Question 136 (part 2) · LDEK · Periapical diseases
It is a certain variation of periapical tissue inflammation in adolescent patients. It most often concerns mandibular molar, although often forms by the apexes of other molars and premolars. It is more frequent in women. It is an osteoforming reaction, essence of which is progressive bone calcification located in the apex area. Stimulation of osteoblasts leads to thickening and fusing bone trabeculae. Excessive accumulation of mineral salt leads to reduction of marrow cavities lumen or their complete obliteration. Sometimes root resorption occurs, despite preserving pulp vitality. Above-mentioned description concerns:
- A. cementum hypertrophy.
- B. cementum regrowth.
- C. sclerotic osteomyelitis.
- D. ankyloses.
- E. chronic fibrous periapical tissue inflammation.
Hint
Is the described change a deposit on the root itself or a reaction of the surrounding bone to a low-grade stimulus from the pulp?
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