What’s an Apical Periodontitis?
Apical periodontitis is a pronounced inflammation of the tip of the root of the tooth and is caused by a bacterial invasion of the pulp of the tooth. Apical periodontitis is also called periapical periodontitis. The term “peri” means “around”, and “itis” means an inflammation-related disease. So effectively, apical periodontitis describes an inflammation of the teeth’s supporting structures, in the areas surrounding the apex or tip of the tooth.
The disease sometimes develops into an abscess, characterized by the formation of pus at the base of the tooth root. It often precedes a destruction of tooth bones, and occasionally, a complete damage of the root apex of the tooth.
What Causes Apical Periodontitis
How does an infection cause pericapical periodontitis? The most common causes of this disease is a bacterial infection that causes tooth decay, leading to the inflammation of the pulp (which is the tender inner area of the tooth). This inflammation is called pulpitis. If the pulpitis is left untreated, bacterial toxins can crawl down into the root canal, causing periodontitis.
How does trauma cause apical periodontitis? If you receive a direct blow to the tooth, it can cause the pulp of the tooth to die and may then become infected by bacteria from the gum margins. This leads to apical periodontitis. Also, this disease can result from a sudden bite on a tough object or an undue pressure during a filling that is high.
Can root canal treatment cause periapical periodontics? The disease can occur when root canal treatment has failed to eliminate the infection mentioned above. Issues that lead to persistent periapical periodontitis are poor access cavity design, inadequate instrumentation, inappropriate aseptic control, and debridement, among others. That’s why it’s so crucial to go to a certified dentist who has had many years of experience and knows exactly what s/he is doing
Treating Apical Periodontitis with Endodontic Therapy
Depending on what dental treatment you need, your dentist may refer you to a specialist. If you’ve had a surgical root procedure or a root canal treatment, you may have been treated by an endodontist. Endodontics describes an area of dentistry that deals with the nerves and pulp of the tooth. Endodontics encompasses the treatment of diseases related to the pulp, but also the diagnosis and prevention of those diseases. This is the long-winded way of saying that endodontic therapy (or root canal therapy) deals with apical periodontitis, as it is the treatment of the pulp of the tooth.
Taking proactive dental quality measures with ensure that your endodontic therapy eliminates the apical periodontitis infection and protects the decontaminated tooth from future bacterial invasion. The video below explains in detail the endodontic therapy procedure