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Related Experiment Video

Updated: Jun 18, 2025

Inducing Apical Periodontitis in Mice

Inducing Apical Periodontitis in Mice

Published on: August 6, 2019

Apical Periodontitis in Vital and Nonvital Teeth: Clinical and Radiographic Features.

Saeed Asgary¹, Anita Aminoshariae², Paul R Wesselink³

¹Iranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Iranian Endodontic Journal

|August 1, 2024

Summary

Apical periodontitis (AP), an inflammation from root canal microbes, can affect vital teeth, complicating diagnosis. This review details AP features, proposes new classifications, and outlines treatments for better patient outcomes.

Keywords:

Apical periodontitis;Diagnosis Endodontics Periapical Lesions Pulpotomy Vital Pulp Therapy

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Area of Science:

Endodontics
Oral Pathology
Microbiology

Background:

Apical periodontitis (AP) is an inflammatory disease triggered by microbial invasion of the root canal system.
AP can occur in teeth with vital pulps, presenting diagnostic and treatment challenges.
Pathogenesis involves intricate host-microbe interactions, often detected radiographically due to asymptomatic nature.

Purpose of the Study:

To review radiographic and clinical features of AP in vital and non-vital teeth.
To introduce a novel taxonomic classification for enhanced diagnostic precision.
To propose treatment strategies based on pulp status and clinical/radiographic findings.

Main Methods:

Literature review focusing on radiographic and clinical presentations of AP.
Analysis of diagnostic challenges and proposed classification systems.
Evaluation of treatment options including vital pulp therapy and root canal treatment.

Main Results:

AP diagnosis is complex, especially in vital teeth, often relying on radiographic evidence.
A new classification system aims to improve diagnostic accuracy.
Treatment is categorized based on pulp vitality and disease presentation, emphasizing tailored approaches.

Conclusions:

Comprehensive diagnostics are crucial for early AP detection and intervention.
The proposed classification and treatment strategies can enhance management outcomes.
Further research is needed to refine AP diagnosis and treatment efficacy.