Parodontite apicale asimptomatice (cronice) Flashcards

1
Q

Clasificare parodontite cronice

A
  1. P. apicala fibroasa
  2. Granulom periapical
  3. CHist periradicular
  4. Abces cronic apical
  5. P. apicala cu hipercementoza
  6. P. apicala cronica acutizata
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2
Q

Caracteristica PACF

A

senzatie moderata de alungire a dintelui

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3
Q

Etiologie PACF

A

substante chimice

suprainstrumentare

obturatie canal neetansa

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4
Q

Dg dif PACF

A

Necroza COmplicata

Pulpita Cronica

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5
Q

Aspect rx PACF

A

aspect de calota

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6
Q

Din ce e format granulomul periapical?

A

tesut de granulatie la apex+colagen atasat la suprafata radiculara

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7
Q

Etiologie Granulom

A
  1. Bacterii
  2. Endo/exo toxine
  3. suprainstrumentare
  4. corpi straini (conuri hartie, mat obt, fibre bumbac)
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8
Q

Caracteristici HP ale granulomului

A
  1. Resorbtie os periapical-osteoclaste
  2. Resorbtie cement/dentina-cementoclaste/dentinoclaste
  3. Proliferare t. granulatie
  4. Multiple celule inflamatorii-MF si limfocite
  5. Toate acestea circumscrise de capsula fibroasa de colagen
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9
Q

Dg dif granulom

A
  • SM
  • Gaura mentoniera
  • Fose nazale
  • gaura incisiva
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10
Q

Cum e epiteliul chistului periradicular?

A

epiteliu pluristratificat pavimentos

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11
Q

Tipuri de chisturi periapicale?

A
  1. Adevarate - true cyst
  2. in buzunar- pocket cyst- ce comunica cu lumenul canalar
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12
Q

Aspect RX al PAC

A

Os periapical hipermin

sp periodontal ingustat

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13
Q

Unde se poate deschide fistula din Abcesul apical cronic?

A
  1. in dr dintelui cauzal sau la distanta
  2. mucoasa alv gingie atasata
  3. tegumente
  4. furcatie
  5. in sant crevicular
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14
Q

Dg dif Abces apical cronic

A

Fistule din:

  • tuberculoza
  • osteomielita
  • actinomicoza
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15
Q

Dg dif PACacutizata

A
  • Patologie nevralgiforma-ZOster
  • procese maligne
  • durere psihogena
  • patologie parodontala mg
  • sdr endoperiodontal
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16
Q

Denumire alternativa a PACa

A

Abces Pheonix

17
Q
A