Gallini G, Merlini C, Martelossi L, Benetti C
Università degli Studi di Milano.
Dent Cadmos. 1991 Apr 15;59(6):80-4, 87-90, 93-5.
The apical granuloma, the periapical abcess and the radicular cyst are the most frequent between the inflammatory odontogenic lesions of the jaws. These three lesions are caused by the necrosis of the pulp but are very different between each other from an histological point of view and they can correspond to different stages of the same pathological process considering the fact that from a granuloma can arise a periapical abcess or a radicular cyst and from a radicular cyst and abcess can originate. About these three pathological processes we discuss in this article the clinical, radiographical, ethiological, microscopical features, we suggest the treatment and the differential diagnosis.
根尖肉芽肿、根尖脓肿和根端囊肿是颌骨炎性牙源性病变中最常见的。这三种病变均由牙髓坏死引起,但从组织学角度来看彼此差异很大,考虑到根尖肉芽肿可发展为根尖脓肿或根端囊肿,而根端囊肿和脓肿也可相互转化,它们可能对应同一病理过程的不同阶段。本文将就这三种病理过程讨论其临床、影像学、病因学、显微镜下特征,提出治疗方法及鉴别诊断。