Professional Documents
Culture Documents
Integrantes:
Cristian Loyola Carla Maldonado Doris Manriquez Ricardo Mardones Paz Marquez
Introduccin
Corresponde a un complejo de tejidos que circunda la porcin apical de la raz de un diente: cemento, ligamento periodontal y hueso alveolar.
Las funciones de los tejidos de la regin periapical son las siguientes: sustento, insercin, nutritiva, nerviosa y defensa.
El
diente presenta intenso dolor en la oclusin o incluso a veces con el roce de la lengua.
Traumtica.
Irritantes qumicos.
Microorganismos. Otros.
AGUDOS
CRONICOS
Bruxismo
Operatoria Iatrognica
Endodoncia
Atricin Abrasin
Fracturas
Erosin.
A) Tratamiento Endodontico.
- Hipoclorito de sodio. -Perxido de hidrgeno. - Medicamentos intracanaliculares. -Agentes quelantes (EDTA). -Productos txicos de la degradacin proteica
Edema Ligamento
Extravasacin neutrofilos (quimiotaxis)
PCR-based identification of selected pathogens associated with endodontic infections in deciduous and permanent teeth. Cogulu D, Uzel A, Oncag O, Eronat C.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Jun 10. [Epub ahead of print)
Table II. Distribution of cases according to diagnosis Deciduous Diagnosis AAP (n = 42) CAP (n = 63) EAP (n = 40) N (%) 20 (25) 35 (44) 24 (31) N (%) 22 (33) 28 (43) 16 (24) Permanent
AAP, acute apical periodontitis: acute clinical symptoms (pain on occlusion, tenderness to percussion or palpation, swelling, etc), but lacked radiographicevidence of periapical radiolucency; CAP, chronic apical periodontitis: the presence of periapical radiolucency, where no other clinical symptom had been present in the previous 3 months; EAP, exacerbated apical periodontitis: the presence of periapical radiolucency and one or more clinical symptoms were diagnosed
Results. T. denticola (P= .012, .02) and E. faecalis (P= .012, .04) were highly
associated with periapical radiolucency and previous pain, while P. gingivalis was associated with tenderness to percussion in both deciduous and permanent teeth (P = .01, .015).
Conclusion. The results of the present study confirm that certain species of
microorganisms are associated with clinical signs and symptoms of endodontic disease in both deciduous and permanent teeth.
(Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;xx:xxx)
A) Sntomas:
Dolor a la masticacin
B) Signos clnicos:
Dolor a la percusin: entre
ligero y extremo
C) Signos radiogrficos:
Se puede observar:
Recubrimientos pulpares
En el peri pice:
Traumatismo oclusal
Mecnicos o qumicos
antinflamatorios.
cicatrizacin de la lesin
Sin tratamiento: - formacin de absceso (PAAS) - transformacin en proceso crnico (granuloma periapical)
edema
Pus
Operatoria:
-Controlar la Oclusin
-Controles Peridicos
Consideraciones
Debemos prestarle cuidado a la zona del peri
pice (compleja)
(de operatoria, endodoncia, etc.) podemos causar periodontitis apical agua en piezas con peri pice sano.