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The most common location of dry socket: in the socket of an extracted mandibular third molar (wisdom tooth). Since alveolar osteitis is not primarily an infection, there is not usually any pyrexia (fever) or cervical lymphadenitis (swollen glands in the neck), and only minimal edema (swelling) and erythema (redness) is present in the soft tissues surrounding the socket.
Bone formation starts after about 10 days from when the tooth was extracted. After 10–12 weeks, the outline of the socket is no longer apparent on an X-ray image. Bone remodeling as the alveolus adapts to the edentulous state occurs in the longer term as the alveolar process slowly resorbs.
Impacted wisdom teeth without communication to the mouth, that have no pathology associated with the tooth, and have not caused tooth resorption on the blocking tooth, rarely have symptoms. [11] The chances of developing pathology on an impacted wisdom tooth that is not communicating with the mouth is approximately 12%. [ 11 ]
Risk factors of tooth ankylosis can be generally classified into genetic factors and dental trauma. Diagnostic methods of tooth ankylosis include the use of clinical examinations, x-ray and cone beam computerized tomography (CBCT). [7] [5] Tooth ankylosis could have several symptoms, with decreased tooth count being the most prominent one. [4]
Intraoral X-rays or a 3-D cone beam scan of the affected area can be used to obtain radiological images and confirm diagnosis of cysts in the periapical area. Circular or ovoid radiolucency surrounding the root tip of approximately 1-1.5 cm in diameter is indicative of the presence of a periapical cyst. [ 2 ]
Lesions in proximity to the apex of a tooth, especially those associated with caries or periodontal disease, may have a greater chance of becoming infected. [3] Lastly, local infection within a COD lesion, often leading to necrosis of the area, is another risk factor for symptomatic COD.
A root end surgery, also known as apicoectomy (apico-+ -ectomy), apicectomy (apic-+ -ectomy), retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.
Condensing osteitis happens when the bone around the tooth reacts to long-term inflammation. This involves excessive bone growth, leading to the formation of sclerotic bone in the jaw. Ongoing tooth infections, like pulpitis, release chemicals that attract immune cells and activate osteoblasts. Osteoblasts create extra bone in response to ...