28 Questions
What is the etiology of pulpoperiapical diseases?
Pulpal inflammation
What represents a clinical and radiographic diagnostic category where the tooth has normal periapical tissues?
Normal Periapical Tissues
What is the pathway of pulp and periapical pathosis set out from?
Caries
What creates a wound due to tearing of tissues, leading to inflammation of the periapical tissue?
Pulp extirpation
Which condition is characterized by the formation of pus draining through a sinus tract?
Chronic apical periodontitis
What is the radiographic feature that differentiates periapical granuloma from chronic apical abscess?
Well-defined radiolucent area surrounded by radioopaque margins
What is the characteristic feature of periapical cyst on palpation and mobility?
Egg shell crackling and increased mobility due to bone resorption
What causes the increase in bone density in condensing osteitis?
Osteoblastic hyperactivity
What is the recommended treatment for chronic periapical abscess?
Root canal treatment
What is the characteristic feature of periapical granuloma on percussion?
-ve or slight discomfort
What is the pathogenesis of periapical cyst?
Irritation & proliferation of epithelial rests of Malassez
What is the radiographic feature that differentiates periapical cyst from periapical granuloma?
Central fluid-filled epithelium-lined cavity surrounded by granulation tissue and a fibrous capsule
What is the characteristic feature of chronic apical periodontitis on palpation and mobility?
Some degree of mobility due to bone loss
What is the recommended treatment for periapical granuloma?
Root canal treatment
What is the characteristic feature of condensing osteitis on radiographs?
Radio-opaque appearance
What is the characteristic feature of periapical cyst on vitality test?
-ve or false positive response in case of liquefactive necrosis
What can overinstrumentation lead to?
Inaccurate measurement of the R.C length
What is a characteristic of symptomatic pulpoperiapical disease?
Inflammatory response of the periapical C.T.
What is the recommended treatment for acute apical periodontitis (incipient stage)?
Root canal treatment
What is a feature of acute apical periodontitis (advanced stage)?
Throbbing pain
What is a recrudescent abscess (Phoenix abscess)?
An acute exacerbation of a chronic lesion
What characterizes asymptomatic pulpoperiapical pathosis?
Chronic apical periodontitis
What can improper manipulation lead to?
Pushing chemicals into the surrounding periapical tissue
What is the classification of pulpoperiapical pathosis?
Symptomatic and asymptomatic categories
What can incomplete removal of pulp tissue result in?
Infected remnants extending to the periapical area
What is acute periapical abscess characterized by?
An advanced exudative and severe symptomatic inflammatory response of periapical C.T.
What is subacute periapical abscess?
A painful phase of a chronic periapical abscess cycle
What is acute apical periodontitis characterized by?
Moderate to severe pain, localized pain, and increased pain on percussion
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
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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