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The pulp contains the blood vessels, the nerves, and connective tissue inside a tooth and provides the tooth's blood and nutrients. Pulpitis is mainly caused by bacterial infection which itself is a secondary development of caries (tooth decay). It manifests itself in the form of a toothache. [1]
In a periapical abscess, usually the origin is a bacterial infection that has accumulated in the soft, often dead, pulp of the tooth. This can be caused by tooth decay, broken teeth or extensive periodontal disease (or combinations of these factors). A failed root canal treatment may also create a similar abscess.
Dental cysts are usually caused due to root infection involving tooth decay. Untreated dental caries then allow bacteria to reach the level of the pulp, causing infection. The bacteria gains access to the periapical region of the tooth through deeper infection of the pulp, traveling through the roots.
Your tooth's enamel, cementum, and dentin usually protect the pulp, but if any of those layers are damaged or irritated, the pulp can get inflamed. Cue the pain.
This tooth requires retreatment to prevent a future infection from the non-treated canals. It is possible that after conventional endodontic therapy has been completed, little to no resolution of the periapical lesion occurs over a considerable amount of time; there is a great deal of current research that discusses the possible reasons for ...
A periodontal abscess occurs alongside a tooth, and is different from the more common [2] periapical abscess, which represents the spread of infection from a dead tooth (i.e. which has undergone pulpal necrosis). To reflect this, sometimes the term "lateral (periodontal) abscess" is used.
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