How can you tell the difference between apical periodontitis and periapical abscess?

It is caused when the infection extends through the apical foramen into the peri-radicular tissue. Periodontal Abscess is caused due to impaction of foreign body in the Gums leading to an abscess. It is different from Acute apical periodontitis as the infection is passed into the periodontium through the root canal.

What is the main cause of apical periodontitis?

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.

How is RCT diagnosed?

The sooner your tooth can be treated, the better the outcome will likely be.

1. Persistent pain. Persistent tooth pain is one of the signs that you may need a root canal.
2. Sensitivity to heat and cold.
3. Tooth discoloration.
4. Swollen gums.
5. Pain when you eat or touch the tooth.
6. A chipped or cracked tooth.
7. Tooth mobility.

What causes asymptomatic apical periodontitis?

Asymptomatic apical periodontitis (AAP) is defined as a chronic inflammation and destruction of apical periodontium caused in response to bacterial infection of the root canal system, which appears as an apical radiolucent area, and does not produce clinical symptoms (1).

What is apical infection?

Acute apical abscess is the most common form of dental abscess and is caused by infection of the root canal of the tooth. It is usually localized intraorally, but in some cases the apical abscess may spread and result in severe complications or even mortality.

What are the signs and symptoms associated with symptomatic apical periodontitis?

By far, most cases of apical periodontitis are asymptomatic. Pain, tenderness to biting pressure, percussion or palpation as well as swellings are typical clinical expres- sions of symptomatic apical periodontitis (Fig. 7.2a,b). The symptoms may vary from mild to severe.

What are the signs and symptoms associated with symptomatic apical periodontitis Acute apical periodontitis?

What is a apical diagnosis?

Acute Apical Abscess is an inffammatory reaction to pulpal infection and necrosis characterized by rapid onset, spontaneous pain, extreme tenderness of the tooth to pressure, pus formation and swelling of associated tissues.

Do Xrays show if you need a root canal?

When you get an x-ray, this will give definitive proof that you need to get a root canal. The x-ray gives the dentist a clear view of any infection in the tooth especially one at the root of the tooth.

How is an acute apical abscess treated?

Conclusions: In the management of localized acute apical abscess in the permanent dentition, the abscess should be drained through a pulpectomy or incision and drainage. This analysis indicated that antibiotics are of no additional benefit.