Asymptomatic Apical Periodontitis
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Asymptomatic apical periodontitis is inlammation and destruction of the apical periodontium that is of pulpal origin.
Asymptomatic apical periodontitis. The involved tooth is normally dead. Acute apical periodontitis symptomatic signs and symptoms. Chronic apical periodontitis is a low grade infection usually following an acute infection that has not completely healed or was inadequately treated. The aaes glossary of endodontic terms lists two different types of apical periodontitis.
As you might guess asymptomatic apical periodontitis doesnt produce any clinical signs or symptoms. The tooth has a sinus tract. Exquisitely tender to touch biting or percussion. Asymptomatic apical periodontitis is inflammation and destruction of the apical periodontium that is of pulpal origin.
The tooth is tender to percussion. In an investigation on nine asymptomatic apical periodontitis lesions that were removed as surgical block biopsies and analyzed by correlative light and electron microscopy one biopsy fig. The radiolucency grew in size but remained asymtomatic for a decade of. A periapical radiolucency is visible with no pain to percussion.
The patient may also report that the tooth feels different or is. The technical term for this is symptomatic apical periodontitis or acute apical periodontitis. I call this the silent lesion symptomatic apical periodontitis. Signs and symptoms of chronic apical periodontitis.
It is a likely outcome of untreated dental caries tooth decay and in such cases it can be considered a sequela in the natural history of tooth decay irreversible pulpitis and pulpal necrosis. Pain associated with the. Sometimes symptoms may be minimal or none at all. However this condition produces inflammation of the tissue surrounding the teeth and can cause the destruction of that tissue.
There may be slight widening of the pdl. It appears as an apical radiolucency and does not present clinical symptoms eg there is no pain on percussion or palpation. Chronic apical abscess is an inlammatory reaction to pulpal infection and necrosis characterized by gradual onset. 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.
Chronic apical periodontitis asymptomatic there may not be any symptoms. It may or may not have a periapical radiolucency. I made the filling yellow so it will stand out. It appears as an apical radiolucency and does not present clinical symptoms no pain on percussion or palpation.
In the image to the right you can see a high filling on the left side of the molar tooth.
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