Abstract
Apical periodontitis is an inflammation and destruction of peri-radicular tissues, with a clinical feature of mild pain or no pain to moderate to severe pain that couldn’t be tolerated by the patient depending upon the type to AP from which patient is suffering from. Here in this article, we are going to describe briefly about the AP with its dental management in dental clinic. Although, it could not be possible to give confirmatory diagnosis for AP in every dental clinic because of lack of histopathological labs, but on the basis of clinical & radiographical findings we can go for the provisional diagnosis of AP and thus manage it accordingly depending upon the prognosis of the disease.
Highlights
Apical periodontitis is an inflammation and destruction of peri-radicular tissues that occurs as a sequence of insult to dental pulp that can be either due to including infection or physical and iatrogenic trauma or following endodontic treatment & the damaging effects of root canal filling materials and so it is generally a sequel to endodontic infection (1)
Bacteria that are involved in the pathogenesis of AP may have participated in the early stages of pulp inflammation and necrosis or they may have gained entry into the canal space any time after pulpal necrosis
Chronic apical periodontitis usually doesn’t produce any clinical signs or symptoms; this chronic condition produces inflammation of the tissue surrounding the teeth and can cause the destruction of that tissue and the periapical tissue is sterile in most cases, even though microbes may be present in the root canal system (3)
Summary
Apical periodontitis is an inflammation and destruction of peri-radicular tissues that occurs as a sequence of insult to dental pulp that can be either due to including infection or physical and iatrogenic trauma or following endodontic treatment & the damaging effects of root canal filling materials and so it is generally a sequel to endodontic infection (1). Chronic apical periodontitis usually doesn’t produce any clinical signs or symptoms; this chronic condition produces inflammation of the tissue surrounding the teeth and can cause the destruction of that tissue and the periapical tissue is sterile in most cases, even though microbes may be present in the root canal system (3). The treatment of AP is periapical periodontitis is root canal procedure to minimize the inflammation and to sterilize root canals and surrounding apical area of tooth by irrigating the canals with disinfectants or antibacterial solutions. If a patient has already had root canals and the inflammation seems to be
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