Infection-related external resorptions Extraction – for very severe resorptions. Implant after extraction Root apex resection (surgical procedure in which the root apex of a previously root-treated tooth and the inflamed surrounding area of the root apex are removed) – in combination with endodontic therapy (“therapy of the inside of the tooth”) in the case of … Root Resorption: Surgical Therapy
The following symptoms and complaints may indicate root resorption: Main symptoms Trauma-related resorptions External transient (temporary) resorption Asymptomatic Without clinical significance External replacement absorption Loss of physiological intrinsic mobility/anklosis (“fusion of the teeth with the jawbone“). Bright percussion sound (knocking sound) No percussion dolence (knocking sound) In growing patients infraposition (malposition of the teeth) possible. … Root Resorption: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Resorption can occur within a dentition on one or more teeth. Mechanisms and causes of root resorption have not been definitively determined. Quite a few possible triggers are under discussion. Root cementum or dentin is degraded by odontoclasts (somatic cells that degrade dentin), which are of the same cell type as … Root Resorption: Causes
The following curative measures can be used for root resorption: Counseling/education The patient should be educated about the symptoms of root resorption and motivated to actively cooperate. Orthodontic therapy Extrusion (“lengthening of teeth”) – timely therapy for progressive cervical resorption. Gap closure after resorption-related tooth extraction (tooth removal). General measures Attendance at regular follow-up appointments.
Conventional nonsurgical therapeutic procedures Prophylaxis of infection-related resorptions. After severe dental trauma (dental accident)/dislocation (displacement): endodontic treatment (treatment of the tooth interior) as promptly as possible within the first few days to prevent germ invasion – starting from infected pulp necrosis (death of the pulp/tooth pulp) – via the dentinal tubules (“tubules in the dentin”) … Root Resorption: Dental Therapy
Gingivitis (synonym: gingival infection; ICD-10-GM K05.0: Acute gingivitis; ICD-10-GM K05.1: Chronic gingivitis) is an inflammation of the marginal gums (gingiva), usually caused by bacteria. The periodontium (periodontium) is not affected, but gingivitis can be the precursor of periodontitis (inflammation of the periodontium). Gingivitis is one of the most common human diseases. It is further divided … Gum Inflammation (Gingivitis)
Medical history (history of the patient) represents an important component in the diagnosis of gingivitis (gum inflammation). Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Have you noticed any changes in the gums such as receding gums, … Gum Inflammation (Gingivitis): Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus (diabetes). Folic acid deficiency (in pregnant women). Vitamin C deficiency Infectious and parasitic diseases (A00-B99). HIV infection Infection – e.g., with β-hemolytic streptococci (streptococcal infections). Mycoses (fungal infections), especially with Candida albicans. Syphilis (lues) Viruses such as herpes viruses, Epstein-Barr virus (trigger of Pfeiffer’s glandular fever) or … Gum Inflammation (Gingivitis): Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by gingivitis (gum inflammation): Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Periodontitis – inflammation of the periodontium. Tooth loss as a result of periodontitis Symptoms and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99). Halitosis (bad breath)
In principle, any radicular cyst should be surgically removed and submitted to histologic (fine tissue) examination. 1. dental surgery Root apex resection (surgical procedure in which the root apex and the inflamed area surrounding the root apex are removed) with cystectomy (complete cyst removal). For small apical (“tooth rootward”) or lateral (“lateral”) cysts. If necessary, … Radicular Cyst: Surgical Therapy
To prevent radicular cysts, attention must be paid to reducing individual risk factors. Behavioral risk factors Because a devitalized (root-dead) tooth is a prerequisite for the development of a radicular cyst, poor dietary habits and inadequate oral hygiene increase the risk of caries and, therefore, the risk of potentially developing a radicular cyst as a … Radicular Cyst: Prevention
The following symptoms and complaints may indicate a radicular cyst: Main symptoms Often asymptomatic – radiographic incidental finding. Avital tooth (” dead tooth”) If necessary, percussion dolence (sensitivity to tapping). If necessary, tooth loosening Pain usually only with infected cyst “Parchment crackling” on palpation of a thin layer of bone over the cyst lumen. Large … Radicular Cyst: Symptoms, Complaints, Signs
