2. Classification of Periapical Disease

Question 1

2

What are the three ways that bacteria and toxins access the periapical tissues?

Question 2

3

What are the 6 periradicular conditions?

Question 3

3

What is another name for Chronic Apical Abscess?

Question 4

4

Normal periapical tissue has no ______ in periradicular tissue, no sensitivity to ____, and no ______ or ______ tracts.

Question 5

6

Symptomatic Apical Periodontitis can be associated with either _____ or a ____.

Question 6

7

What are four symptomatic apical periodontitis etiologies?

Question 7

7

Inflammtory mediators are from _____ pulp, while microbial toxins are from _____.

Question 8

8

Symptomatic Apical Periodontitis can have ______ pain.

Question 9

8

Describe the radiographic appearance of Symptomatic Apical Periodontitis.

Question 10

8

Symptomatic Apical Periodonititis has pain to ____ and _____.

Question 11

10

What is the most diagnostic symptom of symptomatic apical periodontitis?

Question 12

11

How do you verify pain to touch and chewing in symptomatic apical periodontitis?

Question 13

12

Percussion tests should first be done with a _____. If that is not sensitive, than use a _____.

Question 14

13

What is the treatment for symptomatic periapical periodonititis?

Question 15

14

What does SIPSAP stand for?

Question 16

14

Is SIPSAP vital pulp or necrotic pulp?

Question 17

14

In SIPSAP, what symptom does the SIP aspect cause, and what symptom does the SAP aspect cause?

Question 18

15

Pulpal necrosis with symptomatic apical periodontitis has no response to _____, is _____ to percussion, and has no ____ or ____ tracts.

Question 19

17

What is the etiology for Asymptomatic Apical Periodontitis?

Question 20

17

Does Asymptomatic Apical Periodontitis have pain to percussion?

Question 21

17

Describe the X-ray of Asymptomatic Apical Periodontitis.

Question 22

18

What is the treatment for Asymptomatic Apical Periodontitis?

Question 23

19

What is the most diagnostic sign of Asymptomatic Apical Periodontitis?

Question 24

21

What is the etiology of Condensing Osteitis?

Question 25

21

Condensing Osteitis appears as a ____.

Question 26

22

Condensing Osteitis Histology:

-Increase in _____ density.
-Less _____.
-______ infiltrate.
-Can be associated with either ____ or ______ pulps.

Question 27

23

Condensing Osteitis:

-If associated with pulpal disease it is called _____ and ______ treatment is needed.
-If pulp is normal you call it _____ and it does ________.

Question 28

25

Acute Apical Abscess can be ____ or ____.

Question 29

25

Acute Apical Abscess can be associated with ______.

Question 30

25

Acute Apical Abscess can affect ______ (____).

Question 31

25

Is cellulitis a symptom or a diagnosis of Acute Apical Abscess?

Question 32

26

What are 5 symptoms of Acute Apical Abscess?

Question 33

26

What is the defining symptom of Acute Apical Abscess?

Question 34

28

What are two features of a Recrudescent Abscess or Phoenix Abscess seen with Acute Apical Abscesses?

Question 35

30

What is the treatment for releasing pressure in an Acute Apical Abscess?

Question 36

30

What is the treatment for systemic support in Acute Apical Abscess?

Question 37

30

What is the therapy for removing the cause in Acute Apical Abscess?

Question 38

32

Chronic Apical Abscess is associated with _____.

Question 39

32

Chronic Apical Abscess is an abscess that drains to the _____.

Question 40

32

In Chronic Apical Abscess, a _____ forms.

Question 41

33

Is Chronic Apical Abscess usually symptomatic or Asymptomatic?

Question 42

33

Describe the radiographic appearance of Chronic Apical Abscess.

Question 43

34

Sinus Tracts can drain into the _____, which is _____. They can also be _____ or in the ______ where they look like a _____.

Question 44

35

A sinust tract can be traced with a _____ point to determine the ____ of drainage. Sometimes this is not possible if the sinus tract is ____.

Question 45

36

What is the most diagnostic sign / symptom for Chronic Apical Abscess?

Question 46

37

What are three examples of histological diagnosis for periapical lesions that can only come from biopsy?

Question 47

38

What are 5 cells found in granulomas?

Question 48

38

These things are often found in granulomas:

-____ ____ cells
-____ cells
-_____ clefts
-_____

Question 49

39

What are two types of cysts?

Question 50

39

A cyst is a central cavity filled with _____ and lined by ______ epithelium. In turn this lesion is surrounded by ______.

Question 51

40

Where does epithelium for cysts come from?

Question 52

41

An acute abscess is an area of ______ necrosis.

Question 53

41

Acute abscess have disintegrating _____ and ____ exudate.

Question 54

41

Acute abscesses are surrounded by ________.

Question 55

42

What are three components of chronic abscesses?

Question 56

43

If a tooth has a prior root canal, than the pulpal diagnosis is ______.

Question 57

44

If the damaged tissues and microbial products are removed, periapical tissues _________.

Question 58

44

What are the three types of ligament repair?

Question 59

44

How long does it take to get periapical tissue repair?