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ORAL PATHOLOGY! > Exam 4-Pulpitis/Periapical- Lecture2 > Flashcards

Exam 4-Pulpitis/Periapical- Lecture2 Flashcards

1
Q

WHAT IS Acute inflammation due to pulpal necrosis with spread of NOXIOUS products into the periapical region?

A

Periapical Abscess

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2
Q

What are the two things a periapical abscess can develop from?

A

1.Periapical Granuloma 2.Apical periodontal cyst

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3
Q

Are periapical abscesses symptomatic or asymptomatic?

A

CAN BE BOTH!

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4
Q

In a symptomatic periapical abscess, does pain typically increase or decrease over time?

A

INCREASE

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5
Q

In a symptomatic periapical abscess, the intensity of pain may vary from ______ to ______

A

mild to severe

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6
Q

In a symptomatic periapical abscess, there can be pain on ________, mastication, and/or palpation over the periapical region

A

percussion

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7
Q

In a symptomatic periapical abscess, _______ in the periapical region or vestibule may accompany it

A

swelling

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8
Q

In a symptomatic periapical abscess, It is an ACTIVE infection—_______ symptoms may be noted

A

SYSTEMIC (headache, fever, chills, malaise)

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9
Q

In an asymptomatic periapical abscess, you may still have _______ even if there is no pain

A

swelling

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10
Q

A periapical abscess may not produce any obvious _________ changes

A

radiographic

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11
Q

In a radiograph of a periapical abscess, a radiolucent lesion may be present, and if it is, it is often ______, with possible thickening of the ________

A

ill-defined…PDL

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12
Q

What are three possible treatments for a periapical abscess?

A

1.Endo 2.Ext 3.Analgesics for pain (WHAT ABOUT ANTIBIOTICS???)

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13
Q

A periapical SCAR is very rare and typically can arise after the healing from what three pathologies?

A

1.periapical granuloma 2.apical periodontal cyst 3.periapical abscess

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14
Q

A periapical scar typically occurs when there is destruction of cortical bone in what area(s)?

A

BOTH buccal and lingual aspects of the involved tooth

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15
Q

When is the MOST COMMON occurrence of a periscopical scar?

A

following SURGICAL endo therapy

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16
Q

What TERM is this describing? Periapical abscess with pus formation…Pus dissects through the bone, destroying bone in its path

A

Sinus Tract

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17
Q

A sinus tract tends to follow the path of ___________

A

least resistance

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18
Q

A sinus tract perforates cortical plate of bone and extends into ________

A

soft tissue

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19
Q

A sinus tract may drain with what type of frequency?

A

intermittent

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20
Q

What are the two possible places a periapical abcess-sinus tract can exit?

A

1.oral cavity 2. skin surface

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21
Q

If a sinus tract exits in the oral cavity: its called a ______ or a “______”

A

par-u-lis or a “gum boil”

22
Q

If a sinus tract exits in the oral cavity: What are the two clinical presentations of this area?

A
  1. A “hole” with surrounding redness or 2.An enlarged, nodular mass
23
Q

If a sinus tract exits in the oral cavity and presents as an enlarged, nodular mass its likely to be ______ to white to red to purple with ANY combination of colors possible

A

Yellow

24
Q

If a sinus tract exits in the oral cavity and presents as an enlarged, nodular mass its going to be sessile or moveable?

A

sessile

25
Q

If a sinus tract exits in the oral cavity and presents as an enlarged, nodular mass: Most are found on the _______ aspect due to the thinner nature of the cortical plate located here.

A

BUCCAL

26
Q

So if a sinus tract exits in the oral cavity it is likely to be buccal…HOWEVER, these three areas can see LINGUAL perforation thanks to the anatomy around them…

A

1.Maxillary Lateral Incisors 2.Palatal Roots of Maxillary Molars 3.Mandibular 2nd and 3rd molars(thick buccal shelf!!)

27
Q

So if a sinus tract exits in the SKIN it typically presents as WHAT?

A

an enlarged nodular mass

28
Q

So if a sinus tract exits in the SKIN it is a ____ lesion with other shades of yellow, white, purple mixed in

A

RED

29
Q

So if a sinus tract exits in the SKIN what teeth are most commonly the culprit?

A

Mandibular teeth most commonly (gravity and trapped under the mylohyoid muscle)

30
Q

What is the term for a periapical inflammation spreading into adjacent bone without drainage??

A

Osteo-myel-itis

31
Q

What is inflammation unable to establish a drainage point that begins to spread through soft tissues??

A

Cellulitis

32
Q

Cellulitis typically spreads between tissue layers (planes) often producing ______ infections

A

SPACE

33
Q

What are the two types of cellulite associated with dental infections?

A

1.Ludwigs Angina 2.Cavernous Sinus Thrombosis

34
Q

Ludwig’s angina: Typically results from abscess of WHICH TOOTH??

A

A mandibular molar tooth

35
Q

Ludwig’s angina: Rapid swelling of the sublingual, submandibular, and _______ areas

A

submental

36
Q

Ludwig’s angina: _______ involvement causes swelling and elevation of the tongue

A

Sublingual

37
Q

Ludwig’s angina: DANGER: May extend to the spaces around the throat and close off the ______

A

AIRWAY

38
Q

Ludwig’s angina: _______, though rare, can occur

A

DEATH

39
Q

Cavernous sinus thrombosis typically results from WHICH TWO groups of teeth?

A

1.Maxillary Anterior 2. Maxillary Premolar

40
Q

Cavernous sinus thrombosis: Which specific tooth is the MOST COMMON source of infection?

A

Maxillary Canine

41
Q

Cavernous sinus thrombosis: Painful swelling involves periorbital tissues like the ______ and _______

A

eyes and conjunctiva

42
Q

Cavernous sinus thrombosis: Swelling may also involve ______ border of nose; may extend to _______

A

lateral…forehead

43
Q

Possible sequelae of a cavernous sinus thrombosis—________ and fixation of the eyeball

A

Protrusion

44
Q

Possible sequelae of a cavernous sinus thrombosis—Pupil _______ with photophobia

A

DILATION

45
Q

Excessive lacrimation (tearing) can be a sign of what problem?

A

Possible sequelae of a cavernous sinus thrombosis

46
Q

Possible sequelae of a cavernous sinus thrombosis— Loss of ______ in the involved eye

A

sight

47
Q

All of these are possible sequelae of what condition?? Meningitis, Brain abscess, Death

A

cavernous sinus thrombosis

48
Q

What is the number one metastatic cancer you are likely to see as a periapical radiolucency in women?

A

Breast cancer

49
Q

What is the number one metastatic cancer you are likely to see as a periapical radiolucency in men?

A

Lung cancer

50
Q

After Breast and Lung metastatic cancer what other 3 cancers can present as a periapical radiolucency in either males or females?

A

1.kidney 2.thyroid 3.colon

ORAL PATHOLOGY! (40 decks)

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