Radiology of apical periodontitis

Shanon Patel, Conor Durack

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

4 Citations (Scopus)

Abstract

Apical periodontitis (AP) is an inflammatory condition that occurs around the root of a tooth. AP is a common disease, which increases in prevalence with age. This chapter describes the radiologicalpresentation of healthy and diseased periapical tissues at diagnosis and follow-up of treatment. The interpretation of radiographic images of the apical periodontium is complicated by “noise” created by the superimposition of anatomical structures over the area of interest or area under observation. Deposition of cementum on the apex of a root occurs throughout life. The periodontal ligament space is the soft tissue connecting the dental cementum and the lamina dura of the surrounding bone. The nature and size of AP is accurately represented by Cone Beam Computed Tomography scans. Very little is known about how the healing process of AP manifests radiographically; the healing timescale is highly variable. Osteomyelitis may be a continuation of an AP, when the infection spreads and destroys the bone marrow.

Original languageEnglish
Title of host publicationEssential Endodontology
Subtitle of host publicationPrevention and Treatment of Apical Periodontitis
PublisherWILEY-BLACKWELL
Pages179-210
Number of pages32
ISBN (Electronic)9781119272014
ISBN (Print)9781119271956
DOIs
Publication statusPublished - 22 Nov 2019

Keywords

  • Apical periodontitis
  • Cementum deposition
  • Cone beam computed tomography scan
  • Healing process
  • Osteomyelitis
  • Radiographic image

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