Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2011; 111(6): 160-166
The Presence of Microorganisms in the Granulomatous Tissue of Chronic Periapical Lesions
- Klinika stomatológie a maxilofaciálnej chirurgie LF UKo a OÚSA, Bratislava, SR
Apical periodontitis is a sequel to endodontic infection and manifests itself as the host defense response to microbial challenge emanating from the root canal system to the periapical tissue. It is viewed as a dynamic encounter between microbial factors and host defenses at the interface between infected radicular pulp and periodontal ligament that results in local inflammation, resorption of hard tissues, destruction of other periapical tissues, and eventual formation of various histopathological categories of apical periodontitis, commonly referred to as periapical lesions. In the case of chronic periodontitis, proliferating epithelium can build a barrier at the root apex, preventing pulpal microorganisms from spreading out into the alveolar bone. The purpose of this article is to provide an overview of the literature relating to the presence of microorganisms in the granulomatous tissue of chronic periapical lesions.
Keywords: apical periodontitis; periapical lesions; periapical granuloma; granulomatous tissue; microorganisms
Published: December 1, 2011 Show citation
References
- Barnett, F., Stevens, R., Tronstad, L.: Demonstration of Bacteroides Intermedius in periapical tissue using Indirect Immunofluorescence microscopy. Endod. Dent. Traumatol., roč. 6, 1990, č. 4, s. 153-156.
Go to original source...
Go to PubMed...
- Garcia, C. C., Sempere, F. V., Diago, M. P., Bowen, E. M.: The post-endodontic periapical lesion: histologic and etiopathogenic aspects. Med. Oral. Patol. Oral. Cir. Bucal., roč. 12, 2007, č. 8, s. E585-590.
- Hama, S., Takeichi, O., Hayashi, M., Komiyama, K., Ito, K.: Co-production of vascular endothelial cadherin and inducible nitric oxide synthase by endothelial cells in periapical granuloma. Int. Endod. J., roč. 39, 2006, č. 3, s. 179-184.
Go to original source...
Go to PubMed...
- Hedman, W. J.: An investigation into residual periapical infection after pulp canal therapy. Oral. Surg. Oral. Med. Oral. Pathol., roč. 4, 1951, č. 9, s. 1173-1179.
Go to original source...
Go to PubMed...
- Iwu, C., MacFarlane, T. W., MacKenzie, D., Stenhouse, D.: The microbiology of periapical granulomas. Oral. Surg. Oral. Med. Oral. Pathol., roč. 69, 1990, č. 4, s. 502-505.
Go to original source...
Go to PubMed...
- Kováč, J.: Reakcia apikálneho parodontu na obsah koreňového kanálika zuba. Doktorandská dizertačná práca. Lekárska fakulta Univerzity Komenského, Bratislava 2010, 151 s.
- Kováč, J., Kováč, D.: Imunitné procesy organizmu prebiehajúce pri apikálnej parodontitíde. Stomatológ, roč. 19, 2009, č. 1, s. 3-10.
Go to original source...
- Langeland, K., Block, R. M., Grossman, L. I.: A histopathologic and histobacteriologic study of 35 periapical endodontic surgical specimens. J. Endod., roč. 3, 1977, č. 1, s. 8-23.
Go to original source...
Go to PubMed...
- Liapatas, S., Nakou, M., Rontogianni, D.: Inflammatory infiltrate of chronic periradicular lesions: an immunohistochemical study. Int. Endod. J., roč. 36, 2003, č. 7, s. 464-471.
Go to original source...
Go to PubMed...
- Márton, I. J., Kiss, C.: Characterization of inflammatory cell infiltrate in dental periapical lesions. Int. Endod. J., roč. 26, 1993, č. 2, s. 131-136.
Go to original source...
Go to PubMed...
- Márton, I. J., Balla, G., Hegedüs, C., Redl, P., Szilágyi, Z., Karmazsin, L.: The role of reactive oxygen intermediates in the pathogenesis of chronic apical periodontitis. Oral. Microbiol. Immunol., roč. 8, 1993, č. 4, s. 254-257.
Go to original source...
Go to PubMed...
- Mazánek, J., Urban, F., a kol.: Stomatologické repetitorium. Grada Publishing, Praha 2003, 456 s.
- Nair, P. N. R.: Apical periodontitis: a dynamic encounter between root canal infection and host response. Periodontol., 2000, roč. 13, 1997, s. 121-148.
Go to original source...
Go to PubMed...
- Nair, P. N. R.: Light and electron microscopic studies of root canal flora and periapical lesions. J. Endod., roč. 13, 1987, č. 1, s. 29-39.
Go to original source...
Go to PubMed...
- Nair, P. N. R.: Non-microbial etiology: foreign body reaction maintaining post-treatment apical periodontitis. Endod. Top., roč. 6, 2003, č. 1, s. 114-134.
Go to original source...
- Nair, P. N. R.: Non-microbial etiology: periapical cysts sustain post-treatment apical periodontitis. Endod. Top., roč. 6, 2003, č. 1, s. 96-113.
Go to original source...
- Nair, P. N. R.: On the causes of persistent apical periodontitis: a review. Int. Endod. J., roč. 39, 2006, č. 4, s. 249-281.
Go to original source...
Go to PubMed...
- Nair, P. N. R.: Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit. Rev. Oral. Biol. Med., roč. 15, 2004, č. 6, s. 348-381.
Go to original source...
Go to PubMed...
- Nair, P. N. R., Pajarola, G., Schroeder, H. E.: Types and incidence of human periapical lesions obtained with extracted teeth. Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. Endod., roč. 81, 1996, č. 1, s. 93-102.
Go to original source...
Go to PubMed...
- Nair, P. N. R., Sjögren, U., Figdor, D., Sundqvist, G.: Persistent periapical radiolucencies of root filled human teeth, failed endodontic treatments and periapical scars. Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. Endod., roč. 87, 1999, č. 5, s. 617-627.
Go to original source...
Go to PubMed...
- Nair, P. N. R., Sjögren, U., Kahnberg, K. E., Krey, G., Sundqvist, G.: Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. J. Endod., roč. 16, 1990, č. 12, s. 580-588.
Go to original source...
Go to PubMed...
- Nair, P. N. R., Sjögren, U., Schumacher, E., Sundqvist, G.: Radicular cyst affecting a root-filled human tooth: a long-term post-treatment follow-up. Int. Endod. J., roč. 26, 1993, č. 4, s. 225-233.
Go to original source...
Go to PubMed...
- Ricucci, D., Mannocci, F., Ford, T. R.: A study of periapical lesions correlating the presence of a radiopaque lamina with histological findings. Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. Endod., roč. 101, 2006, č. 3, s. 389-394.
Go to original source...
Go to PubMed...
- Ricucci, D., Pascon, E. A., Pitt Ford, T. R., Langeland, K.: Epithelium and bacteria in periapical lesions. Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. Endod., roč. 101, 2006, č. 2, s. 239-249.
Go to original source...
Go to PubMed...
- Shindell, E.: A study of some periapical roentgenolucencies and their significance. Oral. Surg. Oral. Med. Oral. Pathol., roč. 14, 1961, č. 9, s. 1057-1065.
Go to original source...
- Siqueira Jr., J. F., Rôças, I. N.: Polymerase chain reaction-based analysis of microorganisms associated with failed endodontic treatment. Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. Endod., roč. 97, 2004, č. 1, s. 85-94.
Go to original source...
Go to PubMed...
- Slots, J., Sabeti, M., Simon, J. H.: Herpes virus in periapical pathosis: an etiopathologic relationship? Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. Endod., roč. 96, 2003, č. 3, s. 327-331.
Go to original source...
Go to PubMed...
- Stewart, G. G.: A study of bacteria found in root canals of anterior teeth and the probable ingress. J. Endod., roč. 2, 1947, č. 3, s. 8-11.
- Tronstad, L., Sunde, P. T.: The evolving new understanding of endodontic infections. Endod. Top., roč. 6, 2003, č. 1, s. 57-77.
Go to original source...
- Wayman, B. E., Murata, S. M., Almeida, R. J., Fowler, C. B.: A bacteriological and histological evaluation of 58 periapical lesions. J. Endod., roč. 18, 1992, č. 4, s. 152-155.
Go to original source...
Go to PubMed...
- Winkler, T. F. III, Mitchell, D. F., Healey, H. J.: A bacterial study of human periapical pathosis employing a modified gram tissue stain. Oral. Surg. Oral. Med. Oral. Pathol., roč. 34, 1972, č. 1, s. 109-116.
Go to original source...
Go to PubMed...
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