Chapter 3: Pulpal and Periapical Disease Flashcards
what are the three types of pulpitis?
reversible pulpitis, irreversible pulpitis, or chronic hyperplastic pulpitis
chronic hyperplastic pulpitis
chronic hyperplastic pulpitis
what are the 3 types of periapical pathologies?
periapical granuloma, apical periodontal cyst, periapical abscess
what are the 4 sequelae of periapical pathology?
sinus tract, osteomyelitis, cellulitis, condensing osteitis
95% of all lesions found at the periapical region are ___ in etiology
pulpal
what are the localized lesions of periapical pathology?
periapical granuloma, apical periodontal cyst, periapical abscess, periapical scar
periapical abscess
how does the beginning of any inflammation of the PDL present radiographically?
widening of the lamina dura (PDL space)
what is the most common periapical pathosis?
periapical granuloma
periapical granuloma is also called ___
apical periodontitis
a ___ is a mass of inflamed granulation tissue at the apex of a nonvital tooth
periapical granuloma
a periapical granuloma may be found in transition from ___ and/or ___
periapical abscess and/or apical periodontal cyst
what is described as secondary acute inflammatory changes within a periapical granuloma?
phoenix abscess
what is the clinical presentation of a periapical granuloma?
- most are asymptomatic
- tooth not typically mobile
- usually not sensitive to percussion
- tooth does not respond to thermal or electric pulp tests
what is the radiographic presentation of periapical granuloma?
- radioluscent lesion
- variable size
- symmetrical
- well-defined
- punched out border most often
- may be somewhat diffuse
- loss of lamina dura at the root tip in the area of the radioluscency
- root resorption can be seen
most periapical granulomas are discovered how?
on routine radiographic survey
what is the treatment for periapical granuloma?
- conventional endodontic treatment
- surgical endodontic treatment
- extraction
what are two other names for apical peridontal cyst?
- periapical cyst
- radicular cyst
what is the result of inflammatory stimulation of epithelium in the area (rests of malassez)
apical periodontal cyst
the radiographic presentation of an apical periodontal cyst is the same as ___
periapical granuloma
what is the radiographic presentation of an apical peridontal cyst?
- radioluscent lesion
- variable size
- may show static behavior or very slow growth
- symmetrical
- well-defined
- punched out border most often
- loss of lamina dura in the area of the lesion is usually present
- root resorption can be seen
___ is the accumulation of acute inflammatory cells at the apex of a nonvital tooth
periapical abscess
___ is a defect created by periapical inflammatory lesions that may fill with dense collagenous tissue
periapical scar
periapical scars occur most frequently when both the ___ and ___ have been lost
facial and lingual cortical plates
periapical scars occur most commonly following ___
surgical endodontic therapy
what are the two types of cellulitis that are sequelae of periapical pathology (dangerous types associated with dental infections)?
ludwig’s angina and cavernous sinus thrombosis
periapical granuloma
periapical granuloma
periapical granuloma
periapical granuloma
periapical fibrous scar
periapical cyst
periapical cyst
periapical cyst
radioluscency extends from mandibular frist molare to the contralateral first molar
periapical cyst
lateral radicular cyst
lateral radicular cyst
residual periapical cyst
periapical abscess