ipl-logo

Grossman's Classification

1264 Words6 Pages

INTRODUCTION
It's well known that pulpal infections result in pulp necrosis and if left untreated will most likely lead to periapical pathologies due to irritant leakage ( be it microbial, defective restoration material etc.), trauma, improper endodontic treatments, or diseases of non-endodontic origin. In this assignment, systemic diagnosis of several periapical lesions will be discussed along with their treatment plan and prognosis.

CLASSIFICATION OF PERIAPICAL PATHOLOGIES
Several classifications have been established, 3 of which are most commonly referred to: Grossman's classification, WHO classification, and Ingle's classification of pulpoperiapical pathosis.
Grossman's classification:
1. Acute periradicular disease
2. Chronic periradicular …show more content…

Not tender upon percussion
c. No mobility
d. No response to thermal/electric pulp test
e. Lesions are discovered on routine x-rays as a well or poorly defined radiolucent lesion with possible root resorption

Treatment and Prognosis:
a. In restorable tooth, RCT is performed
b. In non-restorable tooth, extraction and curettage are preferred.

V. RADICULAR CYST
Etiology:
a. Caries
b. Irritants from restorative material
c. Trauma
d. Pulpal death from developmental defects

Signs and Symptoms:
a. Usually asymptomatic and discovered in routine x-ray
b. Slowly growing and reach a large size
c. Involved teeth are usually non-vital with discoloration, fracture or failed RCT.
d. The cyst appears round, pear or ovoid shaped radiolucency on x-ray with a thin radio-opaque margin.
Treatment:
a. Endodontic treatment
b. Apicectomy
c. Extraction in case of severe bone loss
d. Enucleation with 1ry closure
e. Marsupilization with larger ones

VI. CHRONIC ALVEOLAR ABSCESS

Etiology:
a. Pulpal necrosis
b. Associated with chronic periapical periodontitis and abscess

Signs and Symptoms:
a. A sinus tract is usually common opening into the oral cavity
b. Generally asymptomatic
Diagnosis:
a. History of sharp pain that subsided and hasn't …show more content…

Sinus tract resolves after RCT

VII. EXTERNAL ROOT RESORPTION
3 types are common: apical, lateral and cervical root resorption.
Etiology:
a. Infected necrotic pulp tissue
b. Over-instrumentation during RCT
c. Adjacent impacted tooth
d. Trauma
e. Granuloma/cyst
Signs and Symptoms:
a. Asymptomatic
b. Mobile root after complete resorption
c. Pink tooth is observed if the resorption reaches the crown

Diagnosis:
a. Pink discoloration
b. Radiographic findings show loss of lamina dura
c. Irregular shortening of root
d. Radiolucency at the root and adjacent bone
Treatment and Prognosis:
a. Remove stimulus causing the inflammation
b. Surgical/non-surgical RCT should be performed according to the case
c. Resorption usually stops after treatment, internal bleaching may be performed for esthetic reasons.

VIII. DISEASES OF PERIRADICULAR TISSUE OF NON-EDONTOGENIC ORIGIN

Benign Lesions:
a. Ossifying fibroma
b. Myxoma
c. Ameloblastoma
d. Solitary bone cyst
e. Lateral periodontal cyst
f. Central hemangioma
g. Central giant cell granuloma

Diagnosis:
a. Teeth are vital
b. Surgical biopsy is necessary for final diagnosis

Malignant Lesions:
a. Squamous cell carcinoma
b. Multiple myeloma
c. Chondrosarcoma
d. Osteogenic sarcoma

Show More
Related

Hank Harum Case Summary

759 Words | 4 Pages

visibly broken tooth - A strongly discolored tooth - An inability to chew - Increased presence of plaque on teeth Diagnosis is made upon visual examination and dental x-rays. Treatment involves tooth extraction, flushing of the affected area and

Read More

Nashua Ashut Research Paper

1581 Words | 7 Pages

Inflammation of the dental pulp can be caused by a variety of factors, but its results are the same — we will need to perform treatment to eliminate your pain and restore the health of your tooth. You might need a root canal if you are experiencing any of the following symptoms: pain in or around a particular

Read More

Essay On Periodontitis

1079 Words | 5 Pages

Chronic periodontitis Chronic Periodontitis is an inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms or groups of specific microorganisms, leading to progressive destruction of the attachment apparatus of the teeth including periodontal ligament, cementum and alveolar bone with periodontal pocket formation, and recession of the gingival tissue(1) . The clinical feature that characterizes periodontitis from gingivitis is the presence of clinically apparent attachment loss. This loss mainly is associated with changes in the density and height of subjacent alveolar bone (1). Severe generalized periodontitis affects 5–15% of any population worldwide and is a major cause of teeth loss after dental caries (2). Chronic Periodontitis also known as adult periodontitis or chronic adult

Read More

Argumentative Essay On A Dental Hygienist

834 Words | 4 Pages

Upon some isolated probing, Mary’s gums are bleeding spontaneously and there seems to be more plaque developing on the inside of her front teeth. Darci

Read More

University Pain Case Studies

370 Words | 2 Pages

Pain and pain on pressing were elevated, as were limited jaw movement and the bite feeling off. No clicking and popping were found during the clinical exam, suggesting that jaw functioning was not impaired, and this was confirmed by the TMJ Scale. The Non-TMJ scale was also elevated, reflecting the tension headaches. X-rays found no evidence of bony abnormalities. The patient reported significant emotional problems, and borderline stress, probably reflecting the result of eight months of searching for a solution for her pain problems.

Read More

Irrigant Analysis

798 Words | 4 Pages

Sodium hypochlorite is unable to remove smear layer during root canal therapy. Therefore, usage of NaOCl prior or after instrumentation produces superficially clean canals with the presence of smear layer 16,17,18,19. Although, when used alternatively with EDTA, removal of smear layer as well as soft tissue and debris is achieved. NaOCl gets inactivated with EDTA remaining active for a few hours 19,20,21,22. 92% of the non-endodontists were not aware about the use of sodium hypochlorite as a bleaching agent and considered irrigation to be its only use.

Read More

Odontogenic Myxoma Case Study

887 Words | 4 Pages

The clinical examination revealed he had a bony hard, non- tender swelling, extending from the posterior border of the mandible upto tragus of the right ear, while the overlying skin was devoid of any secondary changes. (Figure 1 & Figure 2). The lateral oblique radiograph of the jaw revealed a unilocular radiolucent lesion extending from the distal surface of the first permanent mandibular molar, involving almost entire ramus encapsulating an unerupted tooth within the (Figure 3) ,with intact lower/inferior border of the mandible .

Read More

Medical Education During The American Revolution

1711 Words | 7 Pages

Surprisingly, teeth extractions helped with rheumatism, which is joint or muscle inflammation; intermittent fevers may be cured by extracting a tooth, and ulcers in the upper and lower jaw may be cured by teeth extractions (Wilbur 40). During this time period, many focused on the main injuries seen in battle, but not on something as small as tooth care. However, as time progressed and more health issues became prevalent, tooth care became a necessity and helped to solve many medical issues, such as

Read More

Write An Essay On Basal Cell Carcinoma

1598 Words | 7 Pages

It does not occur in the mouth, yet the dental hygienist must be educated in finding the tumor and a taking the necessary steps to deal with it. Most cases occur in patients with light skin patients and no sex predilection due to sun exposure. Depending on the size of the tumor treatment consist of surgery, chemotherapy, and radiation therapy. Dental hygienists can advocate for the general well-being by preventing disease. In the extra-oral exam dental hygienist must look carefully and palpate thoroughly throughout the head and neck for abnormalities.

Read More

2-Piriformis Syndrome: A Case Study

398 Words | 2 Pages

The patient mostly comes with pain at the sacrum region and radiates to the extension sciatic nerve. More symptoms can occur as: pain aggravates with activity, abnormal gain (antalegic gate), numbness of the leg, and pain if rising from squatting. The Piriformis muscle spasm may appears as a palpable mass in the buttock area (Chaitow L, 1998). The Prifiormis syndrome can lead to some complications as the swelling and the DVT due to the entrapment of the nerves and blood vessels (Bustamante & Houlton, 2001).

Read More

Neanderthal Research Paper

846 Words | 4 Pages

Synchrotron X-ray imaging allowed researchers to virtually and non-destructively study the histology of the teeth (Tafforeau et al., 2006). The increments in enamel were studied in detail. The long-period increments in enamel (striae of Retzius) are observed as brown lines (Eli, Sarnat, & Talmi, 1989). These lines can become accentuated when the enamel-producing ameloblasts are under stressful conditions, causing the rhythm of amelogenesis to change temporarily (Eli et al., 1989).

Read More

Dental Hygiene Case Study

971 Words | 4 Pages

Any lesions presented as sores or discoloration of tissue should heal within fourteen-days, otherwise, it should be looked at by a professional. Patient also has history of tobacco use and that put him at a higher chance of contracting oral cancer. I would consult with the dentist to have the patient referred to the specialist for a biopsy. I would make sure that the patient understands the importance of this evaluation and I can recommend him continue self-monitoring in case of any new changes until he is able to go to the specialist. Maintaining good oral health would also be very important.

Read More

Career In Radiology

1647 Words | 7 Pages

Asher Miller Mr. Klempner English 12-1 28 February 2018 Radiology As culture continues to evolve, the use of diagnostic imaging in the medical field progresses to assist patients in identifying the source of their illness. Radiologists utilize various technologies in this ever-advancing field to diagnose the maladies in patients from all aspects of life. After years of education and training, radiologists can work in a variety of settings, in which they read scans and determine what is wrong with a patient while acquiring many benefits in the process.

Read More

Dental Extractions Essay

2270 Words | 10 Pages

Awang MN.The aetiology of dry socket :a review .Int Dent J 1989;39:236-40 8. Fazakerley M.Field EA.Dry socket:A painful post extraction complication(a review).Dent Update 1991;18:31-4 9. Birn H. Etiology and pathogenesis in fibrinolytic alveolitis (dry socket). Int J Oral Surg 1973;2:211-63 10.

Read More

Clinical Clerkship Report

479 Words | 2 Pages

Research experience: 1-Research assistant .Determining Prevalence of benign bone tumors in referral orthopedic clinic in Mashhad Ghaem Hospital from1998 to 2008. Supervisor: Dr M.Mazloumi. MD Publications: Determining prevalence of benign bone tumors in Ghaem Hospital,Mashhad,Iran in orthopedic Surgery clinic from 1998 to 2008, Autors: Dr Seyed Mahdi Mazloumi, Dr Seyed Ali Mahdavian ,Medical journal of Mashhad University of Medical Sciences 2-120, 5(5), June and July 2013. .

Read More

More about Grossman's Classification

Related Topics

Open Document