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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