Pathology periapical cysts

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Pregunta 1

Pregunta
What is apical periodontitis?
Respuesta
  • A cyst which forms due to frustrated healing
  • Inflammation around the periodontal ligament at the root apex of the tooth
  • An abscess present at the apex of the tooth

Pregunta 2

Pregunta
Which of these are common causes of apical periodontitis?
Respuesta
  • Iatrogenic
  • Trauma
  • Pulp necrosis following caries

Pregunta 3

Pregunta
Clinical features of acute apical periodontitis: Tooth [blank_start]elevated[blank_end] in socket [blank_start]Tenderness[blank_end] on biting [blank_start]Severe[blank_end] pain Thermal change [blank_start]does not[blank_end] induce pain
Respuesta
  • elevated
  • Tenderness
  • Severe
  • does not

Pregunta 4

Pregunta
What is a radiographic feature of acute apical periodontitis?
Respuesta
  • Widening of the PDL space
  • Large radiolucency
  • Granulomatous tissue at the apex

Pregunta 5

Pregunta
Histological features of acute apical periodontitis: Vascular [blank_start]dilation[blank_end] O[blank_start]edema[blank_end] [blank_start]PMNL[blank_end] infiltration [blank_start]Resorption[blank_end] of surrounding [blank_start]bone[blank_end] if irritant not removed If associated with [blank_start]bacterial[blank_end] infection, [blank_start]acute alveolar abscess[blank_end]
Respuesta
  • dilation
  • edema
  • PMNL
  • Resorption
  • bone
  • bacterial
  • acute alveolar abscess

Pregunta 6

Pregunta
Chronic apical periodontitis is the most common sequelae of
Respuesta
  • Pulpitis and acute periapical periodontitis
  • Pulpitis only
  • Acute periapical periodontitis only

Pregunta 7

Pregunta
Clinical features of chronic apical periodontitis: T[blank_start]ender to percussion[blank_end] ([blank_start]dull[blank_end] sound) Mild pain on [blank_start]biting[blank_end] [blank_start]Elongation[blank_end] in socket Can be a[blank_start]symptomatic[blank_end]
Respuesta
  • dull
  • ender to percussion
  • biting
  • Elongation
  • symptomatic

Pregunta 8

Pregunta
Radiographic features of chronic apical periodontitis: [blank_start]Thickening[blank_end] of the ligament at the root apex [blank_start]Radiolucent[blank_end] area attached to the root apex
Respuesta
  • Thickening
  • Radiolucent

Pregunta 9

Pregunta
Histological features of chronic apical periodontitis: Infiltration of m[blank_start]acrophages[blank_end]/l[blank_start]ymphocytes[blank_end]/plasma cells [blank_start]Granulation[blank_end] tissue [blank_start]Cholesterol[blank_end] crystals H[blank_start]aemosiderin[blank_end]
Respuesta
  • acrophages
  • ymphocytes
  • Granulation
  • Cholesterol
  • aemosiderin

Pregunta 10

Pregunta
The epithelial lining of radicular cysts may be derived from: [blank_start]Epithelial[blank_end] cell rests of [blank_start]malassez[blank_end] [blank_start]Respiratory[blank_end] epithelium of the [blank_start]maxillary sinus[blank_end] Oral epithelium from a f[blank_start]istulous[blank_end] tract
Respuesta
  • malassez
  • Epithelial
  • maxillary sinus
  • Respiratory
  • istulous

Pregunta 11

Pregunta
What are some sequelae of chronic apical periodontitis?
Respuesta
  • Radicular cyst
  • Acute apical periodontitis
  • Hypercementosis
  • Chronic apical abscess
  • Acute pulpitis

Pregunta 12

Pregunta
What are some developmental odontogenic cysts?
Respuesta
  • Eruption cyst
  • Gingival cyst
  • Odontogenic keratocyst
  • Radicular cyst
  • Paradental cyst

Pregunta 13

Pregunta
What are some inflammatory odontogenic cysts?
Respuesta
  • Radicular cyst
  • Residual cyst
  • Paradental cyst
  • Odontogenic keratocyst
  • Eruption cyst

Pregunta 14

Pregunta
Epithelial cell rests of serres give rise to...
Respuesta
  • Odontogenic keratocyst
  • Gingival cyst
  • Lateral periodontal cyst
  • Eruption cyst
  • Radicular cyst

Pregunta 15

Pregunta
Reduced enamel epithelium gives rise to...
Respuesta
  • Eruption cyst
  • Paradental cyst
  • Dentigerous cyst
  • Odontogenic keratocyst
  • Gingival cyst

Pregunta 16

Pregunta
Epithelial cell rests of serres give rise to odontogenic keratocysts and eruption cysts
Respuesta
  • True
  • False

Pregunta 17

Pregunta
Reduced enamel epithelium gives rise to eruption cyst, paradental cyst and dentigerous cyst
Respuesta
  • True
  • False

Pregunta 18

Pregunta
Epithelial cell rests of malassez are the source of all radicular cysts
Respuesta
  • True
  • False

Pregunta 19

Pregunta
Pocket radicular cysts are
Respuesta
  • Surrounding and continuous with the root canal and apex
  • Independent of the root canal and completely enclosed by epithelial lining
  • Open to the root canal and the periapical tissues

Pregunta 20

Pregunta
True radicular cysts are
Respuesta
  • Surrounding and continuous with the root canal and apex
  • Independent of the root canal and completely enclosed by epithelial lining
  • Open to the root canal and the periapical tissues

Pregunta 21

Pregunta
The cyst cavity of a radicular cyst develops from death of the [blank_start]central epithelial[blank_end] cells and [blank_start]liquefaction[blank_end] necrosis of the [blank_start]granulation[blank_end] tissue.
Respuesta
  • central epithelial
  • liquefaction
  • granulation

Pregunta 22

Pregunta
Clinical features of radicular cysts: Majority are [blank_start]asymptomatic[blank_end] N[blank_start]on-vital[blank_end] Sensitive to [blank_start]percussion[blank_end] [blank_start]Maxillary[blank_end] anteriors most commonly affected
Respuesta
  • asymptomatic
  • on-vital
  • percussion
  • Maxillary

Pregunta 23

Pregunta
Histological features of radicular cysts: [blank_start]Stratified squamous[blank_end] epithelial lining [blank_start]Cholesterol[blank_end] crystals Plasma cell and [blank_start]lymphocyte[blank_end] infiltration [blank_start]Rushton[blank_end] bodies Epithelial mucus [blank_start]metaplasia[blank_end]
Respuesta
  • Stratified squamous
  • Cholesterol
  • lymphocyte
  • Rushton
  • metaplasia

Pregunta 24

Pregunta
Contents of a radicular cyst: [blank_start]Serum[blank_end] proteins I[blank_start]mmunoglobulins[blank_end] [blank_start]Cholesterol[blank_end] crystals W[blank_start]ater[blank_end]
Respuesta
  • Serum
  • mmunoglobulins
  • Cholesterol
  • ater

Pregunta 25

Pregunta
What type of molecule breaks down bone matrix to make room for cyst expansion?
Respuesta
  • Collagenases
  • Osteoclasts
  • Osteoblasts

Pregunta 26

Pregunta
A radicular cysts lumen is [blank_start]hypertonic[blank_end] when compared to the inflammatory exudate. This means breakdown products in the inflammatory exudate travel into the [blank_start]cyst lumen[blank_end] which draws more water in, leading to further [blank_start]expansion[blank_end].
Respuesta
  • hypertonic
  • cyst lumen
  • expansion

Pregunta 27

Pregunta
Which molecules are important in bone resorption
Respuesta
  • Apical osteoclasts
  • PGE2
  • PGF2-alpha
  • IL-6
  • TNF-a

Pregunta 28

Pregunta
Features of residual cysts are: [blank_start]Dense[blank_end] connective tissue Retained after [blank_start]tooth extraction[blank_end] [blank_start]Stratified[blank_end] epithelium
Respuesta
  • tooth extraction
  • Dense
  • Stratified

Pregunta 29

Pregunta
Condensing osteitis leads to dense s[blank_start]clerotic[blank_end] bone being deposited around the root apex due to low grade [blank_start]inflammation[blank_end]. Radiographic features include radio[blank_start]paque[blank_end] mass surrounding the [blank_start]apex[blank_end] of the root(s). The periodontal ligament is also [blank_start]widened[blank_end]. Histological features include dense bony t[blank_start]rabeculae[blank_end] with little [blank_start]interstitial[blank_end] marrow tissue.
Respuesta
  • clerotic
  • inflammation
  • paque
  • apex
  • widened
  • rabeculae
  • interstitial

Pregunta 30

Pregunta
In periapical cemental d[blank_start]ysplasia[blank_end] [blank_start]cemento[blank_end]-osseous tissue replaces bone. It most commonly occurs in the anterior [blank_start]mandible[blank_end].
Respuesta
  • cemento
  • mandible
  • ysplasia

Pregunta 31

Pregunta
The three stages of periapical cemental dysplasia are: Osteo[blank_start]lytic[blank_end] Cemento[blank_start]blastic[blank_end] M[blank_start]ature[blank_end]
Respuesta
  • lytic
  • blastic
  • ature

Pregunta 32

Pregunta
Acute alveolar abscess is a [blank_start]supparative[blank_end] process following on from [blank_start]acute or chronic[blank_end] periapical periodontitis. It causes initial t[blank_start]enderness[blank_end] of the tooth which goes on to become extremely painful. Radiographic features including slight [blank_start]thickening[blank_end] of the periodontal ligament space Histological features include: Disintegrating [blank_start]PMNL[blank_end]s C[blank_start]ellular[blank_end] debris N[blank_start]ecrotic[blank_end] material Bacterial c[blank_start]olonies[blank_end] V[blank_start]asodilation[blank_end]
Respuesta
  • supparative
  • acute or chronic
  • enderness
  • thickening
  • PMNL
  • ellular
  • ecrotic
  • olonies
  • asodilation
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