Clinical features of Chronic Apical Periodontitis

| October 8, 2011 | 0 Comments

Clinical features of Chronic Apical Periodontitis

Common features of Chronic Apical Periodontitis are :

  • Chronic periodontitis is a low-grade infection. It may follow an acute infection that has been inadequately drained and incompletely resolved.
  • The tooth is non-vital and may be slightly tender to percussion but otherwise symptoms may be minimal.
  • Frequently, chronic periodontitis is first recognised as a rounded area of radiolucency at the apex of a tooth (an ‘apical granuloma’) in a routine radiograph .
  • The area is usually about 5 mm in diameter and has well-defined margins.
    A distinct cortex is sometimes interpreted as early cyst formation, but this cannot be confirmed without a biopsy.

Possible complications of chronic apical periodontitis

  •  Periapical granuloma formation
  •  Radicular cyst formation
  •  Suppuration and sinus formation
  •  Acute exacerbations


Category: Articles, Oral Pathology

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