Tuesday, January 29, 2019

Chronic periapical periodontitis

Is there a cure for chronic periodontitis? What is the difference between a periapical and a periodontal abscess? What are the different types of periodontitis? Is periodontitis an infectious or an inflammatory disease?


The term is derived from peri- meaning aroun apical referring to the apex of the root (the tip of the root), and -itis meaning a disease characterized by inflammation.

The term chronic means the condition has been present for a significant length of time (at least several weeks, and sometimes much longer). However, this condition produces inflammation of the tissue surrounding the teeth and can cause the destruction of that tissue. As the American Dental Association notes, asymptomatic apical periodontitis was once referred to as chronic periapical periodontitis.


It may or may not have a periapical radiolucency. Chronic Apical Abscess : The tooth has a sinus tract. Abscess indicates the presence of pus, and chronic means that it’s an infection that has been there for some time.


It appears as an apical radiolucency and does not present clinical symptoms (no pain on percussion or palpation).

It occurs as a sequence of various insults to the dental pulp, including infection, physical and iatrogenic trauma, following endodontic treatment, the damaging effects of root canal filling materials. How To Prevent This Gum Disease. Find Your Toothpaste Today! They develop as complications of pulpitis, acute periapical periodontitis or injuries.


As a result of chronic bacterial irritation in the root canals, a granulation tissue is formed in the damaged areas of the periodontium. The presence of inflammation makes it tender when tapping or chewing on it. Slowly applied pressure may not be as painful. To clarify use of the term,. Persistent apical periodontitis occurs when root canal treatment of apical periodontitis has not adequately eliminated intraradicular infection.


Apical periodontitis is a chronic inflammatory disorder of periradicular tissues caused by aetiological agents of endodontic origin. ICD-10-CM Diagnosis Code K05. The chronic response is usually asymptomatic and almost invariably leads to bone resorption around the root apex, which is the typical radiographic feature of apical periodontitis. It includes general, unspecifie or acute nonsuppurative inflammation.


Intradental periodontitis. Extradental periodontitis. Such a trauma can be a blow, a bruise, a hit when chewing a solid element (pebble, bone).

In addition to single injuries, there is also chronic trauma caused by incorrect dental treatment (improperly applied seal),. Its chronicity is the result of the persistence of the inflammatory stimulus, the plaque biofilm, and the chronic inflammatory infiltrate in the marginal periodontal tissues in response to this. In non-treated teeth apical peri- odontitis represents a defensive response to a primary infection in a necrotic pulp.


Pulpitis, trauma or endodontic treatment Pulpitis and pulp necrosis: If pulpitis is untreate bacteria ,bacterial toxins , or the products of inflammation will extend down to the root canal and through the apical foramina to cause periodontitis with time. Periapical periodonitis 1. Inflammation and loss of connective tissues supporting or surrounding the teeth. It in inflammation and destruction of alveolar bone and the periodontal fibers that insert into cementum, thereby exposing cementum to dental plaque within a periodontal pocket. It consists of a granulomatous tissue with infiltrate cells, fibroblasts, and a well-developed fibrous capsule.


Radiographically, there are typically signs of osseous destruction, such as a radiolucency.

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