What is apical inflammation?

What is apical inflammation?

Apical periodontitis refers to the inflammation of the periodontium — the tissue that surrounds your teeth. Apical means “relating to the apex,” so inflammation usually occurs around the tip — or apex — of the tooth’s root. Two types of apical periodontitis exist: Asymptomatic.

What is meant by apical periodontitis?

Apical periodontitis is a chronic inflammatory disorder of periradicular tissues caused by aetiological agents of endodontic origin. Persistent apical periodontitis occurs when root canal treatment of apical periodontitis has not adequately eliminated intraradicular infection.

What is apical rarefaction?

Apical rarefaction or “halo”. Apical rarefaction, halo or lucency is strongly suggestive of endodontic and/or periodontal pathology. These lesions can be combined and are classified as: class 1 (primarily endodontic pathology leading to periodontal pathology)

What is apical Pathosis?

Introduction. Apical periodontitis represents an inflammatory process within the periapical tissues. It is characterized by chronic inflammation and destruction of tooth-supporting tissues around the apex of a tooth root [1]. It represents a remarkably prevalent condition [2].

What is the treatment of apical periodontitis?

Teeth with post-treatment apical periodontitis can be managed by either nonsurgical endodontic retreatment or periradicular surgery; both of which have high chances of restoring health of the periradicular tissues and maintaining the tooth functional in the oral cavity.

What are the signs and symptoms associated with symptomatic apical periodontitis?

By far, most cases of apical periodontitis are asymptomatic. Pain, tenderness to biting pressure, percussion or palpation as well as swellings are typical clinical expres- sions of symptomatic apical periodontitis (Fig. 7.2a,b). The symptoms may vary from mild to severe.

What is the main cause of apical periodontitis?

Periapical periodontitis or apical periodontitis (AP) is an acute or chronic inflammatory lesion around the apex of a tooth root, most commonly caused by bacterial invasion of the pulp of the tooth.

How is apical periodontitis diagnosed?

If no other diagnosis may explain the pain consider a cone-beam computed tomography (CBCT) scan.

  1. If an apical radiolucency is observed in the scan, then AP is diagnosed as present.
  2. If no bone destruction is seen in the CBCT scan, reconsider other diagnoses (Step 1 and 2) that may mimic the symptoms of AP.

What is apical Rarefying osteitis?

Rarefying osteitis is a general term for a radiolucent lesion on a radiograph usually diagnosed as a periapical abscess or a periapical cyst.

What is RL in dentistry?

An RL is a hole in the tooth. Cavities result in the exposure of the sensitive nerve pulp of the tooth, and in their advanced stages, cavities are very painful. RL’s also result in painful pulp exposure. Cavities also lead to infected and abscessed teeth. RL’s also lead to infected teeth.

How are periapical lesions treated?

The treatment modalities for periapical lesions include non-surgical root canal treatment, periapical surgery, or tooth extraction. If non-surgical treatment is deemed ineffective or difficult, periapical surgery is the treatment of choice.

Is apical periodontitis reversible?

Diagnosis: reversible pulpitis; normal apical tissues. If the pulp is exposed, treatment would be non-surgical endodontic treatment followed by a permanent restoration such as a crown.