Dental Pathology Quiz: Periapical Conditions
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Questions and Answers

What is primarily observed around the apex of a non-vital tooth in acute apical periodontitis?

  • Epithelial proliferation
  • Neutrophil polymorphonuclear leucocytes (correct)
  • Squamous epithelium
  • Cholesterol crystals

Which characteristic radiographic finding is associated with acute apical periodontitis?

  • Slight fuzziness of the apical lamina dura (correct)
  • Cyst formation in the apical region
  • Well-defined radiolucency
  • Thickening of the periodontal ligament space

What type of inflammatory cells predominantly infiltrate the fibrous wall of a chronic periapical abscess?

  • Eosinophils
  • Monocytes
  • Lymphocytes
  • Neutrophils (correct)

What may result from epithelial proliferation in an apical granuloma?

<p>Cyst formation (C)</p> Signup and view all the answers

Which condition is characterized by an infection spreading through tissues and a dense infiltrate of neutrophils and fibrin exudate?

<p>Cellulitis (D)</p> Signup and view all the answers

Flashcards

Acute apical periodontitis

Early infection around a tooth root tip, characterized by inflammation and a small amount of bone loss.

Chronic periapical abscess

A more advanced infection around a tooth root tip, with a formed abscess cavity and thick fibrous wall.

Epithelial proliferation

Cells lining areas of the infection, like the tooth root tip, grow rapidly creating a layer of cells.

Cellulitis

Infection spreading widely through soft tissues, marked by a dense accumulation of inflammatory cells.

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Apical granuloma

Accumulation of inflammatory cells within the tooth root tip and tissue surrounding it, followed by a buildup of tissue.

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Study Notes

Acute Apical Periodontitis

  • Inflammatory cells, mainly neutrophils, clustered around the apex of a non-vital tooth.
  • Inflammatory cells spreading into bone.
  • Minimal bone resorption.
  • Radiographically, slight fuzziness of the apical lamina dura.

Chronic Periapical Abscess

  • Abscess cavity at the apex of a non-vital tooth.
  • Thick fibrous wall surrounding the cavity.
  • Primarily neutrophils infiltrating the wall.

Epithelial Proliferation in Apical Granuloma

  • Odontogenic epithelium proliferation in response to inflammation.
  • Epithelial proliferation within the rests of Malassez in the periodontal ligament.
  • Cyst formation is a possible outcome.

Pre-Apical Granuloma

  • Epithelial cords started proliferation.
  • Proliferation inside pre-iapical granuloma.
  • Capsule

Cholesterol Clefts in Periapical Cyst

  • Lumen filled with cholesterol clefts.
  • Crystals form in the fibrous wall.
  • Epithelium overlying the focus breaks down.
  • Cholesterol leaks into the cyst lumen.

Cellulitis

  • Infection spreading through tissues.
  • Dense infiltrate of neutrophils, macrophages, and fibrin.
  • Separating muscle bundles in facial muscle.
  • Muscle bundles are usually tightly packed.

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Lab 7 PDF: Oral Pathology

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Test your knowledge on acute apical periodontitis, chronic periapical abscess, epithelial proliferation in apical granuloma, and related conditions. Explore the details of inflammation, abscess formation, and cystic changes within dental pathology. Ideal for dental students and professionals alike.

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