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After endodontic therapy has been executed, or re-executed, successfully, and the canals can no longer provide a nutrient-rich habitat for microbes, [31] the issue of bone healing comes into focus. Ostensibly, then, for regeneration to occur, the root canal system must have been decontaminated and further access to microbial invasion must be ...
Pain, which is severe, throbbing and deep-seated and often radiates along the nerve pathways. Initially fistula are not present. Headache or facial pain, as in the descriptive former term "neuralgia-inducing" (cavitational osteonecrosis). Fibromyalgia. Chronic fatigue syndrome. Swelling.
Adverse effects of this approach also include pain, nerve damage, and loss of sensation due to the location of the inferior alveolar nerve. Anti-inflammatory medication can be used to slow the resorption process. Arthrocentesis, and arthroscopic surgery are also sometimes used to treat disc displacement and other symptoms. [2]
Pain can often be severe, especially if teeth and/or a branch of the trigeminal nerve is involved, but many patients do not experience pain, at least in the earlier stages. When severe facial pain is purported to be caused by osteonecrosis, the term NICO, for neuralgia-inducing cavitational osteonecrosis , is sometimes used, but this is ...
Idiopathic osteosclerosis, also known as enostosis or dense bone island, is a condition which may be found around the roots of a tooth, usually a premolar or molar. [2] It is usually painless and found during routine radiographs as an amorphous radiopaque (light) area around a tooth.
While the exposed, dead bone does not cause symptoms these areas often have mild pain from the inflammation of the surrounding tissues. [15] Clinical signs and symptoms associated with, but not limited to MRONJ, include: Jaw pain and neuropathy [16] Loose teeth [17] Mucosal swelling [17] Erythema; Suppuration [17]
The pain does not normally transfer across the face, only upward or downward as the nerves that serve each side of the face are separate. Severe aching and discomfort on the side of the face where the tooth is infected is also fairly common, with the tooth itself becoming unbearable to touch due to extreme amounts of pain.
Internal resorption is defined by the loss of intraradicular dentin and tubular dentin from within the middle and apical thirds of the root canal(s). It may also present as an incidental, radiographic finding. Radiographically, a radiolucent area of uniform density within the root canal may be visible with well-defined borders.
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