Inflammatory Bone Lesions

Question 1

Alveolar Osteitis

tx 3

Answer 1

• AKA Dry socket
• Radograph to rule out root tip or foreign body
• Irrigate with warm saline
• Avoid curettage
• Analgesics and home irrigation

Question 2

Rarefying Osteitis

Answer 2

• Non-vital tooth
• Radicular cyst, granuloma, abscess
• cannot be differentiated radiographically
• all well-defined and radiolucent

Question 3

Condensing Osteitis

Sclerosing Osteitis

tooth

app 3

Answer 3

• Non-vital tooth
• Area of rarefying osteitis (RL area) surrounded by a diffuse RO border
  
  • RO area not attached to root
  • PDL is widened or shows rarefying osteitis

Question 4

Idiopathic Osteosclerosis

Not

counterpart to

Radio 3

tx

Answer 4

• NOT INFLAMMATORY
• Intrabony counterpart to exotosis
• Radio findings
  
  • RO area that fuses/blends with surrounding trabeculae
  • Not fused with root
  • Not associated with RL area
• No tx

Question 5

Chronic Osteomyelitis

what is it

caused by

app 5

may have

symptoms location

radio

Answer 5

• Acute/chronic inflammation away from initial site
• Caused by pyogenic organisms - staph strep
• Diffue (large) area involved, patchy, not localized and not well-defined, moth eaten
• May have sequestrum- pieces of necrotic bone
• Pain common usually in mand
• Looks like cancer radiographically

Question 6

Osteomyelitis With Proliferative Periostitis

what is it

demographic, location

app

Answer 6

• Inflammation spreading to periosteum
• Periosteum lifted and deposits bone
• Young people, mand
• Leads to onion skin apperance