Non-cystic dental inflammatory lesions Flashcards
How is periradicular/periapical inflammation most often due to
bacterial infection following pulpal death
what is pulpal death most commonly due to
caries
tx for acute periradicular periodontitis
extraction or endo
clinical features of acute periradicular periodontitis
-history of pain
-grossly carious/ heavily restored teeth
previous trauma
- typically little to see radiographically unless acute exacerbation of chronic lesion
what can acute and chronic periradicular periodontitis lead to
periapical abscess
clinical features of acute periapical abscess
- pain
- swelling/sinus
tx for acute periapical abscess
drainage and extraction
endo tx
chronic periradicular periodontitis clinical features
non vital tooth
often minimal symptoms
apical radiolucent lesion
treatment for chronic periradicular periodontitis
- extraction, endo tx, endo retx, periradicular surgery
what is a periapical granuloma
mass of inflamed granulation tissue at the apex of a non-vital tooth
is a periapical granuloma a true granuloma
No
not a true granuloma
what can a periapical granuloma transform to
- can transform to abscess
- may undergo cystic change
differenting factor of periapical granuloma compared with chronic periradicular periodontitis
periapical granuloma - apical radiolucent lesion typically evident on radiograph
periapical granuloma tx
extraction, endo, endo retx, periradicular surgery
what is pericoronitis
inflammation of the soft tissues around partially erupted tooth, often lower 8s
