Lecture on diagnosing pulpal and periradicular disease. From this point on, the tissue within the invagination is known as the dental pulp. Introduction to patient care dipc diseases of periradicular tissues free download as powerpoint presentation. It is continuance of the disease process beginning in the pulp and progressing to the periradicular tissues, which in turn, react severely to infection.
Bacterial pathogenesis and mediators in apical periodontitis. Periradicular definition of periradicular by medical. The biology of dental pulp and periradicular tissues. Diseases of periradicular tissues free download as powerpoint presentation. Ppt pulp and periapical pathosis powerpoint presentation. Icd10cm code k04 diseases of pulp and periapical tissues. Mcqs in endodontics diseases of the pulp and periradicular tissues practice these mcqs for mds entrance preparation for aiims, comedk, aipg, pgi, pgimer, bhu, etc. The sequelae of periradicular diseases is given in box 6. Diagnosis of pulp and periradicular disease 2012 free download as powerpoint presentation. Importance periodontal diseases and certain systemic disorders share similar genetic andor environmental etiological factors, and affected patients may show manifestations of both diseases. Dislocation of one or both lenses of the eye a protruding or indented breastbone scoliosis flat feet aortic dilatation dural ectasia a problem with the sac surrounding the spinal cord stretch marks hernia. Fouad pulp and periapical pathosis mahmoud torabinejad, shahrokh shabahang diagnosis.
Pdf identify and define all diagnostic terms for periapical. Diseases of pulp and periapical tissues authorstream presentation. A clinical classification of the status of the pulp and the root canal. Bacteria colonizing the root canal damage periradicular tissues.
Acute periapical periradicular periodontitis or chronic periapical periradicular periodontitis with. In 22 teeth, bacteria were organized in biofilm communities in the main apical canal figure 1, figure 2, figure 3. Joe volume 35, number 12, december 2009 diagnostic terms for periapicalperiradicular health. Diseases of the pulp and periapical tissues are, in general terms, either inflammatory in nature or due to infections. Pathways of pulpal infection dental caries is the most common pathway to the root canal system for microbes when the tooth is intact, enamel and dentine protect it against invasion of the pulp space as caries approaches the pulp, reparative dentine is laid down to avert. Dental trauma is the injury sustained by a tooth and its supporting structures from acute transmission of impact energy.
Often periradicular surgery involves tissues in the aesthetic zone and is performed around crowned teeth. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Therefore, as bacterial infection invasion, survival and proliferation of the periradicular tissues represent a rare occurrence, except for abscess cases, direct or indirect aggression to the tissues is caused by bacterial secreted products or structural components that diffuse out from the canal or are released by bacterial cells that. The vast majority of diseases of dental pulp and periradicular tissues are. Endodontics encompasses the study practice of the basic and clinical sciences of normal dental pulp, the etiology, diagnosis, prevention, and treatment of diseases and injuries of the dental pulp along with associated periradicular conditions. The aim of this study is to fill the gaps in our knowledge. Dr nawaf alhazaimeh causes of inflamation microorganisms and viruses.
Identify and define all diagnostic terms for periapical. Slides 9 pulp and periradicular pathosis inflammation. Pdf 30 periradicular tissue consists of root cementum,periodontal ligament and the alveolar bone. Diagnosis is defined as the art of distinguishing one disease from another. Histobacteriologic conditions of the apical root canal. Marfan syndrome is hereditary genetic condition affecting connective tissue.
Histobacteriologic analysis revealed bacteria in the apical root canal system of all 24 specimens. This is particularly important where the patient has a high smile line. Due to the anatomical localization of the endodontic. R nageswar rao endodontics is a branch of dentistry that deals with the tooth pulp and its diseases. During the bell stage, the inner layer of cells of the enamel organ differentiate into ameloblasts fig. Periapical lesions are one of the common pathological conditions affecting periradicular tissues. What urgent situation can result if bacteria reach the nerves and blood vessels of a tooth.
Successful nonsurgical management of periapical lesions of. A wellplanned and executed access, biomechanical preparation of root canal system followed by threedimensional obturation contributes to. As a consequence of the clash between bacteria and host defenses, inflammatory and immunologic reactions take place in the periradicular tissues figure s12. Scribd is the worlds largest social reading and publishing site. Diseases of periradicular tissues by dr ramesh bharti. Most abscesses are septic, which means that they are the result of an infection. Description there are two types of abscesses, septic and sterile. If you continue browsing the site, you agree to the use of cookies on this website. It is the result of the bodys defensive reaction to foreign material. Diseases of periradicular tissues by dr ramesh bharti 1. Microsofts free reader application, or a booksized computer the is used.
The diseases of periradicular tissues can be classified on the basis of the etiology, symptoms, and histopathological features. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Shortterm periradicular tissue response to mineral trioxide aggregate mta as rootend filling material. Diseases of the pulp and periradicular tissues mcqs in endodontics diseases of the pulp and periradicular tissues practice these mcqs for mds entrance preparation for. Bisphosphonates are commonly used in the management of bone diseases, such as osteoporosis and pagets. Accepted generally that rests of malassez included within a developing periapical granuloma proliferates to form the lining of radicular cyst. After the microbial invasion of these tissues, the host responds with both nonspecific inflammatory responses and with specific immunologic responses to encounter such infections. This is followed by the outer layer of cells of the dental papilla differentiating into odontoblasts fig. The apical periodontium is highly cellular structure enriched with blood and lymphatics as well as sensory and motor nerve fiber supplying both pulp and periodontium. No pathologic changes occurred in germfree rats when pulps were exposed. Factors physical injury chemical injury microbial factorsacute injury bacterial invasion by.
However, clinicians must recognize that diseases of the pulp and periapical tissues are dynamic. Classification of pulpal and periradicular pathoses ucla. The vast majority of diseases of dental pulp and periradicular tissues are associated with microorganisms. A comprehensive search was carried out on all in vivo studies investigating the expression of inflammatory mediators from within periradicular tissues in human permanent teeth diagnosed with symptomaticacute or asymptomaticchronic apical periodontitis, acute or chronic apical abscess or condensing osteitis with or without vital pulp tissue. Classification of diseases of dental pulp junior dentist. A manual search of the reference lists of published articles yielded a fur. Manifestations of systemic diseases and conditions that. The irritants such as bacteria, bacterial toxins, disinfecting medications, debris, disintegration products pushed into the periradicular tissues, or traumatic insult of the periapical tissues are. Radiographic changes are variable depending on the amount of periradicular destruction.
The microbial invasion and subsequent infection of the canal systems of root play a decisive role in the initiation and progression of periapical lesions. If you cannot find any books here in the list below, you can search yourself in the library genesis website database. The lamina dura surrounding the root is intact and the periodontal ligament space is uniform. Welfare, for treatment of diseases of the dental pulp and the periapical tissues 1. Abscess definition an abscess is an enclosed collection of liquefied tissue, known as pus, somewhere in the body. For example, if this particular study guide is downloaded as a pdf, it provides a useful but static listing of the cited articles. Periradicular tissues are tissues that surround the root of a tooth what specialist has been trained to perform root canal therapy. On the other hand, if the reader navigates to the table of contents page for the online study guide and then clicks on full text fig. It is gaining importance due to patients increasing awareness of dental health, prevention, saving teeth and oral hygiene. The biology of dental pulp and periradicular tissues graham rex holland, mahmoud torabinejad protecting the pulp and promoting tooth maturation ashraf f. Irritation or injury of the periradicular tissue as a result of bacterial or traumatic insult. Microorganisms present in dental caries are the main sources of irritation of the dental pulp and periradicular tissues.
Epithelial tissue diseases tend to strike the skin, the intestinal tract, and other. Pdf the purpose of this indepth investigation was to identify, clarify, and substantiate clinical. What specialist has been trained to perform root canal therapy. Introduction as a consequence of pathologic changes in the dental pulp,may or may not initiate formation and perpetuation of periradicular lesions. Apical periodontitis is an inflammatory disorder of the periradicular tissue caused by a persistent microbial infection of the root canal system of the affected tooth. Free chlorine in naocl dissolves vital and necrotic tissue by breaking down proteins into amino acids. Mcqs in endodontics diseases of the pulp and periradicular tissues practice these mcqs for mds entrance preparation for aiims, comedk, aipg, pgi, pgimer, b. A person with marfan syndrome may exhibit the following symptoms and characteristics.
Acces pdf cohen39s pathways of the pulp 10th edition cohen39s pathways of the pulp 10th edition. Depending on the nature and quantity of irritants,as well as the duration of exposure of the periradicular tissues, a variety of tissue changes can occur. Endodontics has evolved tremendously in the past decade and its applications have immensely improved the quality of dental treatment. To code a diagnosis of this type, you must use one of the ten child codes of k04 that describes the diagnosis diseases of pulp and periapical tissues in more detail. Ppt periradicular lesions of pulpal origin powerpoint. Six types of injuries to the periradicular tissues i. Diseases of periradicular tissues epithelium dentistry scribd. Periradicular lesions are diseases either primarily or secondarily caused by. In the other 2 cases both endodontically treated teeth, a.
Localized collection of pus in the alveolar bone at the root apex of a tooth following death of pulp, with extension of infection through the apical foramen into the periradicular tissues. Its study and practice encompass the basic clinical sciences including biology of the normal pulp. These tissues are subject to a number of diseases, and well explore a few examples here in this lesson. Periradicular lesions of pulpal origin 1 periradicular lesions of pulpal origin 2 definition. Mucosal fenestration can be caused due to malpositioning of teeth, prominent morphology of the root apex, thin alveolar cortex or severe periradicular inflammation with bone destruction. Responses of the pulp, periradicular and soft tissues. Diseases of periradicular tissues authorstream presentation. Endodontist what urgent situatuion can result if bacteria reach the nerves and blood vessels of a tooth. Classification of pulpal and periradicular pathoses 06sep07.
The clinical diagnostic conditions of pulpal and periradicular diseases are presented in fig. Furthermore, it showed that the degree of inflammation was less severe with monoinfection than with mixed infection. Subsequent recession may lead to exposure of unaesthetic crown margins. Etiologic role of root canal infection in apical periodontitis and its. Periradicular pathology are mostly of pulpal orgin. Diseases of pulp and periapical tissues authorstream.