Exam 4-Pulpitis/Periapical- Lecture2 Flashcards
(50 cards)
WHAT IS Acute inflammation due to pulpal necrosis with spread of NOXIOUS products into the periapical region?
Periapical Abscess
What are the two things a periapical abscess can develop from?
1.Periapical Granuloma 2.Apical periodontal cyst
Are periapical abscesses symptomatic or asymptomatic?
CAN BE BOTH!
In a symptomatic periapical abscess, does pain typically increase or decrease over time?
INCREASE
In a symptomatic periapical abscess, the intensity of pain may vary from ______ to ______
mild to severe
In a symptomatic periapical abscess, there can be pain on ________, mastication, and/or palpation over the periapical region
percussion
In a symptomatic periapical abscess, _______ in the periapical region or vestibule may accompany it
swelling
In a symptomatic periapical abscess, It is an ACTIVE infection—_______ symptoms may be noted
SYSTEMIC (headache, fever, chills, malaise)
In an asymptomatic periapical abscess, you may still have _______ even if there is no pain
swelling
A periapical abscess may not produce any obvious _________ changes
radiographic
In a radiograph of a periapical abscess, a radiolucent lesion may be present, and if it is, it is often ______, with possible thickening of the ________
ill-defined…PDL
What are three possible treatments for a periapical abscess?
1.Endo 2.Ext 3.Analgesics for pain (WHAT ABOUT ANTIBIOTICS???)
A periapical SCAR is very rare and typically can arise after the healing from what three pathologies?
1.periapical granuloma 2.apical periodontal cyst 3.periapical abscess
A periapical scar typically occurs when there is destruction of cortical bone in what area(s)?
BOTH buccal and lingual aspects of the involved tooth
When is the MOST COMMON occurrence of a periscopical scar?
following SURGICAL endo therapy
What TERM is this describing? Periapical abscess with pus formation…Pus dissects through the bone, destroying bone in its path
Sinus Tract
A sinus tract tends to follow the path of ___________
least resistance
A sinus tract perforates cortical plate of bone and extends into ________
soft tissue
A sinus tract may drain with what type of frequency?
intermittent
What are the two possible places a periapical abcess-sinus tract can exit?
1.oral cavity 2. skin surface
If a sinus tract exits in the oral cavity: its called a ______ or a “______”
par-u-lis or a “gum boil”
If a sinus tract exits in the oral cavity: What are the two clinical presentations of this area?
- A “hole” with surrounding redness or 2.An enlarged, nodular mass
If a sinus tract exits in the oral cavity and presents as an enlarged, nodular mass its likely to be ______ to white to red to purple with ANY combination of colors possible
Yellow
If a sinus tract exits in the oral cavity and presents as an enlarged, nodular mass its going to be sessile or moveable?
sessile
