根尖周病-上交大《口腔组织病理学》精品课.pptVIP

Disease of Periapical Tissues 根 尖 周 病 Definition periodontal membrane牙周膜 cementum牙骨质 alveolar bone牙槽骨 Classification periapical periodontitis根尖周炎 acute急性 chronic慢性 chronic periapical abscess慢性根尖脓肿 periapical granuloma根尖肉芽肿 periapical cyst根尖囊肿 Periapical periodontitis inflammatory lesion 炎性病变 in periodontal membrane 牙周膜 of root apex 根尖 resorption of cementum and alveolar bone Periapical periodontitis Etiology bacterial effects 感染因素 most of them derived from pulpitis牙髓炎 a defensive reaction Periapical periodontitis Etiology bacterial effects 感染因素 derived from severe periodontitis重度牙周炎 deep periodontal pocket牙周袋 almost reach to the root apex ? periapical diseases Periapical periodontitis Etiology Mechanical damage 机械损伤 traumatic accidents意外损伤 occlusal trauma咬合创伤 iatrogenic damage医源性损伤 from dental procedures For example: in the root canal therapy根管治疗 the instrument or the filling materials were extruded the apical foramen Periapical periodontitis Etiology Chemical irritation化学刺激 Most of them are iatrogenic arise from the procedure of root canal therapy 根管治疗 For example: irritative filling material Periapical periodontitis Classification according to the duration of disease 病程 acute periapical periodontitis急性根尖周炎 chronic periapical periodontitis 慢性根尖周炎 Acute periapical periodontitis acute inflammation around apex secondary to the caries and pulpitis pulpal Necrosis decomposed products of pulp and the toxin inflammation of periapical tissue association with a nonvital tooth 死髓牙 Acute periapical periodontitis secondary to trauma外伤 high occlusal contacts咬合创伤 wedging by a foreign object异物嵌塞 a vital tooth活髓牙 an acute exacerbation 急性发作of chr