Symptomatic Apical Periodontitis represents
inffammation
, usually of the apical periodontium, producing clinical symptoms involving a painful response to biting and/or percussion or palpation.
How is apical periodontitis diagnosed?
If no other diagnosis may explain the pain consider a
cone-beam computed tomography (CBCT) scan
. If an apical radiolucency is observed in the scan, then AP is diagnosed as present. 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 periodontitis?
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.
What does asymptomatic apical periodontitis mean?
Introduction. Asymptomatic apical periodontitis (AAP) is defined as
a chronic inflammation and destruction of apical periodontium caused in response to bacterial infection of the root canal system
, which appears as an apical radiolucent area, and does not produce clinical symptoms (1).
Is apical periodontitis a disease?
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.
How is apical periodontitis treated?
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?
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.
How do they diagnose periodontal disease?
Periodontal disease is diagnosed by
your dentist or dental hygienist during a periodontal examination
. This type of exam should always be part of your regular dental check-up. A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums.
Can I pop a periodontal abscess?
You should never attempt to pop an abscess on your own
. However, there are methods you can use to help the abscess drain naturally on its own by pulling the infection out. Natural ways of doing this include using a tea bag or making a paste out of baking soda.
How is an acute apical abscess treated?
Conclusions: In the management of localized acute apical abscess in the permanent dentition, the abscess should be
drained through a pulpectomy or incision and drainage
. This analysis indicated that antibiotics are of no additional benefit.
What is a apical infection?
SUMMARY. Acute apical abscess is
the most common form of dental abscess
and is caused by infection of the root canal of the tooth. It is usually localized intraorally, but in some cases the apical abscess may spread and result in severe complications or even mortality.
What is the main cause of periodontal disease?
Periodontitis is common but largely preventable. It’s usually the result of
poor oral hygiene
. Brushing at least twice a day, flossing daily and getting regular dental checkups can greatly improve your chances of successful treatment for periodontitis and can also reduce your chance of developing it.
What is secondary apical periodontitis?
Secondary apical periodontitis results
from a persistent infection of incorrectly treated root canals
. The aim of this study was to characterize the microbiota present in primary and secondary intraradicular infections associated with apical periodontitis using 16S rRNA gene amplicon sequencing.
What is localized periodontitis?
Localized Aggressive Periodontitis (LAP) is
a rare form of inflammatory periodontal disease
characterized by a rapid rate of progression, dramatic attachment and bone loss, on very specific teeth (first molars and incisors), and an early age of onset
1 , 2
.
Which toothpaste is best for periodontal disease?
Crest Gum Detoxify
can neutralize the bacteria found in plaque that builds up around the gum line. By using this as your daily toothpaste, it can help reverse early signs of gum disease and give you clinically proven healthier gums.
What is tooth Pericoronitis?
Pericoronitis is
swelling and infection of the gum tissue around the wisdom teeth
, the third and final set of molars that usually appear in your late teens or early 20s. It is most common around the lower wisdom teeth.
