Periapical granuloma SlideShare

periapical cyst and granuloma by Soundaria Srinivasa

The clipboard periapical cyst and granuloma created by Soundaria Srinivasan. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website Chronic Apical Periodontitis (Periapical Granuloma) A growth of granulomatous tissue continuous with the Periodontal ligament resulting from the death of the pulp and the diffusion of bacterial toxins from the root canals into surrounding periradicular tissue through the apical and lateral canals Low- grade infection Most common sequelae of pulpitis or apical periodontitis. If acute (exudative) left untreated → chronic (proliferative) PERIAPICAL GRANULOMA - Periapical granuloma is a chronic inflammation located at the apex of a non vital tooth. It comprises of granulation and scar tissue permeated by diverse inflammatory cells (lymphocytes, plasma cells, macrophages, mast cells - 12 Upcoming SlideShare. Loading in ORAL PATHOLOGY Periapical Cyst - Differential diagnosis• Periapical granuloma• Previously treated apical patholgy, surgical defect or periapical scar• Periapical cemento-osseous dysplasia (early phase)• Traumatic bone cyst• Odontogenic tumors• Giant cell lesions• Metastatic disease• Primary. Pulpal & periapical diseases 1. Vivek Narayan Oral Medicine and Radiology 2. It is a microbial disease of the calcified tissues of the tooth (enamel & dentin), characterized by the demineralization of the inorganic components and the dissolution of the organic components of the tooth


  1. Definición<br />Cavidad patológica rodeada de epitelio, la cual puede contener material semisólido y restos celulares.<br />Quiste Periapical:<br />Los quistes periapicales son quistes odontógenos pues derivan de la proliferación de los restos epiteliales de Malassez; llamados inflamatorios porque se desarrollan a partir de un Granuloma.
  2. A granuloma is, literally, a mass made up of granulation tissue. The periapical granuloma by far represents the most common type of pathologic radiolucencies. Basically the periapical granuloma is the result of a successful attempt by the periapical tissues to neutralize and confine the irritating toxic products that are escaping from the.
  3. ation. • Symptomatic-secondarily infected

Granuloma Apical Abscedado Sinonimias • Periodontitis apical supurativa • Absceso periapical crónico • Absceso alveolar crónico • Absceso dentoalveolar crónico 22. Granuloma Apical AbscedadoColección purulenta dentro del Granuloma como consecuencia de un proceso de reagudización Periapical granuloma is a chronic inflammatory lesion at the apex of a non-vital tooth, consisting of granulation tissue and scar, infiltrated by variable numbers of chronic inflammatory cells (lymphocytes, plasma cells, mast cells, macrophages) Periapical granuloma, also sometimes referred to as a radicular granuloma or apical granuloma, is an inflammation at the tip of a dead tooth. It is a lesion or mass that typically starts out as an epithelial lined cyst, and undergoes an inward curvature that results in inflammation of granulation tissue at the root tips of a dead tooth. This is usually due to dental caries or a bacterial infection of the dental pulp. Periapical granuloma is an infrequent disorder that has an occurrence rate bet Granuloma periapical Granuloma apical mostrando proliferación de epitelio y una infiltración celular inflamatoria intensa 40. Granuloma apical mostrando células espumosas 41. Granuloma periapical Proliferación epitelial en un granuloma apical. La inflamación produce proliferación de los restos de Malassez 42 Periapical granulomas, periapical cyst and periapical abscess are enumerated as the bourgeois periapical lesions[1,2]. Periapical granuloma is a chronic inflammation located at the apex of a non vital tooth. It comprises of granulation and scar tissue permeated by diverse inflammatory cells (lymphocytes, plasma cells, macrophages, mast cells)

Periapical Granuloma. Features. It is the most common type of pathologic radiolucency of the jaws (more than 50%). It is a small round or oval radiolucency, surrounding the apex of the tooth, with or without well-circumscribed borders Introduction: Periapical granuloma is one of the most frequent periodontal pathology and belongs to the group named as apical periodontitis. Materials and methods: Out of 78 of diagnosed granulomas, we selected samples that we analyzed histologically and immunohistochemically. Results: The histopathological aspect has been dominated by the presence of mononuclear cells of the lymphocyte and. Periapical Cyst (Radicular Cyst; Apical Periodontal Cyst) Figs. 3.10 and 3.11. The periapical cyst exhibits the same clinical and radiographic features as the periapical granuloma (i.e., variably sized radiolucency at the apex of a nonvital tooth). Some investigators have noted a greater tendency for periapical cysts to be larger, to cause root. Periapical granuloma Description, Causes and Risk Factors: A proliferation of granulation tissue surrounding the apex of a nonvital tooth and arising in response to pulpal necrosis. A periapical granuloma is a relatively common lesion or growth that develops around the tip of the tooth's root. It consists of a proliferating mass of granulation tissue and [ A granuloma is formed from the successful attempt of the periapical tissues to neutralize and confine the irritating toxic products escaping from the root canal. This low grade inflammation in the tissues continues to induce the proliferation of vascular granulation tissue. A granuloma may evolve into a radicular cyst or an apical abscess

periapical radiolucencies - SlideShare

  1. The periapical granuloma is a tumor-like (-oma) proliferation of granulation tissue found around the apex of a nonvital tooth. It is associated with chronic inflammation from pulp devitalization. The inflammation can stimulate proliferation of the epithelial rests of Malassez to form an apical radicular or periapical cyst (Fig. 4-7). 50
  2. ology. The name of this condition is a misnomer as they are not true granulomas: no granulomatous inflammation is found.. Patholog
  3. A diagnosis of periapical granuloma was the most common finding with a similar number present in females (n = 40) and males (n = 37). A cyst was present in 18% of the cases with a majority of.
  4. Many studies have been reported on radiographic lesion sizes of periapical lesions. However no studies have been reported on prevalences of subjective radiographic features in these lesions except for the early assumption that a periapical cyst usually exhibit a radiopaque cortex. This study is cond
  5. Atypical Aggressive Periapical Granuloma: A Case Report. Author(s): Souto M F, Felipe Silva M B, Cury S E, Cury M P, Junqueira J C, Manhaes Jr L C. Abstract. We reported a atypical and aggressive case of a periapical granuloma, located in the mandibular right first and second molars region of the caucasian 32 year-old woman. Introductio

Radicular cyst or Periapical cyst - SlideShare

A periapical abscess is a collection of pus at the root of a tooth, usually caused by an infection that has spread from a tooth to the surrounding tissues. (See also Overview of Tooth Disorders.) The body attacks an infection with large numbers of white blood cells. Pus is the accumulation of these white blood cells, dead tissue, and bacteria Examina el tablero de recortes periapical cyst and granuloma de Soundaria Srinivasan en SlideShare, o crea uno propio y comienza a recortar tus diapositivas favoritas There were 23 (16.9%) cases of periapical granuloma, with a male to female ratio of 2: 1. The lesion presented mostly between the third and fourth decades of life (n=9, 6.6%). Clinically diagnosed acute apical periodontitis was significantly associated with periapical granuloma, with predominantly foamy macrophages and lymphocytes (P<0.05) A periapical granuloma is a relatively common lesion or growth that develops around the tip of the tooth's root. It consists of a proliferating mass of granulation tissue and bacteria that forms in response to dead tissue in the pulp chamber of the tooth The radiolucency that is around the root is called periapical granuloma. It is called a granuloma because the radiolucency that surrounds the roots is quite small. Lower photo: This is a histological section of the periapical granuloma. What we can see here is granulation tissue that contains: mixed inflammatory infiltrates (histiocytes, plasma.

periapical radiograph showing radiolucent lesions around the apices of right lower 6 with bad RCT the diagnosis is periapical granuloma because it's small in size. histological section is from the periapical granuloma ( Granulation tissue exhibits mixed inflammatory infiltrate consisting of lymphocytes , plasma cells and histiocytes. Left picture: periapical radiograph of lower right 1st & 2nd molars, you can notice that they are both poorly treated endodontically, The first molar shows apical radiolucency, The size of the radiolucency is less than 1.5 cm with margins that are a bit corticated, which indicates that it is an peri apical granuloma.; Right picture: A histological section that shows an apical part of a root.

periapical Granuloma بواسطة الأربعاء, 5 أغسطس 2020, 3:10 ص - اريج وصفي عبد الجليل ابو اشكيره 0175382 first picture: a periapical radiograph showing a well-defined small radiolucency in the apical area below an ill root canal treated lower first molar periapical granuloma بواسطة الأربعاء، 12 أغسطس 2020، 6:34 م - صوفيا باسم فرهود حداد 0176110 this is s periapical radiograph showing radiolucent lesions around the apices of right lower 6 because of bad RCT and its well defined radiolucency and small in size so its periapical granuloma not periapical cyst External resorption. Extensive irregular destruction of both roots of the mandibular second molar associated with chronic periodontitis Periapical Granuloma Periapical Granuloma Periapical Granuloma PA Gran, Subacute Inflammation Parulis, acute inflammation Abscess/Parulis Apical Periodontal Cyst, low - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 4f72e3-OTNi

Pulpal & periapical diseases - SlideShare

  1. Aim: To investigate the diagnostic reliability and accuracy of magnetic resonance imaging (MRI) to differentiate periapical lesions of endodontic origin and to compare the results with histopathological information. Methodology: The radiolucent periapical jaw lesions of 34 patients, which were surgically enucleated, were investigated by two radiologists using MRI, based on the same six.
  2. ation, selective anesthesia, test cavity istorically, there have been a variety of diagnostic classiication systems advocated for deter
  3. Q: Is periapical granuloma really a granuloma? A: Peri-apical granuloma is wrongly termed granuloma and is actually a localised mass of chronically inflame..
  4. 1) Periapical Granuloma 2)Chronic periapical abscess. 3) Apical radicular cyst. But because its size is less than 1 cm so >>> Diagnosis : Periapical Granuloma . Lower Picture : Histological section that shows. 1) Infiltrate of lymphocytes , plasma cells & macrophages . 2) Production of GT & bone resorption
  5. Periapical granuloma: chronic granulomatous inflammation of periapical tissues Epidemiology. Most common odontogenic cyst (52% of jaw cystic lesions) Most common in 4th & 5th decades, but occurs over wide age range Sites. 60% in maxilla (vs. mandible

Apical periodontitis is typically the body's defense response to the threat of microbial invasion from the root canal. Primary among the members of the host defense mechanism is the polymorphonuclear leukocyte, otherwise known as the neutrophil.The task of the neutrophil is to locate and destroy microbes that intrude into the body - anywhere in the body - and they represent the hallmark of. D. Periapical granuloma # On histological examination of a periapical area of a tooth and its canal in the region of radiolucency following would be seen: A. Normal alveolar process B. Osteoclastic resorption C. Necrotic pulp D. Chronic gingivitis # An acute apical abscess is usually a result of:. healing, periapical lesion, granuloma . Bansal R et al. Management of Periapical Cyst 8 enclosed by epithelial lining; True cysts and those containing epithelial-lined cavities that are open to the root canals. 2,3 The later was originally described as a 'Bay cyst',3 and has been newly designated as Inflamed pulp tissue and periapical granuloma tissue (n = 10 for both) were obtained from other patients and used for MMP-8 immunohistochemical (IHC) staining. Results: The periapical exudate samples demonstrated marked differences in MMP-8 levels between the teeth in the first visit and significant decrease in MMP-8 levels during the root.

Disorders of the pulp

Patología periapical - SlideShare

Periapical Granuloma (Dental Granuloma) Figs. 3.7 and 3.8. A periapical granuloma is a mass of inflamed granulation tissue that forms around the apex of a tooth with pulpal necrosis. Radiographic examination shows a periapical radiolucency of variable size with well- to ill-defined borders and loss of the adjacent lamina dura Periapical radiolucencies are commonly observed findings in OPG and other dental / head and neck imaging modalities.. Differential diagnosis. They can represent a number of pathologies: periapical lucency related to apical periodontitis. periapical granuloma; periapical absces Periapical periodontitis or apical periodontitis (AP) is an acute or chronic inflammatory lesion around the apex of a tooth root, most commonly caused by bacterial invasion of the pulp of the tooth. It is a likely outcome of untreated dental caries (tooth decay), and in such cases it can be considered a sequela in the natural history of tooth decay, irreversible pulpitis and pulpal necrosis

Periapical Granuloma Periapikalt granulom Svensk definition. Kronisk icke-varbildande inflammation i den periapikala vävnaden som följd av pulpasjukdom eller endodontisk behandling. Engelsk definition. Chronic nonsuppurative inflammation of periapical tissue resulting from irritation following pulp disease or endodontic treatment SlideShare Explorar Pesquisar Voc 9 The radiographic findings are not specifically diagnostic. Small unilocular lesion may be confused with periapical granuloma or cysts. multilocular giant cell lesions cannot be radiographically distinguished from ameloblastomas or other multilocular lesion Periapical tissue infections. By Dr. George Ghidrai. Pulp infections that are not properly treated will spread in the periapical tissue, causing an acute or chronic infection.. Apical periodontitis (also termed periapical periodontitis) is an acute or chronic inflammatory lesion around the apex of a tooth root, which is caused by bacterial invasion of the pulp of the tooth Pyogenic granuloma or lobular capillary hemangioma is a vascular tumor that occurs on both mucosa and skin, and appears as an overgrowth of tissue due to irritation, physical trauma, or hormonal factors. It is often found to involve the gums, the skin and nasal septum, and has also been found far from the head such as in the thigh.. Pyogenic granulomas may be seen at any age, and are more. Types of Apical Periodontitis. The AAE's Glossary of Endodontic Terms lists two different types of apical periodontitis: asymptomatic and symptomatic. As you might guess, asymptomatic apical periodontitis doesn't produce any clinical signs or symptoms. However, this condition produces inflammation of the tissue surrounding the teeth and can cause the destruction of that tissue

pulpoperiapical lesion - SlideShare

The periapical tissues undergo changes during the progression of dental caries. In case of extensive bacterial invasion involving the pulp, apical periodontitis is typically the body's host response Pulpitis, trauma or endodontic treatment Pulpitis and pulp necrosis: If pulpitis is untreated, bacteria ,bacterial toxins , or the products of inflammatio ️Extraction of radicular remains with periapical granuloma presence ⠀⠀⠀⠀⠀⠀⠀⠀⠀ A periapical granuloma is a mass of chronic inflammatory connective tissue, situated around the root of a tooth without vitality, i.e. a defending reaction of the body against pulpar necrosis (death of the tooth nerve) caused mainly by tooth decay. Periapical granuloma is one of the most common of all sequelae of pulpitis. It is essentially a localised mass of chronic granulation tissue formed in response to the infection. The involved tooth is sensitive to percussion, and the patient feels pain while chewing solid food. The sensitivity is due to inflammation of the apical periodontal.

Radicular cyst - SlideShare

Analysis of Interleukin 17A in periapical abscess and granuloma lesions Abstract: Interleukin 17A (IL-17A) is a proinflammatory cytokine responsible for the initiation and propagation of inflammation. One of its actions is the recruitment of neutrophils to the site of infection. Th The chronic inflammatory periapical lesion is the most common pathology found in relation to alveolar bone of the jaw. From the histological point of view, it can be classified as chronic periapical periodontitis (periapical granuloma), radicular cyst, and as scar tissue Periapical abscess or a dento-alveloar abscess is a pyogenic infection of the periapical region. This suppurative process may develop from an acute apical pe.. PERIAPICAL GRANULOMA : Granuloma is defined as focal area of granulomatous inflammation. It refers to a mass of chronically inflamed granulation tissue at the apex of nonvital tooth May arise after an acute condition like periapical abscess Lesions' are not static and may transforms into periapical cyst or undergo acute exacerbation www. Lesiones Periapicales, CARRERA DE ODONTOLOGIA,UNIVERSIDAD JOSE CARLOS MARIATEGUI, MOQUEGUA, PERU

Lesiones periapicales - SlideShare

Synonyms: Periapical Granuloma Apical granuloma (disorder) Periapical granuloma periapical granuloma apical granuloma. Tree view; Term mappings; Term history; Graph view Reset tree Show all siblings. This is just here as a test because I lose it Term information. database cross reference. Left pic its a Periapical radiograph showing radiolucency around the right lower 1st molar due to poorly done RCT. The diagnosis is periapical granuloma because it is small in size. Right pic its A Histological section showing periapical granuloma. The granuloma consists of granulation tissue, lymphocytes, plasma cells and histiocytes Description : periapical radiograph showing radiolucent lesions around the apices of right lower 6 because of bad RCT Now, we need to make differential diagnosis to be able to give the appropriate management. This radiolucency might be one out of three suspected lesions:-periapical Granuloma Clinical and radiological information were retrieved and data were tabulated and descriptively and comparatively analyzed. RESULTS: Final sample was composed by 647 inflammatory periapical lesions, including 244 PG (38%) and 403 PC (62%). The number of women affected by PG was significantly higher than the number of women affected by PC (p=0.037) Abstract This paper aims to report a case in which central giant cell granuloma (CGCG) mimicked a periapical lesion of endodontic origin. An 18‐year‐old female patient was referred for diagnosis an..

Periapical granuloma - Wikipedi

View and Download PowerPoint Presentations on Periapical Granuloma PPT. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Periapical Granuloma PP Objective: To identify the frequency and location of periapical granuloma and cyst Root histopathology making a post - tooth extraction Dental School UNAH. Methodology: 97 periapical lesions were collected with extraction criteria indicated by radiographic study more periapical bone destruction 1.5mm, these buffered formalin-fixed biopsies. Abstract— A clinical and radiographic study was undertaken on 1,600 periapical lesions from 1,133 patients referred for extractions or apicoectomies. The clinical findings as well as the radiographic size (diameter) of the lesions were recorded. When this diameter measured less than 5 mm, the pathologic tissue was left in the bone after extraction, whereas in cases where the lesions were 5. Periapical lesions, which are a result of the necrosis of the dental pulp, are the most frequently occurring diseases found in the alveolar bone. The treatment involves the removal of infectious agents by treating the root canal, allowing the wound healing. Key words: Granuloma, radicular cyst, cystectomy, periapical lesion Hi lovely people, you can drop a mail @ proudtobedentist@gmail.com for any queries or assistance. Best wishes & love

Atlas lesiones periapicales - SlideShare

Measurement of the area of the periapical lesions: the total average of lesions were 10.7 ± 5.0 mm2, the largest being a cyst of 18.1 mm2 and the smallest a granuloma of 5.2 mm2. The histological analysis allows to make a differential diagnosis of lesions with similar characteristics and thus define the most appropriate treatment Apical, periapical and periradicular: Relating to the apex or tip of the root of the tooth Used interchangeably: Granuloma: A well-developed capsule attached to the root apex Contains chronic inflammatory cells surrounded by collagenous fibres: Periapical cyst: Epithelial lined cavity filled with fluid Bay cysts are attached to the root surfac 1) The granuloma may continue to enlarge and be associated with resorption of the bone and root apex. 2) Acute exacerbation acute apical periodontitis . 3) Suppuration may occur acute or chronic periapical abscess. 4) Proliferation of epithelial cells rests of malassez radicular cyst METHODS: Twenty periapical granulomas (PGs), 20 radicular cysts (RCs), and 20 residual radicular cysts (RRCs) were submitted to immunohistochemistry using anti-galectin-1, -3, and -7 antibodies. The percentage of immunopositive cells in epithelial and connective tissues was determined

Quiste periapical

Acme, Pathosis, Furuncle: the Periapical Granuloma

Periapical Granuloma - DDMFR - Oral and Maxillofacial

Periapical cysts are typically seen in middle to older age (3 rd to 6 th decades) 2. Pathology. Periapical cysts result from infection of the tooth, which spreads to the apex and into the adjacent bone. This leads to apical periodontitis, granuloma formation and eventual cyst formation. These cysts are therefore centred on the apex of the tooth and tend to be small, most <1 cm Periapical granuloma, also referred to as chronic apical periodontitis, is a defensive reaction in response to bacterial infection within the pulp chamber which spreads to the root apex . It is a long-standing inflammation of the periodontium that is characterized by the presence of a granulomatous tissue [ 2 ] Periapical radiolucencies are some of the most common radiographic lesions encountered in clinical practice.Most periapical radiolucent lesions are of endodontic origin and result from the destruction of bone secondary to a necrotic pulp.When tissue obtained from these lesions is submitted for pathological examination, the diagnosis most often will be periapical granuloma, periapical cyst, and. Endodontic misdiagnosis of periapical central giant cell granuloma: Report of case with 2 years of follow-up Rahul Kumar 1, Neha Khambete 2 1 Department of Conservative Dentistry and Endodontics, MGM Dental college and Hospital, Navi Mumbai, India 2 Department of Oral Medicine, Diagnosis and Radiology, CSMSS Dental College and Hospital, Aurangabad, Indi The chronic type may develop from either an acute apical abscess, a periapical granuloma, or a radicular cyst. The acute apical abscess is associated with a tooth with deep carious lesion. No radiographic evidence of changes in lamina dura or periapical bone. Widening of the periodontal ligament space

Differential diagnosis and management of radiolucent lesionsDev and Odontogenic Cysts - Path with Miracle at BostonPractica-radiologiaApical lesions in dentistryPractical oral pathology revisionPatología periapical

inflammatory process in periapical tissues, progressively affecting them through the resorption phenomenon. Subsequently, immunopathological mechanisms lead to the formation of abscesses, granulomas, and periapical cysts.2-5 Seltzer, Soltanoff, and Bender 6 observed in a series of studies, that pulpo-periapical lesions have the potentia Osteomyelitis and inflammatory conditions: osteomyelitis overview acute suppurative alveolar osteitis chronic recurrent multifocal condensing osteitis diffuse sclerosing hyaline ring-like structures medication related osteonecrosis of jaw osteoradionecrosis periapical (dental) granuloma peripheral giant cell granuloma SAPHO syndrome secondary. r c s 141 n p o er G l a d c Granuloma periapical: tratamiento convencional. reporte de un caso periapical Granuloma: conventional treatment. case report Natalia Patricia Harris Ortega1, Fernando. Keywords: Periapical Peridodontitis; Diagnosis, Differential. Introduction The decision-making process for a therapeutic protocol in root canal infection must be based on an efficient diagnosis.1 Dental granuloma, radicular cyst and periapical abscess represent periapical changes of frequent occurrence.2 The progressive stages of inflammation an Keywords: Periapical Granuloma, Radicular Cyst, Radiography 1. Background The most prevalent oral lesions are periapical granu-loma and radicular cysts (1). A periapical inflammatory lesion is the local response to pulp necrosis of the bone around the apex of the tooth or created in periodontal tis

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