periodontitis Effects on Surrounding Structures:
What may be seen around the focus of the radiolucency?
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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 ______.
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What are the four differential diagnoses for Apical Periodontitis?
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In the early stages of PA cemento-osseous dysplasia, what can appear similar to apical periodontitis?
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Are the teeth vital in PA cemento-osseous dysplasia?
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Are there single or multiple apices involved in PA cemento-osseous dysplasia?
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What is another name for idiopathic osteosclerosis?
20
Describe the PDL space in dense bone island.
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Are the teeth vital in dense bone island?
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Describe the transition between normal and abnormal bone in dense bone island.
20
Dense bone island may cause what?
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?
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Fibrous scars are areas of ______ tissue.
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What should be considered in regard to the patient with Fibrous Scar?
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What is essential in Fibrous Scar if they are available?
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In rare cases, what may develop within the periapical regions?
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With metaplastic lesions, you should watch for _________ of the PDL space.
27
What is the term for inflammation of soft tissues surrounding the crown of a partially erupted tooth?
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Pericornitis is most often seen in association with which teeth and which age group?
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What are three common presentations associated with pericornitits?
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What two things can be seen around the root and tooth in pericornitis imaging?
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What may happen if the inflammatory response becomes exuberant in pericornitis and changes extend
to bone?
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Is the periphery of pericornitis well or poorly defined?
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What are two other lesions that can be associated with pericornitis?
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How can you manage pericornitis?
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What is Osteomyeltitis?
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What is the hallmark feature of Osteomyelitis?
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If persistent, how does osteomyelitis spread?
35
What is the most common source of osteomyelitis?
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Besides spread of PA infection to bone, what is another source of osteomyelitis?
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What age can osteomyelitis affect?
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What gender is more affected by osteomyelitis?
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Is osteomyeltitis more common in the maxilla or the mandible?
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What are 6 symptoms of osteomyelitis?
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Are the involved teeth in osteomyelitis mobile and sensitive to percussion?
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Parasthesia of the ____ has been reported with osteomyelitis.
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What are two ways that chronic osteomyelitis may arise?
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A clinical feature of osteomyletitis is intermittent, recurrent episodes of _____, _____, ____, and _____.
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Do patients with osteomyeltitis have pain?
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Are culture results usually positive or negative for osteomyelitis?
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What are panoramic images used for with osteommyelitis imaging?
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What are occlusal images used for with osteomyleitis imaging examination?
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What are CBCTs used for with osteomyelitis imaging examination?
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What might MRIs be useful for detecting for osteomyelitis imaging?
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What is nuclear imaging used for for osteomyelitis?
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What is the most common location for osteomyelitis?
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Is the periphery for osteomyelitis well or ill-defined?
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What does this describe?
“Onion skin pattern of periosteal new bone formation may be seen; seen more often in children
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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
50
What is the differential diagnosis for a unilateral facial swelling in adults?
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What is the differential diagnosis for a unilateral facial swelling in children?
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What is the difference in the bone in Fibrous dysplasia vs. osteomyelitis?
52
What are four examples of malignant lesions that cause onion skinning?
52
When do you consider a malignancy vs. osteomyelitis?
52
Oseosarcoma and chondrosarcoma have the capability of laying _____, which may be ____ or ____.
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What effect does Paget disease have on the mandible? Is this also seen in Osteomyelitis?
53
Are sequestrae seen in Paget disease?
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What are the two treatments for Osteomyelitis?
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.
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Are the margins of Osteoradionecrosis well-defined or ill-defined?
57
Can Osteoradionecrosis have sequestra?
62
What are two drugs that inhibit osteoclastic function and bone resorption?
62
Bisphosphonates are important in the treatment of ____, ____, ______, and _____.
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What is the main radiographic finding of osteonecrosis of the jaw?
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What effect does osteoradionecrosis have on the lamina dura and PDL space?
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What is the mainstream of therapy for osteonecrosis of the jaw?
