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Periapical abscess – etiology, pathogenesis and epidemiology
Aleksandra Burczyńska1, Izabela Strużycka2, Łukasz Dziewit3
1Department of Dental Microbiology, Medical University of Warsaw, Poland
Przeglad Epidemiologiczny
|December 1, 2017
Summary
Endodontic infections, often caused by anaerobic bacteria, are a leading cause of tooth loss. Molecular techniques reveal complex oral microbiome compositions, improving our understanding of persistent endodontic infections.
Area of Science:
- Dentistry
- Microbiology
- Endodontics
Background:
- Pulp and periapical tissue inflammation is a primary cause of global tooth loss.
- Endodontics is a rapidly advancing dental specialty.
- Identifying infection etiology and relapse reasons in endodontics remains challenging despite proper treatment.
Purpose of the Study:
- To highlight the role of anaerobic bacteria in periapical infections.
- To emphasize the limitations of classical culture methods in identifying endodontic microflora.
- To discuss the impact of molecular techniques on understanding endodontic microbiome.
Main Methods:
- Review of research studies on periapical tissue infections.
- Evaluation of molecular techniques for microflora analysis.
- Comparison with classical culture methods.
Main Results:
- Strictly anaerobic bacteria are frequently implicated in periapical infections.
- Molecular techniques offer a more comprehensive assessment of microflora compared to culture methods.
- Studies using molecular techniques have significantly advanced the understanding of the endodontic microbiome.
Conclusions:
- Accurate identification of etiologic agents in endodontic infections is crucial.
- Molecular methods are essential for a complete understanding of the endodontic microbiome.
- Purulent endodontic lesions pose risks of severe systemic complications.
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