What can chronic pulpitis develop with or without?
Episodes of acute pulpitis.
What is a characteristic of chronic hyperplastic pulpitis?
It can create pulp polyps with chronic inflammation.
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Chronic vs. Acute Pulpitis

What can chronic pulpitis develop with or without?

Episodes of acute pulpitis.

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Chronic vs. Acute Pulpitis

What is a characteristic of chronic hyperplastic pulpitis?

It can create pulp polyps with chronic inflammation.

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Periapical Periodontitis Etiology

What are the consequences of radicular cysts?

Sclerosis osteitis, root absorption, ankylosis, and hypercementosis.

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Chronic and Acute Periapical Periodontitis

What are the clinical features of chronic periapical periodontitis?

Frequently without symptoms and slightly tender to percussion.

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Chronic and Acute Periapical Periodontitis

What does a periapical granuloma look like on an X-ray?

Radiolucent at the apex.

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Acute Apical Abscess

How may pus from an acute apical abscess drain?

Into the oral cavity and sinus tracts.

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Periapical Granuloma Characteristics

What role do osteoclasts play in periapical granulomas?

They reabsorb the bone.

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Odontogenic vs. Non-Odontogenic Cysts

What is the most common type of odontogenic cyst?

Radicular cyst.

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Developmental Non-Odontogenic Cysts

What are examples of developmental non-odontogenic cysts?

Nasopalatine duct cysts and nasolabial cysts.

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Radicular Cysts

What is the most common type of cysts in the jaws?

Radicular cysts.

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Acute vs. Chronic Pulpitis

What are common exacerbating factors for pulpitis pain?

Hot, cold, sweet stimuli, and lying down.

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Pulpitis Overview

What is the most common cause of pulpitis?

Caries, through the ingress of bacteria and trauma.

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Radicular Cysts

What type of metaplasia occurs in a radicular cyst?

Mucous metaplasia, resembling goblet cells.

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Periapical Granuloma Characteristics

What is a periapical granuloma?

A typical focus of chronic inflammation.

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Developmental Odontogenic Cysts

What are examples of developmental odontogenic cysts?

Dentigerous cyst, odontogenic keratocyst, lateral periodontal cyst, and gingival cyst.

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Radicular Cysts

Where are radicular cysts typically located?

At the apex of a non-vital tooth.

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Radicular Cysts

Which gender is more commonly affected by radicular cysts?

Males.

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Acute Apical Abscess

What are common symptoms of an acute apical abscess?

Intra-oral pain and swelling.

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Periapical Granuloma Characteristics

Are periapical granulomas true granulomas histologically?

No, they are not true granulomas.

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Odontogenic vs. Non-Odontogenic Cysts

What type of epithelium lines odontogenic cysts?

Odontogenic epithelium derived from the dental lamina.

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Periapical Periodontitis Etiology

What can occlusal trauma from an over-contoured restoration cause?

Acute transient sterile apical periodontitis.

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Radicular Cysts

Do radicular cysts recur after enucleation?

No, they do not recur after enucleation.

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Acute Apical Abscess

What is an acute apical abscess?

A condition formed at any stage when apical tissue undergoes suppuration.

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Periapical Granuloma Characteristics

What types of cells are found in granulation tissues of a periapical granuloma?

Lymphocytes, macrophages, and plasma cells.

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Cysts in Dental Pathology

What are the components of a cyst?

A central lumen, a wall of fibrous tissue, and an epithelial lining.

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Chronic vs. Acute Pulpitis

How do pulps under large cavities typically die?

Painlessly.

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Pulpitis Overview

What can untreated pulpitis lead to?

Death of the pulp and spread of infection (periodical periodontitis).

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Acute Apical Abscess

What can an acute alveolar abscess lead to?

Cellulitis, lymphadenopathy, and pyrexia.

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Acute Apical Abscess

What is a potential severe complication of cellulitis and lymphadenopathy?

Ludwig’s angina and cavernous sinus thrombosis.

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Histopathology of Pulpitis

What histopathological changes occur in acute pulpitis?

Acute inflammatory infiltrate, destruction of odontoblasts, and intense edema with thrombosis.

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Acute vs. Chronic Pulpitis

What is open pulpitis?

Pulpitis where the cavity is broken and the pulp is exposed, involving both acute and chronic inflammation.

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Acute Apical Abscess

What serious conditions could develop from an acute apical abscess?

Ludwig’s angina and cavernous sinus thrombosis.

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Cysts in Dental Pathology

What is the most common cause of chronic swellings of the jaw?

Cysts.

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Non-Odontogenic Cysts

What characterizes non-odontogenic cysts?

They are lined by other types of epithelium and are usually developmental in origin.

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Pulpitis Overview

What is pulpitis?

Inflammation of the dental pulp.

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Radicular Cysts

Are radicular cysts usually symptomatic?

They are usually asymptomatic unless infected or large.

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Radicular Cysts

At what age are radicular cysts rarely seen?

Before 10 years old.

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Radicular Cysts

Which part of the jaw is more affected by radicular cysts?

The maxilla.

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Acute vs. Chronic Pulpitis

What is acute closed pulpitis?

Pulpitis occurring in the pulp chamber without destruction of the cavity, characterized by hyperemia and neutrophils.

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Acute Apical Abscess

What complications can arise from a spreading infection of an acute apical abscess?

Cellulitis, lymphadenitis, and pyrexia.

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Cysts in Dental Pathology

What defines a cyst in dental pathology?

A pathological fluid-filled cavity lined by epithelium.

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Developmental Odontogenic Cysts

What are developmental odontogenic cysts caused by?

The development of the structures of the tooth.

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Periapical Periodontitis Etiology

What can trigger periodical inflammation in periapical periodontitis?

Endodontic procedures, such as perforations or pushing infected material.

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Acute vs. Chronic Pulpitis

How is the pain from pulpitis characterized?

Severe, poorly localized, and can be spontaneous or associated with exacerbating factors.

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Acute vs. Chronic Pulpitis

What distinguishes acute reversible pulpitis from irreversible pulpitis?

Reversible pulpitis has short, sharp pain that resolves quickly after stimulus removal, while irreversible pulpitis has constant throbbing pain that persists after stimuli.

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Radicular Cysts

What is the radiographic appearance of a radicular cyst?

A rounded and sharply defined area of radiolucency associated with the apices of the roots.

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Acute Apical Abscess

What can happen if an acute apical abscess opens onto facial skin?

It may form a fistula.

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Periapical Granuloma Characteristics

What can inflammation in periapical granulomas trigger?

Development of epithelial rests of Malassez and radicular cysts.

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Inflammatory Odontogenic Cysts

What are inflammatory odontogenic cysts?

Radicular cysts and inflammatory collateral cysts.

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