Periapical Disease - RADD 5001

Terms in this set (65)

periapical disease
inflammatory reaction to pulpal infection and necrosis
acute/chronic apical periodontitis
what disease can cause inflammatory periapical abscesses
discontinuity of lamina dura
PDL widening
what are some significant findings of radiographs of periapical disease
true
t/f: the appearance of normal lamina dura can vary widely
occlusal trauma
orthodontic tx
superimposition
immature apex
what are four causes of PDL space widening not caused by periapical disease
when enzymes demineralized cortical plate
when can you see radiographic evidence of pulpal necrosis
acute apical periapical disease
type of periapical disease that is a painful inflammation around the root and effects vital and nonvital teeth
acute apical perio disease
what type of perio disease is percussion test positive
acute apical perio disease
type of perio disease that results from a sequela of irreversible pulpitis
PDL tissue
inflammation from acute apical perio disease is limited to what
none
thickening of apical PDL
what are the possible radiographic findings for acute apical perio disease
30-60%
how much mineral must be lost in order to see it on radiograph
root canal
extraction
what are the two treatments of irreversible pulpitis
acute apical abscess
painful purulent exudate around the apex with non vital pulp
no
does the pulp in the acute apical abscessed tooth respond to pulp vitality test
rapid onset of swelling
pain
pain from percussion
mobility
what are the four symptoms of acute apical abscess
none
widening of apical PDL
what are the two radiographic findings of acute apical abscesses
root canal
drainage
extraction
what are the three treatments for acute apical abscesses
no
is there a lot of pain in chronic apical perio disease
chronic apical perio disease
what type of perio disease results in positive radiographic findings
apical granuloma
chronic apical abscess
radicular cyst
condensing osteitis
what are the four subdivisions of chronic apical perio disease
condensing osteitis
what division of chronic apical perio disease is radiopaque
apical granuloma
chronic apical abscess
radicular cyst
what divisions of chronic apical perio disease are radiolucent
no
is it possible to distinguish apical granuloma, chronic apical abscess, or radicular cysts from each other
no
are apical granulomas painful
negative
result of a pulp test for the apical granuloma
w sinus tract
w/o sinus tract
what are the two types of chronic apical abscesses
parulis
mass of subacutely inflamed granulation tissue located at the intraoral opening of a sinus tract
when drained
when do the symptoms of a chronic apical abscess subside
when the sinus tract closes
when do the symptoms increase in a chronic apical abscess with sinus tract involved
diffuse borders
what do the borders look like of the a chronic apical abscess without the sinus tract involved
chronic apical abscess w/o sinus tract
what type of periapical disease can diffuse a considerable distance from the root surface
cyst
an abnormal pathological space lined by statefied squamous epithelium and filled with a fluid
rest of malassez
what is the origin of the epithelium found in the radicular cyst
no
are radicular cysts painful
radicular cyst
what has the same appearance as the granuloma
radicular cyst
what is the most common cyst in the jaws
maxilla
which jaw tends to have more radicular cysts
premolar and molar
which mandibular teeth are more likely to have radicular cysts
condensing osteitis
localized areas of bone sclerosis at the apices of teeth with necrotized pulp
no
are teeth sensitive to percussion of palpation if they have condensing osteitis
mandible
which jaw is it more common to see condensing osteitis
condensing osteitis
radiographic finding shows small radiolucency at apical area surrounded by larger radiopacity
no
is sclerotic bone attached to tooth in condensing osteitis
bone scar
name of sclerotic bone left after removal of tooth with condensing osteitis
residual cyst
cyst that remained in the jaw after the offending tooth has been removed
yes, because it can't be distinguished between other cysts/tumors
should a residual cyst be removed
PDL
from what location do the cemento-osseous dysplasia derive from
focal
periapical
florid
what are the three types of cemento-osseus dysplasia
focal
what type of cement-osseous dysplasia has a single sight of involvement
periapical
what type of cemento-osseous dysplasia is in the periapical region of the anterior mandible
florid
what type of cemento-osseous dysplasia is multifocal and not limited to the anterior mandible
mandibular anteriors
what teeth are most effected by cemento-osseous dysplasia
no
is there any treatment indicated for cemento-osseous dysplasia
fibrous
mixed (cementoblastic)
mature
what are the three stages of cemento-osseous dysplasia
fibrous
what stage of cemento-osseous dysplasia represents bone being replaced by fibrous tissue (radiolucent)
mixed (cementoblastic)
what stage of cemento-osseous dysplasia has radiopaque tissue near the apices (looks part radiolucent and opaque)
mature
what stage of cemento-osseous dysplasia is a larger radiopaque area surrounded by a line of radiolucency (halo effect)
cementoblastoma
the true neoplasm of cementoblasts, large mass of cementum like tissue
children and young adults
who is most effected by cementoblastoma
mandibular molars and premolars
what teeth are most commonly effected by cementoblastoma
cementoblastoma
mottled or dense mass with radiolucent periphery that is attached to roots with the roots resorbed
hypercementosis
excessive deposition of cementum on the root
inflammation
occlusal trauma
over eruption
idiopathic
pagets disease
what are the five possible causes of hypercementosis
idiopathic osteosclerosis
focal area of increased well defined radiodensity of unknown cause
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