第11章 根尖周病.pptVIP

Disease of Periapical Tissues 根 尖 周 病 Definition periodontal membrane牙周膜 (periodontal ligament) cementum牙骨质 alveolar bone proper 固有牙槽骨 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 absorption of cementum and alveolar bone proper Periapical periodontitis is similar to the inflammtion occurring elsewhere in the body is often accompanied by resorption of bone, and occasionally the root apex sufficient to be detected radiographically. 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 a direct blow on a tooth occlusal trauma咬合创伤 a high restoration biting unexpectedly on a hard body in food Periapical periodontitis Etiology iatrogenic damage医源性损伤 from dental procedures undue pressure during orthodontic treatment牙体病治疗 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 Periapical periodontit