Periapical Granuloma
Radicular Cyst
Periapical Diseases
Granuloma
Periapical Periodontitis
Differential diagnosis and therapeutic approach to periapical cysts in daily dental practice. (1/15)
The diagnosis and therapeutic approach to periapical cysts is an extremely controversial concern for dentists. Furthermore, as this complaint represents the most frequent cystic lesion of the maxilla, together with the fact that its differential diagnosis with chronic apical periodontitis presents special difficulty, the question takes on even greater importance. The purpose of this article is to assess the validity of the various diagnostic techniques used to differentiate between both pathologies and make a critical analysis of the controversy surrounding the therapeutic approach to suspected periapical cysts through non-surgical and follow-up treatment, or surgical enucleation and histopathological analysis. (+info)Clinical presentation and differential diagnosis of nasolabial cyst. (2/15)
Nasolabial cyst is a rare non-odontogenic, soft-tissue, developmental cyst occurring inferior to the nasal alar region. The patient usually presents with a slowly enlarging asymptomatic swelling, typically without radiographic abnormalities. This paper documents the presentation and management of a 46-year-old woman with a nasolabial cyst. The histopathologic features, differential diagnosis, treatment and prognosis are discussed. (+info)Immunochemical and biological characterization of outer membrane proteins of Porphyromonas endodontalis. (3/15)
Outer membrane proteins (OMP) of Porphyromonas endodontalis HG 370 (ATCC 35406) were prepared from the cell envelope fraction of the organisms. The cell envelope that had been obtained by sonication of the whole cells was extracted in 2% lithium dodecyl sulfate and then successively chromatographed with Sephacryl S-200 HR and DEAE-Sepharose Fast Flow. Two OMP fractions, OMP-I and OMP-II, were obtained, and their immunochemical properties and induction of specific antibodies were examined. The OMP-I preparation consisted of a major protein with an apparent molecular mass of 31 kDa and other moderate to minor proteins of 40.3, 51.4, 67, and 71.6 kDa, while the OMP-II preparation contained 14-, 15.5-, 27-, and 44-kDa proteins as revealed by sodium dodecyl sulfate-polyacrylamide gel electrophoretic analysis. OMP-I was found to form hydrophilic diffusion pores by incorporation into artificial liposomes composed of egg yolk phosphatidylcholine and dicetylphosphate, indicating that OMP-I exhibited significant porin activity. However, the liposomes containing heat-denatured OMP-I were scarcely active. Spontaneous and antigen-specific immunoglobulin M (IgM)-, IgG-, and IgA-secreting spot-forming cells (SFC) enzymatically dissociated into single-cell suspensions from chronically inflamed periapical tissues and were enumerated by enzyme-linked immunospot assay. In patients with radicular cysts or dental granulomas, the major isotype of spontaneous SFC was IgG. In radicular cysts, the OMP-II-specific IgG SFC represented 0.13% of the total IgG SFC, while the antigen-specific IgA or IgM SFC was not observed. It was also found that none of these mononuclear cells produced antibodies specific for OMP-I or lipopolysaccharide of P. endodontalis. (+info)Gamma interferon (IFN-gamma) and IFN-gamma-inducing cytokines interleukin-12 (IL-12) and IL-18 do not augment infection-stimulated bone resorption in vivo. (4/15)
Periapical granulomas are induced by bacterial infection of the dental pulp and result in destruction of the surrounding alveolar bone. In previous studies we have reported that the bone resorption in this model is primarily mediated by macrophage-expressed interleukin-1 (IL-1). The expression and activity of IL-1 is in turn modulated by a network of Th1 and Th2 regulatory cytokines. In the present study, the functional roles of the Th1 cytokine gamma interferon (IFN-gamma) and IFN-gamma-inducing cytokines IL-12 and IL-18 were determined in a murine model of periapical bone destruction. IL-12-/-, IL-18-/-, and IFN-gamma-/- mice were subjected to surgical pulp exposure and infection with a mixture of four endodontic pathogens, and bone destruction was determined by microcomputed tomography on day 21. The results indicated that all IL-12-/-, IL-18-/-, and IFN-gamma-/- mice had similar infection-stimulated bone resorption in vivo as wild-type control mice. Mice infused with recombinant IL-12 also had resorption similar to controls. IFN-gamma-/- mice exhibited significant elevations in IL-6, IL-10, IL-12, and tumor necrosis factor alpha in lesions compared to wild-type mice, but these modulations had no net effect on IL-1alpha levels. Recombinant IL-12, IL-18, and IFN-gamma individually failed to consistently modulate macrophage IL-1alpha production in vitro. We conclude that, at least individually, endogenous IL-12, IL-18, and IFN-gamma do not have a significant effect on the pathogenesis of infection-stimulated bone resorption in vivo, suggesting possible functional redundancy in proinflammatory pathways. (+info)Differential patterns of receptor activator of nuclear factor kappa B ligand/osteoprotegerin expression in human periapical granulomas: possible association with progressive or stable nature of the lesions. (5/15)
(+info)The potential role of suppressors of cytokine signaling in the attenuation of inflammatory reaction and alveolar bone loss associated with apical periodontitis. (6/15)
(+info)Nitric oxide attenuates vascular endothelial cadherin-mediated vascular integrity in human chronic inflammation. (7/15)
(+info)Esthetic and endosurgical management of Turner's hypoplasia; a sequlae of trauma to developing tooth germ. (8/15)
Turner's hypoplasia usually manifests as a portion of missing or diminished enamel, generally affecting one or more permanent teeth in the oral cavity. A case report of 8 year old girl who met with trauma at 2 years of age leading to primary incisors being knocked out, reported after 6 years with complaint of pain and discharge in her anterior malformed teeth is discussed in this article. The permanent incisors erupted with dilacerated crown, root malformations and missing enamel. Further, patient developed sinus, lateral root pathology, tooth mobility and malocclusion in relation to affected teeth which were managed by esthetic, functional, endodontic and surgical procedure. Root canal treatment along with palatal contouring and esthetic restoration by light cure composite was performed on the tooth with crown dilaceration and sinus, where as surgical management was considered for the tooth with root malformation. (+info)A periapical granuloma is a type of dental lesion that occurs at the root tip of a tooth (the apical region) in response to an infection in the pulp tissue. It is a collection of inflammatory cells, mainly composed of lymphocytes, plasma cells, and histiocytes, within the periodontal ligament and alveolar bone. The granuloma forms as a result of the body's attempt to contain the spread of infection from the pulp into the surrounding tissues.
The primary cause of periapical granulomas is untreated dental caries or tooth trauma, which allows bacteria to invade the pulp chamber and eventually reach the apical region. The resulting inflammation can lead to bone resorption and the formation of a radiolucent area around the apex of the affected tooth, visible on a dental radiograph.
Periapical granulomas may not always cause noticeable symptoms, but some patients might experience pain, swelling, or sensitivity in the affected tooth. Treatment typically involves root canal therapy to remove the infected pulp tissue and medicate the canals, followed by a filling or crown to seal and protect the tooth. In some cases, extraction of the tooth may be necessary if the infection is severe or if the tooth cannot be restored.
A radicular cyst is a type of dental cyst that forms around the root of a tooth, usually as a result of chronic infection or inflammation. It is also known as a periapical cyst. The cyst develops from the accumulation of fluid and cells in the periodontal ligament, which is the tissue that connects the tooth to the jawbone.
Radicular cysts are often caused by untreated dental caries or trauma to the tooth that allows bacteria to enter the pulp chamber of the tooth and cause an infection. Over time, the infection can spread to the surrounding tissues, leading to the formation of a cyst. Symptoms of a radicular cyst may include pain, swelling, and tenderness in the affected area. Treatment typically involves removing the affected tooth and the cyst through a surgical procedure.
Periapical diseases are a group of conditions that affect the periapical tissue, which is the tissue located at the tip of the tooth roots. These diseases are primarily caused by bacterial infections that originate from the dental pulp, the soft tissue inside the tooth. The most common types of periapical diseases include:
1. Periapical periodontitis: This is an inflammatory reaction of the periapical tissues due to the spread of infection from the dental pulp. It can cause symptoms such as pain, swelling, and tenderness in the affected area.
2. Periapical abscess: An abscess is a collection of pus that forms in response to an infection. A periapical abscess occurs when the infection from the dental pulp spreads to the periapical tissue, causing pus to accumulate in the area. This can cause severe pain, swelling, and redness in the affected area.
3. Periapical granuloma: A granuloma is a mass of inflammatory cells that forms in response to an infection. A periapical granuloma is a small, benign tumor-like growth that develops in the periapical tissue due to chronic inflammation caused by a bacterial infection.
Periapical diseases are typically treated with root canal therapy, which involves removing the infected dental pulp and cleaning and sealing the root canals to prevent further infection. In some cases, extraction of the affected tooth may be necessary if the infection is too severe or if the tooth is not salvageable.
A granuloma is a small, nodular inflammatory lesion that occurs in various tissues in response to chronic infection, foreign body reaction, or autoimmune conditions. Histologically, it is characterized by the presence of epithelioid macrophages, which are specialized immune cells with enlarged nuclei and abundant cytoplasm, often arranged in a palisading pattern around a central area containing necrotic debris, microorganisms, or foreign material.
Granulomas can be found in various medical conditions such as tuberculosis, sarcoidosis, fungal infections, and certain autoimmune disorders like Crohn's disease. The formation of granulomas is a complex process involving both innate and adaptive immune responses, which aim to contain and eliminate the offending agent while minimizing tissue damage.
Periapical periodontitis is a medical condition that affects the tissues surrounding the root tip (apex) of a tooth. It is typically caused by bacterial infection that originates from the dental pulp, which is the soft tissue inside the tooth that contains nerves and blood vessels. When the dental pulp becomes inflamed or infected due to decay or injury, it can lead to periapical periodontitis if left untreated.
The infection spreads from the pulp through the root canal and forms an abscess at the tip of the tooth root. This results in inflammation and destruction of the surrounding bone and periodontal tissues, leading to symptoms such as pain, swelling, tenderness, and sensitivity to hot or cold temperatures.
Periapical periodontitis is usually treated with root canal therapy, which involves removing the infected pulp tissue, cleaning and disinfecting the root canal, and filling and sealing the space to prevent reinfection. In some cases, antibiotics may also be prescribed to help clear up any residual infection. If left untreated, periapical periodontitis can lead to more serious complications such as tooth loss or spread of infection to other parts of the body.
Periapical tissue, in the field of dentistry and oral medicine, refers to the tissue that surrounds the apical region of a tooth. The apical region is the tip or apex of the root of a tooth. Periapical tissues include the periodontal ligament, the alveolar bone, and the dental follicle. These tissues play a crucial role in supporting and protecting the tooth. Inflammation or infection of the periapical tissue can lead to a condition known as periapical periodontitis, which may require root canal treatment or tooth extraction.