What is a periapical granuloma?

Asked By: Maryana Arance | Last Updated: 20th January, 2020
Category: medical health infectious diseases
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Periapical granuloma is a chronic inflammation located at the apex of a non vital tooth. It comprises of granulation and scar tissue permeated by diverse inflammatory cells (lymphocytes, plasma cells, macrophages, mast cells).

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Likewise, people ask, what is a dental granuloma?

Dental granuloma is a limited inflammation of periodontal, which is a small rounded formation located in the area of dental root. It is characterized with a long asymptomatic course.

One may also ask, what does periapical mean? Medical Definition of periapical : of, relating to, occurring in, affecting, or being the tissues surrounding the apex of the root of a tooth periapical infection a periapical abscess.

Correspondingly, how is periapical granuloma treated?

Treatment for periapical granuloma is initially treated with a nonsurgical procedure. Endodontic treatments of teeth with periapical lesions (lesions that occurred as a result of dental pulp inflammation) have a success rate up to 85 percent.

What is a periapical cyst?

Commonly known as a dental cyst, the periapical cyst is the most common odontogenic cyst. Periapical is defined as "the tissues surrounding the apex of the root of a tooth" and a cyst is "a pathological cavity lined by epithelium, having fluid or gaseous content that is not created by the accumulation of pus."

39 Related Question Answers Found

How can you tell the difference between a cyst and a granuloma?

The periapical granuloma is an accumulation of chronically inflamed granulation tissue seen at the apex of a nonvital tooth. The radicular cyst is a lesion that develops over a prolonged period of time within an existing periapical granuloma. A cyst, by definition, has an epithelial lining.

Do granulomas go away on their own?

The condition usually isn't painful or itchy, and will typically go away on its own without treatment within two years. Experts aren't sure what causes these granulomas to form.

Can a granuloma be removed?

A pyogenic granuloma will usually be surgically removed if it's recurred once after a nonsurgical approach. Alternatively, your doctor might apply a chemical, such as silver nitrate, to the pyogenic granuloma to help with the bleeding. These growths can also be removed using laser surgery.

What is a granuloma?

A granuloma is a structure formed during inflammation that is found in many diseases. It is a collection of immune cells known as macrophages. Granulomas form when the immune system attempts to wall off substances it perceives as foreign but is unable to eliminate.

What is a granuloma in the mouth?


Pyogenic granuloma is a reactive hyperplasia of connective tissue in response to local irritants. It is a tumourlike growth of the oral cavity, frequently located surrounding the anterior teeth or skin that is considered to be neoplastic in nature.

Is a granuloma and abscess?

Chronic granulomatous disease is a rare inherited primary immunodeficiency in which phagocytes cannot destroy catalase-positive bacteria and fungi. These abscesses are recurrent and often multiple and are treated differently from bacterial abscesses in patients without CGD.

Do pyogenic granulomas go away on their own?

Although pyogenic granuloma is a benign condition, it is frequently removed due to its tendency to bleed, its tenderness, and its distressing appearance. However, untreated pyogenic granulomas may go away on their own.

What is periapical scar?

Introduction: A periapical scar represents a clinically asympotomatic, non-progressive,small, periapical radiolucency in patients with a previously well-performed root canal treatment. Cytokines cause rapidly progrssive defensive fibroproduction and scar formation, in which osteoblasts cannot differntiate into bone.

How is a periapical cyst treated?

Periapical cysts are treated by enucleation and curettage, either through an extraction socket or via a periapical surgical approach when the tooth is restorable or the lesion is greater than 2 cm in diameter. If the tooth is to be preserved, endodontic treatment is necessary, if it has not been done.

What is a lesion on your tooth?


Premalignant Oral Lesions. A routine part of an oral examination should be inspection not only of the teeth and gums but also of the soft tissues in and around the mouth. Dentists look for abnormal changes that are loosely called “lesions.”

What causes periapical Radiolucency?

Myriad non-odontogenic lesions, both benign and malignant, may be seen as a lucency around the tooth root that mimics a periapical lucency due to apical periodontal or pulpal disease. These conditions include fissural cysts, cemento-osseous dysplasias, giant cell granulomata, and simple bone cysts.

How is periapical periodontitis treated?

Tooth extraction or apical resection with curettage of the periapex usually is an adequate treatment. Endodontic treatment with a root canal may be used with tooth restoration. Antibiotic therapy is often used for infections.

Does periapical granuloma cause root resorption?

Periapical inflammation is often discussed as possible cause of a radicular external resorption. The severity of resorption is proportional to the duration of the periapical inflammation. We can conclude that periapical lesions such as granulomas and cysts may coexist with the apical external root resorption.

What is a dental cyst?

A dental cyst is basically a closed sac of tissues! Some are filled with air, while others are filled with soft material or fluid. Cysts generally develop in the soft oral tissues such as the gum, lips and around or next to a tooth within the jaw bone.

What is an Apicoectomy in dentistry?


A root end surgery, also known as apicoectomy (apico- + -ectomy), root resection, 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

How is calcium hydroxide used in dentistry?

The calcium hydroxide should be placed gently directly on to the tissue, with no debris or blood intervening. A calcium hydroxide cement may be applied to protect the pulp in a deep cavity as discussed later.

What is apical periodontitis?

Apical periodontitis is an inflammatory lesion in the periodontal tissues that is caused mostly by bacterial elements derived from the infected root canal system of teeth (Core concept 7.1). In non-treated teeth apical peri- odontitis represents a defensive response to a primary infection in a necrotic pulp.