Patient with pain on 15 and this tooth undergo with RCT but he still has pain on percussion, what u suspect?
1- Primary Apical Periodontitis.
2- Secondary Apical Periodontitis. ***
3- over instrumentation.
4- Over medicate.
Secondary Apical Periodontitis:
I- Definitions and the different types of acute apical periodontitis
A- Apical periodontitis.
B. Acute apical periodontitis.
II- The 5 situations of acute apical periodontitis.
A- Drainage is immediately obtained.
B- Drainage is not obtained.
C- A fluctuating abscess is present.
D- The affected tooth has extensive coronary restoration, tenons and ductal treatment has already been performed.
E- Presence of cellulite.
- They constitute a specific pathological entity in the group of pulpal and periodontal diseases of endodontic origin.
- These are inflammatory lesions of the peri-radicular deep periodontium (periapical) consecutive to the bacterial infection of the endodont.
- They are linked to the presence of a pathway of pulpal bacterial contamination associated with a defensive reaction of the periapical tissues.
- Therefore, their treatment will reside in the suppression of endo-ductal infection by endodontic treatment.
- They can be acute or chronic, primary or secondary, suppurated or not.
Secondary Apical Periodontitis:
I- Definitions and the different types of acute apical periodontitis
A- Apical periodontitis.
B. Acute apical periodontitis.
II- The 5 situations of acute apical periodontitis.
A- Drainage is immediately obtained.
B- Drainage is not obtained.
C- A fluctuating abscess is present.
D- The affected tooth has extensive coronary restoration, tenons and ductal treatment has already been performed.
E- Presence of cellulite.
- They constitute a specific pathological entity in the group of pulpal and periodontal diseases of endodontic origin.
- These are inflammatory lesions of the peri-radicular deep periodontium (periapical) consecutive to the bacterial infection of the endodont.
- They are linked to the presence of a pathway of pulpal bacterial contamination associated with a defensive reaction of the periapical tissues.
- Therefore, their treatment will reside in the suppression of endo-ductal infection by endodontic treatment.
- They can be acute or chronic, primary or secondary, suppurated or not.
