Term
| What is the Def of Pulpitis |
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Definition
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Term
| What are the different causes of Pulpitis |
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Definition
Most common Dental careis
Also Trauma, dental Procedures Dental Restorateive material, Sever Perio disease |
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Term
| What are the 4 different Class's of Pulpitis |
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Definition
Focal Reversible Pulpitis
Acute Pulpitis
Chronic Pulpitis
Chronic Hyperplastic pulpitis |
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Term
| The Affected tooth in focal Reversible pulptisi presents with what type of pain and senstive to what? |
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Definition
mild to moderate Pain
COLD |
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Term
| What is the treatment of Focal Reversible pulpitis |
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Definition
| Eliminat the cause -often caries or broken filling -and the pulpal inflammation and symptoms will subside |
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Term
| How does Acute Pulpitis present |
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Definition
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Term
| What kind of pain is associated with Acute pulpitis |
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Definition
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Term
| What will exacerbatee the pain of Acute Pulpitis |
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Definition
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Term
What type of senesatevity does an Acute pulpits have with
with an electrical tooth vitaltiy test |
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Definition
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Term
| How do you treat and affected tooth with Acute Pulpitis |
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Definition
| Extract affected tooth or preform endodontic therapy |
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Term
| What type of Pain and what is the response to thermal and electrical vitaltiy tests do a patient have with Chronic Pulpitis |
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Definition
Mild to intermittent to no pain
Over all reduced response |
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Term
| What is the treatment for Chronic Pulpitis |
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Definition
| Extract affected tooth or preform endodontic theraphy |
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Term
| What is another name ofr Chronic hyperplastic pulpitis |
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Definition
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Term
| Who gets Chronic Hyperplastic Pulpitis |
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Definition
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Term
| What is seen with the crwon of a Chronic Hyperplastic Pulpitis |
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Definition
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Term
| What occurs/how does it start with Chronic Hyperplastic pulpitis |
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Definition
| Affected tooth has sever caries that exposes the pulp |
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Term
| How does the pulp respond in Chronic Hyperplasitic Pulpitis |
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Definition
| Pulp responds with growth of hyperplastic granulation |
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Term
| Do patients feel pain with Chronic hyperpalstic pulpits |
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Definition
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Term
| If pulpitis results in pulpal necrosis the inflammation may extend into? |
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Definition
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Term
| If chronic inflammation developes what will form? |
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Definition
| periapical granuloma or a periapical cyst may form. |
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Term
| If the infalmmation is acute what will form |
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Definition
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Term
| What are the symptoms of a PA abscess |
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Definition
Severe pain
affected tooth is painful to pressure or percussion |
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Term
| Where does the painful swelling come from in a PA abscess |
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Definition
| Inflammation and purulent exudate. |
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Term
| Wha usually occurs with the sympotoms of the Pa Abscess subside |
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Definition
| The Purulent exudate escapes the peiapical area |
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Term
| What are the signs of a PA Abscess |
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Definition
| Purulent exudate from the tooth or form the sinus tract in the area of the tooth |
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Term
| How does a tooth with a PA Abscess respond to vital and electrical test? |
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Definition
| No response to electrical vitality test or cold test |
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Term
| What does a radiograph with an early stage PA abscess look like |
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Definition
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Term
| What doea a radiograph of a later stage Periapical abscess look like |
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Definition
| will show a radiolucncey similar to perapical granuloma or cyst is evident |
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Term
| What is the most common cause of Periapaical abscesses |
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Definition
dental caries
However trauam may also be a cause.
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Term
| What condition in the mouth can also cause a peripapical abscess (this one is tough) |
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Definition
| Acute Inflammation of chronic periapical inflammatory lesion |
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Term
| late stage Periapical abscess are indistingusihable from what other two things? |
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Definition
| Periapical granulaoma or Periapical cyst |
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Term
| If you see a picture of a fluctuant swelling in the palate what could it be and where has it come from |
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Definition
| Peiapical abscess and pus may drain from the abscess inot surround ing oral soft tissue |
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Term
| Where else may puss drain besides oral soft tissue in the palate |
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Definition
| Pus may drain through a sinus tract to the oral cavity |
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Term
| What is the end of the sinus track called thats found in the oral cavity that is draining pus from a periapical abcesses and what is it made up of |
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Definition
| It it called parulis or a gum boil and it is made up of granultion tissue |
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Term
| Where else may a sinus tract froma periapical abscess drain thru |
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Definition
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Term
| When a Child presents with a buccal space abscess from an odontogenci abscess what is it called and where did it come from or end up? |
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Definition
Cellulitis
Accumulation of pus in soft tissue sapces |
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Term
| If a patients comes to you with Bilateral swelling and says i cant breath what can it be caused by and in what areas of the mouth would the swelling occur and the name of this condition |
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Definition
Ludwigs angina
Abscess spreading into submandiular and sublingual space |
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Term
| Patient presents with abscess from tooth number 4? and he is young and has a black and blue eye and swollen around the eye what could it be where has it come from and are there any imidate dangers |
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Definition
The abscess may spread to nearby blood vessels.
Yes it is a medical emergency
the abscess aht spreads to the orbital area form a maxiallary tooth may cause cavernous sinus thrombrosis
Who perorbital is swoloon
Can progress to CNS causing menigitis or brain abscess |
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Term
| What does a Periapical granuloma consist of |
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Definition
| Mixed chronic and acute inflammatory infiltrate on histopahological examination. |
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Term
A Patient with a restoration on tooth number 4 comes to ur office, you take a PA and see a large radiolucentcy around the apex of the root that is coninutes with the PDL the patient is in not in pain and you discover that the tooth is not vital what type
A)Abscees
B)cyst
C) Granuloma |
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Definition
| C- By defintion a perapical granuloma can only affect nonvital teeth |
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Term
| Waht is the treatment for a Peirapcial Granuloma |
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Definition
| Extraction of tooth or Root Canal |
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Term
| How may a Granlumoa become symptomatic |
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Definition
| If acute exacerbation occurs |
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Term
| What does Omyelitis mean? |
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Definition
| Inflamation of the bone marrow spaces or cortical bone surfaces |
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Term
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Definition
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Term
| Where does the infection in Osteomyelitis usualy originate from |
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Definition
| Most often an extension of a periapical dental abscess into the surrounding bone |
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Term
| Besides infection where else may osteomyeltis come from |
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Definition
| May also aris from trauma or as a complication of surgery |
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Term
| What conditions will predispose someone to Osteomyelitis |
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Definition
Tabacco use
Alcohol abuse
Iv drug use
Diabetes melltius
malria
Skicle cell anemia
Manutrion
Malignacy
Collagen vasular disease
AIDs |
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Term
| Lack of what might also cause Osteomyelits and who usually get it? |
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Definition
Lack of blood flow(Hypovasculization)
Radaion therapy
Osteopetrosi
Late Pagets disease
end stage cemento-osseous dysplasia
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Term
| What 2 forms of Osteomyeltitis might one have |
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Definition
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Term
| Who gets Acute Osteomyelitis |
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Definition
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Term
| Where is it more common max or mandilbe |
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Definition
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Term
| In the early stages of Acute Astoemyeltist what will you see in the Radiograph |
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Definition
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Term
| What are the signs and symptoms of acute Osteomyelitis |
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Definition
Patient presents with signs and symptoms of an acute inflammatory process
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Term
| What are the components of an acute inflammatory process |
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Definition
Fever
Lymphadenopathy
Swelling
Pain
Lueckoystios |
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Term
| How long does a patient have the symptoms of Acute Osteomyeltis for |
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Definition
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Term
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Definition
| As the disease prgresses a poorly defined radiolucency may been seen, May also see fragments of nectrotic bone that have been seperated from vital bone |
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Term
| What may surround Sequestra |
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Definition
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Term
| what might occur to the patient as the disease progresses |
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Definition
Draingae of Pus
Exfoliation of sequestra
Paraesthesia of the lower lip |
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Term
| Pt presents with mild flu like symtoms and he states it weird i cant feel my lower lip what what will his Xray look like |
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Definition
| Poorly defiend radiolucency with possible Sequestra dn involucrums present |
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Term
| How do you treat Osteomyelitis |
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Definition
Establish purulen drangiane
place pt on antibiotic
obatin sample of pus or tissue for Bactrial id and antibotic sensitivity testing |
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Term
| What does the intial corse of the Chronic ostemomylitis depend on? |
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Definition
| on the patients resistnace and the virulence of the bacteria |
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Term
| What are the symptoms and signs of chronic ostemyelitis |
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Definition
Swelling
Pain
Sinus formation
purulent discharge
Sequestra format
tooth loss
pathologic fracture |
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Term
| What will the radiographs of Chronic Osteomyelitis look like |
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Definition
| Patchy, ragged, ill-defined radiolucency(moth eaten) or a Mottled apperance. May contain sequestra |
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Term
| How do you treat Osteomyelitis |
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Definition
The infectiious organisham are walled offf in the lesion by fibrous tissues so high doeses of IV antibiotic are requrid along with surgical debrdiement of the lesion.
Adjuenct hyperbaric oxygen treatments may be used for recaltirnat lesions |
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Term
| What is Osteoradionecrosis of the jaw? |
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Definition
| is a complication fo radiation to the head and neck for malignant neoplasmes. |
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Term
| What can radation is association with osteroadionecreosis do to the head and neck |
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Definition
| casues osteocyte damge and lead to osseous hypovascurlarity. |
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Term
| What happens after ostecyte damage |
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Definition
| The bone is susceptible to osteomyelitis |
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Term
| What are predisoposing factor of Osteoradioncerosis |
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Definition
Non vital teeth
Peiapical pathosis
Extractions
Perio disease
Fractures that communicate thru the skin or mucosa are all predisposing factors |
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Term
| What does a radiograph of a preosn with Osteoradionecrosos look like |
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Definition
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Term
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Definition
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Term
| Bisphosphonates are a class of drug that exhibit what? |
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Definition
| inhibit Osteoclast function and angiogenesis |
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Term
| Bisphosnates are used to treat what? |
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Definition
Cancres that involve or metasazie to bone
Multipe myelome
Breat cancer
Prostate cancer |
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Term
| You use bisphonates to treat what? |
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Definition
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Term
| Ostenecrios occurs mostly when the drug is given how? |
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Definition
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Term
| Bis Ass OSTE occurs where more? |
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Definition
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Term
| What are the symptoms of Bis ASS OSTE |
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Definition
Pain in affected bone
But 1/3 are asyptomatic |
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Term
| What will the radiograph of a Bis ASS OSTE show |
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Definition
Increase radiodensity in tooth beraing areas and Peiostoal hyperplais of bone boorders
Or
May have smililar appearcne to chroinci ostemyeltisi |
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Term
| How do you treat BIS ASS Oste |
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Definition
difficulut
Improve oral ygine
cholohxidne risne
Teteracycline
best way is prevention |
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Term
| Garrre's Ostemyelitis is also called |
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Definition
| Chronic osteomyeltis with proliferative periostisis |
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Term
Chron Ostemyleith with Pro PErio occurs in whom?
what is the mean age |
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Definition
chlidren and young adults
Mean age is 13 |
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Term
| What causes Chronic Oste Wtih Prolifera Periostitis |
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Definition
| rusts form periapical inflmmatory disease |
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Term
| Where in the mouth does chronic Ostemyeltiis with Problifraiv Perios occur |
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Definition
| Mandibular Premoalr area usually unilatieral |
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Term
| What does the Periapical inflammation do in Chronic ostemyelitis with Prolfearivt Perosistis |
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Definition
| Induces proliferative cortiacl bone formation that occurs in layers parallel to each other |
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Term
| What will a patient with Chronic Osteomyelitis with prolifreaive Peosiitis prestetn with? |
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Definition
bony hard wellwin of the jaw
Often asymptomatic
May have some tenderness to the area |
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Term
| What will the radio graph of a patient with Chronic Ostemyelitis with Proliferative Periostitsil look like |
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Definition
Mittled radiolucency similar to chronic ostemyelt
rea of swelling shoe sepanded cortical bone in parelle opaque layers descriebed as "onion Skin" apperance |
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Term
| Treatment of Chronic Osteomyelitis with Proliferative Periostatisis |
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Definition
Endo treatment
or
extraction of affectd tooth
Cortical bone will remodel in 6 to 12 months |
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Term
| What is Diffused Clerosin Osteomyleitiis |
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Definition
| an Inflammatory reactio nin the jaw bones toa a low virulienc micro-orgainis |
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Term
| Etiolgic factors of Diffused sclerosing otemyelitis |
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Definition
most often chronic perio
but also nonvital teeth with periapical pathosis |
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Term
| Who gets Diffuse Sclerosing ostemyelitis |
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Definition
| Most offten seen in middle ages, black females, but can be seen at nay age both sexes, any reace |
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Term
| What are the symptoms of Diffuse Sclerosin Ostemyelitis |
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Definition
Protracted course with actue exacebation of pain, welling, possible drainge
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Term
| Waht does the radiograph of a patient with Diffuused Sclerosing ostemyelitiis look like |
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Definition
diffuse ill defined area of radiopactiy in the jaw
May see periosteal thickening |
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Term
| What is the treatment for Diffuse Sclerosing ostemyelitis |
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Definition
Treat Underlying casues,
antibitoics for acute exacerbation |
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Term
| What is Focal Sclerosing Ostemyelitis also called? |
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Definition
| condesing osteitis or Bone Scar |
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Term
| What is Focal Sclerosing Ostemyelitis |
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Definition
| A Focal inflammatory reaction in the jaw bones to a low grade inflammatory stimulus |
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Term
| Where is focal Sclerosing Ostemyelitis usally seen? |
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Definition
| In tthe Periapcial ares of a tooth with long standing Pulpitis. |
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Term
| Who get Focal Sclerosin Ostemyelitis? |
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Definition
| Occurs at any ange but usally seen in young adults |
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Term
| What region of the mouth usually gets effected |
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Definition
| Mandibullar molar and premolar teeth. |
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Term
| What happens to the affected bone after the teeth are extrected in cases with Focal Sclerosing Ostemyelitis |
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Definition
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Term
| How are Focal Scleroisn Ostemyeltitis found |
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Definition
| they are Asymptomatic- most are found on routine radiographs |
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Term
| What does the radiograph of a patient with Focal Sclersong Ostemyeltitis look like |
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Definition
focal area of radiopacity surrouning apical area of tooth
Tooth often has a lage carious lesion or large restoration. |
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