Diseases of Pulp and Periodontium Flashcards

1
Q

what is a pulp hyperaemia

A

increased blood in pulp chamber

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2
Q

where has infection spread from and to in acute periapical periodontitis

A

from pulp chamber to periodontal tissues

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3
Q

what forms when there is recurrent infection round the apex of the tooth

A

apical granuloma

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4
Q

what is a chronic sinus

A

draining sinus which doesn’t cause any pain but a bad taste when it bursts

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5
Q

what are symptoms of pulp hyperaemia

A

pain that lasts for a few seconds
pain stimulated by hot cold and sweet foods
pain resolved after stimulus

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6
Q

what is another term for pulp hyperaemia

A

reversible pulpitis

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7
Q

what are symptoms of acute pulpitis

A

constant severe pain
reacts to thermal stimuli
poorly localised
minimal response to analgesics

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8
Q

what are symptoms of acute periodontitis

A

TTP
slight increase in mobility

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9
Q

what are four radiographic signs of acute periodontitis

A

loss of clarity of lamina dura
radiolucent shadow
delay in changes at apex of tooth
widening of periodontal space

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10
Q

cause of traumatic periodontitis

A

parafunction

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11
Q

what are clinical signs of traumatic periodontitis

A

TTP but normal vitality
Radiographs may show widening of PDL space

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12
Q

what is treatment for traumatic periodontitis

A

occlusal adjustment
correction of parafunctional habit

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13
Q

what are symptoms of acute apical abscess

A

severe unremitting pain
acute tenderness in function
acute tenderness on percussion
no swelling, redness or heat

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14
Q

what does the site of the swelling depend on

A

position of tooth in arch
root length
muscle attachment
spaces proximal to the lesion

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15
Q

what is treatment for acute apical abscess

A

provide drainage
remove source
antibiotics

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16
Q

what are the 5 cardinal signs of inflammation

A

heat
redness
swelling
pain
loss of function

17
Q

what systemic factors may cause a need for antibiotics in acute abscesses

A

immunocompromised patients
diabetes
elderly

18
Q

what is a periapical granuloma

A

mass of chronically inflamed granulation tissue at the apex of the tooth

19
Q

what is contained in the granulation tissue in a periapical granuloma

A

plasma cells, lymphocytes, histocytes, fibroblasts

20
Q

what is granulomatous inflammation

A

epithelial histocytes mixed with lymphocytes and giant cells

21
Q
A