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

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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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