Acute periapical periodontitis

Introduction to acute apical periodontitis Acute apical periodontitis is a series of reaction processes from the apical periodontal ligament from the serous inflammatory reaction to the suppurative inflammation of the periapical tissue. It can develop into a localized osteomyelitis of the alveolar bone. Osteomyelitis of the jaw. There are two types: 1. Acute serous apical periodontitis can be caused by pulpitis or occlusal trauma, which can occur on the pulp or inactivated teeth. 2. Acute suppurative apical periodontitis is often developed from acute serous apical periodontitis, and can also be caused by acute exacerbation of chronic apical periodontitis. Also known as acute suppurative apical abscess or acute alveolar abscess, it is one of the most serious dental diseases seen in the clinic. basic knowledge Sickness ratio: 2-3% Susceptible people: no special people Mode of infection: non-infectious Complications: apical abscess swelling

Acute apical periodontitis

Acute serous apical periodontitis can be caused by pulpitis or occlusal trauma, and can occur on vital pulp or inactivated teeth.

Acute suppurative apical periodontitis is often developed from acute serous apical periodontitis and can also be caused by an acute onset of chronic apical periodontitis.

Acute apical periodontitis prevention

Avoid dental injuries, maintain oral hygiene, and develop a good habit of brushing your teeth in the morning and evening.

Acute apical periodontitis complications Complications, apical abscess swelling

If acute apical periodontitis is not treated, inflammation continues to develop, and an acute apical abscess is formed, resulting in increased pain, obvious pain, and persistent tenderness. The pus spreads to the periosteum, and the pain and swelling are obvious. Once the pus penetrates the periosteum and reaches the submucosa, the submucosal tissue is loosened due to the weakened pressure, and the pain is relieved.

Acute apical periodontitis symptoms Common symptoms Periodontal pocket formation dull pain tooth loosening and shedding gums deep red or dark red

The main symptom of acute serous apical periodontitis is bite pain. The patient has a history of pulp disease, a history of trauma, and a history of imperfect endodontic treatment; at the beginning, there is only mild pain or discomfort, and the jaw is tight and feels comfortable; then, dull pain, bite pain, and the tooth has a floating, elongated feeling. Pain is persistent, spontaneous, limited, and the teeth are clear; oral examination shows that the gums are severe and even loose, and the corresponding parts of the root tip of the fistula can cause pain. The pulp vitality test is mostly unresponsive, young permanent teeth or The deciduous teeth may respond before the pulp is necrotic; the teeth may be found to have smashed, stuffed bodies, other hard tissue diseases of the teeth, discolored crowns or deep periodontal pockets.

Acute suppurative apical periodontitis in the early stage of apical abscess, spontaneous persistent severe tenderness, cramps (+++), loosening III°, mild cramps, apical gingival flushing. Development to the subperiosteal abscess stage, there are still severe pain, pain, looseness and other symptoms, the patient has a painful face, the gingival area of the gingival area is flushed, swollen, the mucosal turning point becomes shallow, flattened, painful and deep fluctuations, The soft tissue of the corresponding cheeks is reactive edema, regional lymph nodes are swollen and painful, and the lower molars may be accompanied by limited opening; general malaise, elevated body temperature, increased white blood cell count, and severe cases may be associated with the maxillofacial region. Cellulitis. In the submucosal abscess stage, the pain is relieved, the pain is relieved, and the mucosa of the apical area is limited to a hemispherical bulge. The percussion has obvious fluctuation and the systemic symptoms are relieved.

Acute apical periodontitis examination

X-ray films of acute apical periodontitis: no significant changes or only widening of the periodontal space. If the episode of chronic apical periodontitis occurs, the transmission image of the apical alveolar bone destruction can be seen.

Diagnosis and diagnosis of acute periapical periodontitis

diagnosis

According to the clinical manifestations and examination of the presence or absence of tooth decay, deep periodontal pockets, tooth looseness and pain can be diagnosed.

Differential diagnosis

Acute serous apical periodontitis and acute suppurative apical periodontitis were identified.

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