Causes of Pulp and Periapical Injuries in Dentistry

Play an AI-generated podcast conversation about this lesson

What is the definition of symptomatic pulpoperiapical disease?

An inflammatory response of the pulp due to periapical irritation.

A non-inflammatory response of the periapical tissue due to pulp irritation.

An inflammatory response of the periapical C.T, due to pulpal irritation. (correct)

An inflammatory response of the periapical tissue, excluding the pulp.

What are the signs and symptoms of acute apical periodontitis (incipient stage)?

Severe pain, localized pain due to proprioceptors, and severe widening of PMS on radiography.

Moderate to severe pain, localized pain due to proprioceptors, and normal or slight widening of PMS on radiography. (correct)

Severe throbbing pain, localized pain due to proprioceptors, and slight widening of PMS on radiography.

Mild pain, pain not localized due to proprioceptors, and severe widening of PMS on radiography.

What is the treatment for acute apical periodontitis (incipient stage)?

Antibiotic therapy only.

Root canal treatment. (correct)

Periodontal surgery.

Extraction of the affected tooth.

What are the signs and symptoms of acute periapical abscess?

Severe throbbing pain, fever, and loss of appetite. Signup and view all the answers

What is a recrudescent abscess?

It is an acute exacerbation of a chronic lesion. Signup and view all the answers

What is subacute periapical abscess characterized by?

Mild pain and red ballooning out (gum boil). Signup and view all the answers

What is chronic apical periodontitis in its incipient stage characterized by?

Painless tooth, normal radiography, and normal vitality test. Signup and view all the answers

What is the main cause of symptomatic pulpoperiapical disease?

Pulpal irritation leading to an inflammatory response in the periapical C.T. Signup and view all the answers

What happens during acute periapical abscess when the pus penetrates the outer plate of bone?

The patient experiences relief from pain as the mucosa ruptures. Signup and view all the answers

What is condensing osteitis also known as?

Pulpoperiapical osteosclerosis Signup and view all the answers

What should be achieved in the treatment for subacute periapical abscess?

Drainage through access cavity or incision & drainage Signup and view all the answers

In case of chronic apical periodontitis (incipient stage), what may still show a false positive response during vitality test?

Pulp Signup and view all the answers

Which of the following is the etiology of pulpoperiapical diseases?

Pulpal inflammation Signup and view all the answers

What represents a clinical and radiographic diagnostic category in which the tooth has normal periapical tissues?

Normal periapical tissues Signup and view all the answers

What is the pathway of the pulp and periapical pathosis set out from?

Caries Signup and view all the answers

What type of injuries does this text aim to explain?

Injuries of the pulp Signup and view all the answers

What is the normal response of teeth in the category of normal periapical tissues?

Normal lamina dura and periodontal ligament structures Signup and view all the answers

What is the inflammatory response of the periapical connective tissue due to a pulpal irritant called?

Pulpoperiapical pathosis Signup and view all the answers

What is the condition where the tooth has normal periapical tissues and will not be abnormally sensitive to percussion or palpation testing?

Normal periapical tissues Signup and view all the answers

What is an understanding of how pulp and periapical injuries develop considered as?

Objective Signup and view all the answers

What term is used for an inflammatory response of the periapical connective tissue due to a pulpal irritant?

Pulpoperiapical pathosis Signup and view all the answers

Which of the following represents an understanding of what causes pulp and periapical injuries?

Signup and view all the answers

What condition does Pulpoperiapical pathosis represent?

Inflammatory response of the periapical connective tissue due to a pulpal irritant. Signup and view all the answers

What could lead to improper manipulation as an etiology for Pulpoperiapical diseases?

Over-instrumentation Signup and view all the answers

Which condition is characterized by the presence of a sinus tract and pus drainage?

Chronic periapical abscess Signup and view all the answers

What is the defining radiographic feature of periapical granuloma?

Well-defined radiolucent area surrounded by radioopaque margins Signup and view all the answers

Which condition is characterized by an increase in bone density due to osteoblastic hyperactivity?

Condensing osteitis Signup and view all the answers

What is the characteristic clinical feature of periapical cyst upon palpation?

Egg shell crackling Signup and view all the answers

Which condition has a history associated with pulp affection by caries?

Periapical granuloma Signup and view all the answers

What is the treatment for chronic periapical abscess?

Root canal treatment Signup and view all the answers

Which textbook would provide details about the etiology, diagnosis, and treatment of endodontic infections?

Problems in Endodontics, Etiology, Diagnosis and Treatment, 2009, Michael Hulsmann and Edgar Signup and view all the answers

What is the characterizing feature of chronic apical periodontitis incipient stage radiographically?

-ve or false positive response in vitality test Signup and view all the answers

'Characterized by growth of granulomatous tissues and presence of chronic inflammatory cells' describes which condition?