Term
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Definition
| ___ = inflammation of pulp. |
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Term
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Definition
| ___ appears as increased redness at the coronal aspect of the pulp chamber. |
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Term
| True! Classification of pulpitis is based on symptoms and signs. |
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Definition
| T/F: There is little correlation between symptoms and histological appearance of pulp. |
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Term
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Definition
| ___ ___ is associated with sharp pain of short duration. It is intermittent and non-spontaneous. |
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Term
| Reversible pulpitis (pulpalgia) |
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Definition
| ___ ___ presents as dilated/engorged vessels, edema, and some chronic inflammatory cells histologically. |
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Term
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Definition
| ___ ___ is usually sharp, severe pain on stimulation (cold), prolonged and dull with time. Pain is often spontaneous and localized early, becoming more diffuse with time. |
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Term
| Irreversible (cold causes sharp pain in irreversible pulpitis) |
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Definition
| Which pulpitis is similar to partial necrosis with the exception that cold RELIEVES pain? |
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Term
| True! Masses of neutrophils, histiocytes with foci of necrosis, chronic inflammatory cells and fibrosis peripherally |
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Definition
| T/F: Irreversible pulpitis, partial necrosis and necrosis have similar histologic features. |
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Term
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Definition
| ___ ranges from asymptomatic to severe pain and usually does not respond to pulp vitality tests. |
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Term
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Definition
| ___ ___ is also called a pulp polyp. |
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Term
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Definition
| ___ ___ is chronic pulpitis in children and young adults. |
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Term
| Hyperplastic Pulpitis (pulp polyps) |
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Definition
| ___ ___ follows carious pulp exposure with loss of crown and exposure of pulp chamber. Most common in molars due to large pulp chambers in young people. |
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Term
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Definition
| How do you treat reversible pulpitis? |
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Term
| Endodontic therapy or extraction |
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Definition
| How do you treat hyperplastic pulpitis, irreversible pulpitis and necrosis? |
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Term
| True! (Pulpitis does not have a good correlation between histology and symptoms.) |
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Definition
| T/F: There is a good correlation between histology and symptoms with periapical inflammation. |
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Term
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Definition
| Toxic metabolites of degerating cells incite inflammation in ___ ___. |
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Term
| Acute Apical Periodontitis |
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Definition
| ___ ___ ___ is the first manifestation of acute inflammation that can result from hyperocclusion. There is pain to pressure, percussion, or may also be spontaneous. |
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Term
| Acute apical periodontitis |
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Definition
| ___ ___ ___ has no pus, radiographically presents as slight widening of PDL and is treated with endo or extraction. |
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Term
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Definition
| In ___ ___ ___ is not sensitive to thermal since pulp is necrotic, but may have thermal sensitivity due to remaining pulp being vital (multi-rooted tooth). |
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Term
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Definition
| ___ ___ ___ comes with pus, severe pain to pressure/percussion, but usually not thermal sensitivity since pulp is necrotic. |
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Term
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Definition
| A ___ is a raised, red mass of gingiva that can appear on skin if tract drains in that area. When pressure is applied to tooth, pus may express through opening. |
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Term
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Definition
| ___ ___ ___ may lead to a parulis. |
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Term
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Definition
| Acute Apical Abscesses may progress to ___ (which is the diffuse spread of acute inflammation through soft tissue and fascial planes) if it is not drained. This is especially likely in immunocompromised patients. |
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Term
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Definition
| ___ ___ is cellulitis of submandibular, sublingual and submental spaces. It usually arises from necrotic mandibular teeth and can extend to lateral phayrngeal space, retropharyngeal space or mediastinum. |
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Term
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Definition
| ___ ___ is an elevation, enlargement and protrusion of the tongue (woody tongue). |
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Term
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Definition
| Woody tongue and bull neck are clinical manifestations of ___ ___. |
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Term
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Definition
| T/F: Bilateral spread of Ludwig Angina is common. |
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Term
| Cavernous Sinus Thrombosis |
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Definition
| ___ ___ ___ is when an abscess in upper teeth perforates the buccal cortex and spreads to the maxillary sinue, pterygopalatine fossa or infratemporal fossa. It reaches the orbit through inferior orbital fissure and spreads to cavernous sinus at base of skull. |
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Term
| cavernous sinus thrombosis |
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Definition
| Periorbital edema, proptosis of the orbit and swelling along side of nose are clinical findings in ___ ___ ___. |
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Term
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Definition
| A ___ ___ is an acute exacerbation of chronic apical periodontitis. It can be painful on percussion or pressure. It appears as an abscess within mass of granulation tissue and radiolucent lesion similar to chronic apical peridontitis. |
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Term
| Chronic Apical Periodontitis |
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Definition
| ___ ___ ___ is chronic inflammation at the apex of a non-vital tooth. It produces obvious radiographic changes in bone and causes periapical granuloma or periapical (radicular) cyst. |
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Term
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Definition
| A ___ ___ can arise de novo as chronic inflammatory lesion. May also be sequella of AAP or AAA and can progress to periapical cyst of phoenix abscess. |
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Term
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Definition
| ___ ___ are mostly asymptomatic, but may be mildly painful to percussion. It is not sensitive to thermal stimuli because pulp is necrotic. |
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Term
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Definition
| Widened PDL, resorption of lamina dura and possible root resorption are radiographic findings in ___ ___. |
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Term
| periapical/radicular cyst |
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Definition
| ___ ___ arises from pre-existing periapical granuloma. It is the proliferation of epithelial rests of Malassez in PDL. Patient is not sensitive to thermal stimuli since pulp is necrotic. |
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Term
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Definition
| ___ ___ appear as hyperplastic stratified squamous epithelial cyst lining, supported by chronically inflamed granulation tissue. |
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Term
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Definition
| Larger periapical lesions (>2cm) more likely to be ___ ___. |
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Term
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Definition
| ___ ___ ___ is an apical abscess that has drained through a sinus tract. Usually asymptomatic due to release of pressure. |
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Term
| periapical granulmoa, periapical cyst, chronic apical abscess |
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Definition
| Which three pathologies could periapical radiolucency indicate? |
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Term
| residual periapical granumola/cyst |
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Definition
| ___ ___ ___ is the most common diagnosis for solitary radiolucencies in alveolar process. |
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Term
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Definition
| ___ ___ is chronic periapical response to long-term pulpitis or pulpal necrosis. Mild inflammatory reaction stimulates bone formation usually in teens and young adults. |
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Term
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Definition
| Almost all ___ ___ are asymptomatic, but may present with mild pain to percussion or palpatation. Radiographically = irregular homogeneous radiopacity at apices, dense sclerotic bone, poorly or well defined. |
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Term
| residual condensing osteitis |
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Definition
| ___ ___ is the most common diagnosis of solitary radiopacity in alveolar process. |
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Term
| 1. widening of apical PDL space, 2. resorption of apical lamina dura, 3. periapical radiolucency or opacity |
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Definition
| What are the 3 radiographic signs of pulpal inflammation or death? |
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Term
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Definition
| ___ ___ is the proliferation and ossification of periosteum. It is a sequella of periapical inflammation in mandibular molars and premolars. Usually affects children and young adults. |
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Term
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Definition
| ___ ___ is usually asymptomatic, presenting as a bony, hard swelling over inferior border or buccal aspect of mandible. |
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Term
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Definition
| ___ ___ appears radiographically as "onion skin" radiopacities or faintly radiopaque thickening along cortex. |
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Term
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Definition
| T/F: Cosmetic surgery is an important treatment for periostitis ossificans. |
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Term
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Definition
| ___ is inflammation of bone medullary spaces. It usually arises from odontogenic infection or periodontitis. |
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Term
| False! Osteomyelitis is most common in men and in the mandible |
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Definition
| T/F: Osteomyelitis is most common in women and found largely in the maxilla. |
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Term
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Definition
| ___ occurs in cases of immune dysfunction or bone diseases. |
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Term
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Definition
| ___ ___ presents with pain, fever, leukocytosis, lymphadenopathy, paresthesia, neutrophils, pus, necrotic bone, bacteria, thinning of trabecular bone producing radiolucencies with distinct borders. |
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Term
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Definition
| ___ ___ presents as chronically or subacutely inflamed fibrous tissue, sequestra of non-viable bone and bacteria. |
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Term
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Definition
| ___ ___ presents as moth-eaten indistinct radiolucencies. |
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