Pulpoperiapical Pathosis
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Questions and Answers

What is the etiology of pulpoperiapical diseases?

  • Orthodontic treatment
  • Gingival recession
  • Pulpal inflammation (correct)
  • Pulp capping
  • What represents a clinical and radiographic diagnostic category where the tooth has normal periapical tissues?

  • Normal Periapical Tissues (correct)
  • Apical periodontitis
  • Pulpitis
  • Periapical Pathosis
  • What is the pathway of pulp and periapical pathosis set out from?

  • Periodontitis
  • Dental trauma
  • Caries (correct)
  • Gingivitis
  • What creates a wound due to tearing of tissues, leading to inflammation of the periapical tissue?

    <p>Pulp extirpation (A)</p> Signup and view all the answers

    Which condition is characterized by the formation of pus draining through a sinus tract?

    <p>Chronic apical periodontitis (A)</p> Signup and view all the answers

    What is the radiographic feature that differentiates periapical granuloma from chronic apical abscess?

    <p>Well-defined radiolucent area surrounded by radioopaque margins (C)</p> Signup and view all the answers

    What is the characteristic feature of periapical cyst on palpation and mobility?

    <p>Egg shell crackling and increased mobility due to bone resorption (B)</p> Signup and view all the answers

    What causes the increase in bone density in condensing osteitis?

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

    What is the recommended treatment for chronic periapical abscess?

    <p>Root canal treatment (B)</p> Signup and view all the answers

    What is the characteristic feature of periapical granuloma on percussion?

    <p>-ve or slight discomfort (D)</p> Signup and view all the answers

    What is the pathogenesis of periapical cyst?

    <p>Irritation &amp; proliferation of epithelial rests of Malassez (A)</p> Signup and view all the answers

    What is the radiographic feature that differentiates periapical cyst from periapical granuloma?

    <p>Central fluid-filled epithelium-lined cavity surrounded by granulation tissue and a fibrous capsule (C)</p> Signup and view all the answers

    What is the characteristic feature of chronic apical periodontitis on palpation and mobility?

    <p>Some degree of mobility due to bone loss (B)</p> Signup and view all the answers

    What is the recommended treatment for periapical granuloma?

    <p>Root canal treatment (B)</p> Signup and view all the answers

    What is the characteristic feature of condensing osteitis on radiographs?

    <p>Radio-opaque appearance (B)</p> Signup and view all the answers

    What is the characteristic feature of periapical cyst on vitality test?

    <p>-ve or false positive response in case of liquefactive necrosis (C)</p> Signup and view all the answers

    What can overinstrumentation lead to?

    <p>Inaccurate measurement of the R.C length (A)</p> Signup and view all the answers

    What is a characteristic of symptomatic pulpoperiapical disease?

    <p>Inflammatory response of the periapical C.T. (C)</p> Signup and view all the answers

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

    <p>Root canal treatment (B)</p> Signup and view all the answers

    What is a feature of acute apical periodontitis (advanced stage)?

    <p>Throbbing pain (C)</p> Signup and view all the answers

    What is a recrudescent abscess (Phoenix abscess)?

    <p>An acute exacerbation of a chronic lesion (A)</p> Signup and view all the answers

    What characterizes asymptomatic pulpoperiapical pathosis?

    <p>Chronic apical periodontitis (A)</p> Signup and view all the answers

    What can improper manipulation lead to?

    <p>Pushing chemicals into the surrounding periapical tissue (A)</p> Signup and view all the answers

    What is the classification of pulpoperiapical pathosis?

    <p>Symptomatic and asymptomatic categories (A)</p> Signup and view all the answers

    What can incomplete removal of pulp tissue result in?

    <p>Infected remnants extending to the periapical area (C)</p> Signup and view all the answers

    What is acute periapical abscess characterized by?

    <p>An advanced exudative and severe symptomatic inflammatory response of periapical C.T. (C)</p> Signup and view all the answers

    What is subacute periapical abscess?

    <p>A painful phase of a chronic periapical abscess cycle (D)</p> Signup and view all the answers

    What is acute apical periodontitis characterized by?

    <p>Moderate to severe pain, localized pain, and increased pain on percussion (B)</p> Signup and view all the answers

    Study Notes

    Pulpoperiapical Pathosis Classification and Treatment

    • Overinstrumentation can lead to inaccurate measurement of the R.C length
    • Improper manipulation includes pushing chemicals or toxic material into the surrounding periapical tissue
    • Incomplete removal of pulp tissue can result in infected remnants extending to the periapical area
    • Pulpoperiapical pathosis is classified into symptomatic and asymptomatic categories
    • Symptomatic pulpoperiapical disease is characterized by an inflammatory response of the periapical C.T.
    • Acute apical periodontitis (incipient stage) presents with moderate to severe pain, localized pain, and increased pain on percussion
    • Treatment for acute apical periodontitis (incipient stage) involves root canal treatment
    • Acute apical periodontitis (advanced stage) includes features such as throbbing pain and acute periapical abscess
    • Acute periapical abscess is an advanced exudative and severe symptomatic inflammatory response of periapical C.T.
    • Recrudescent abscess (Phoenix abscess) is an acute exacerbation of a chronic lesion
    • Subacute periapical abscess is a painful phase of a chronic periapical abscess cycle
    • Asymptomatic pulpoperiapical pathosis is characterized by a chronic apical periodontitis, which may result from pulp necrosis or an acute apical periodontitis that has dissipated

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    Description

    Test your knowledge of pulpoperiapical pathosis classification and treatment with this quiz. Explore the symptoms and treatment options for symptomatic and asymptomatic pulpoperiapical diseases, including acute apical periodontitis and periapical abscesses. Understand the consequences of overinstrumentation and improper manipulation during root canal treatment.

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