ch. 3

Question 1

Describe chronic hyperplastic pulpitis?

Answer 1

The infected pulp comes out the coronal portion because it’s easier to come out that way.

Question 2

What is the most common periapical pathosis?

Answer 2

Periapical Granuloma

Question 3

Describe a periapical granuloma?

Answer 3

mass of inflamed granulation tissue at the apex of a non-vital tooth

Question 4

How does a periapical granuloma present clinically?

Answer 4

asymptomatic: no pain or sensation

Question 5

What’s the radiographic presentation of a periapical granuloma?

Answer 5

Well defined radiolucency, root resorption, punched out border

Question 6

Describe radiographic presentation of periapical cyst?

Answer 6

well defined radiolucensy, root resorption, punched out border

Question 7

What causes a periapical cyst?

Answer 7

inflammation stimulation of epithelium in the area (Rests of Mallasez)

Question 8

Describe a histologic presentation of a periapical granuloma.

Answer 8

Mixed pink collagen with neutrophils

Question 9

Describe a histologic presentation of a periodontal cyst?

Answer 9

Spiderweb like-white empty space

Question 10

Describe a histologic presentation of a periapical abscess.

Answer 10

Lots of neutrophils

Question 11

What is the main thing noticable about a periapical abscess?

Answer 11

Lots of neutrophils

Question 12

Describe a periapical scar

Answer 12

Lots of pink collagen tissue

Question 13

When are periapical scars most commonly going to happen?

Answer 13

After endo treatment

Question 14

What’s the difference between and intraoral sinus tract and Cutaneous sinus tract?

Answer 14

Intraoral is inside the mouth

Cutaneous sinus tract is outside the mouth

Question 15

Which teeth do cutaneous sinus tracts most often occur from?

Answer 15

Mandibular

Question 16

What are two other names for an intraoral sinus tract?

Answer 16

Parulis

Gum boil

Question 17

What causes a sinus tract?

Answer 17

Pus from a Periapical abscess dissects through the bone, path of least resistance till it drains through the mucosa/skin

Question 18

What are the two types of Cellulitis?

Answer 18

Ludwigs angina

Cavernous sinus thrombosis

Question 19

What is Cellulitis?

Answer 19

It’s like a sinus tract, but the pus never finds a clear exit point and it spreads throughout a lot of soft tissue.

Question 20

What does Ludwigs angina (cellulitis) look like? and what teeth is it from?

Answer 20

“Bull neck” and “woody tongue” swollen neck

Mandibular teeth

Question 21

What are symptoms of Ludwigs angina?

Answer 21

Pain in the neck

Dysphagia, Dysphonia, Dysarthria

Question 22

What does cavernous sinus thrombosis look like?

Answer 22

Edematous periorbital enlargement

Swelling along the lateral border of the nose

Question 23

Which teeth abscesses cause Cavernous Sinus Thrombosis?

Answer 23

Maxillary Anterior/Premolar

Question 24

What’s the difference in “Condensing Osteitis” and “idiopathic Osteosclerosis”?

Answer 24

Radiographically identical

Condensing Osteitis has inflammation

Question 25

What is condensing osteitis?

Answer 25

Bone scar at apex

Localized bone sclerosis at the apex

Question 26

What is it called when you get erosion from gastric acid?

Answer 26

Perimolysis