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Viva Questions in Periapical Abscess

Below are 25 potential viva questions and answers related to periapical abscess:

  1. What is a periapical abscess?
    • Answer: A periapical abscess is a localized collection of pus at the apex of a tooth root, usually resulting from a dental pulp infection.
  2. What causes a periapical abscess?
    • Answer: It is primarily caused by bacterial infection of the dental pulp due to untreated dental caries or trauma.
  3. What are the common symptoms of a periapical abscess?
    • Answer: Symptoms include severe toothache, swelling, redness, pus drainage, and sometimes fever.
  4. How is a periapical abscess diagnosed?
    • Answer: Diagnosis involves clinical examination, dental X-rays, and sometimes, a pulp vitality test.
  5. What bacteria are commonly associated with periapical abscesses?
    • Answer: Common bacteria include Streptococcus species and anaerobic bacteria like Prevotella and Porphyromonas.

viva questions and answers related to the temporomandibular joint (TMJ)

  1. How does the infection reach the periapical area?
    • Answer: Bacteria from the infected dental pulp can spread through the root canal system and reach the periapical region.
  2. What is the treatment for a periapical abscess?
    • Answer: Treatment typically involves root canal therapy or tooth extraction, along with antibiotics to control the infection.
  3. Why is drainage important in managing periapical abscesses?
    • Answer: Drainage helps to release the accumulated pus, relieving pain and promoting the resolution of the infection.
  4. What is the role of antibiotics in treating periapical abscesses?
    • Answer: Antibiotics are used to control the spread of infection and can be prescribed alongside other dental procedures.
  5. Can a periapical abscess heal on its own without treatment?
    • Answer: In some cases, the body’s immune response can control the infection, but definitive treatment is usually required.

Viva in Odontogenic Keratocyst

  1. What complications can arise from an untreated periapical abscess?
    • Answer: Complications may include the spread of infection to surrounding tissues, formation of a dental cyst, or systemic infection.
  2. How does a dentist determine whether to perform a root canal or extract the tooth?
    • Answer: The decision is based on factors like the extent of infection, tooth condition, and the possibility of preserving the tooth through root canal therapy.
  3. What is the prognosis of a periapical abscess after treatment?
    • Answer: With prompt and appropriate treatment, the prognosis is generally good, and the affected tooth can be saved in many cases.
  4. How is pain managed in patients with a periapical abscess?
    • Answer: Pain is managed through analgesics and, if needed, antibiotics to control the infection.
  5. Can periapical abscesses occur in primary (baby) teeth?
    • Answer: Yes, periapical abscesses can occur in primary teeth due to bacterial infection of the pulp.
  6. What is the role of the immune system in resolving a periapical abscess?
    • Answer: The immune system works to contain and eliminate the infection, but it may not always be sufficient without dental intervention.
  7. How does the dentist determine the extent of the periapical abscess on an X-ray?
    • Answer: The X-ray shows the extent of bone loss and the presence of periapical radiolucency, indicating the abscess.
  8. What precautions should be taken after a root canal procedure for a periapical abscess?
    • Answer: Patients are advised to follow postoperative care instructions, including taking prescribed medications and avoiding certain foods.
  9. Is there a risk of recurrence after treating a periapical abscess?
    • Answer: With proper treatment, the risk of recurrence is low, but good oral hygiene and regular dental check-ups are essential to prevent future infections.

Viva Question and Answers in Dentigerous Cyst

  1. How does diabetes affect the management of a periapical abscess?
    • Answer: Diabetes can compromise the immune response, making it crucial for diabetic patients to closely manage their condition and follow dental treatment recommendations.
  2. What is the relationship between periapical abscesses and systemic health?
    • Answer: Untreated periapical abscesses can lead to systemic complications if the infection spreads, emphasizing the importance of timely dental intervention.
  3. Can periapical abscesses be prevented?
    • Answer: Good oral hygiene practices, regular dental check-ups, and prompt treatment of dental caries can help prevent periapical abscesses.
  4. How does smoking influence the healing process of a periapical abscess?
    • Answer: Smoking can impair the body’s ability to heal, potentially prolonging the recovery process, so cessation is recommended.
  5. Are there any alternative treatments for periapical abscesses besides root canal therapy and extraction?
    • Answer: The primary alternatives are limited, but sometimes drainage procedures or other conservative measures may be considered based on the case.
  6. How can a patient distinguish between a periapical abscess and other dental conditions causing pain?
    • Answer: A dentist’s evaluation, including clinical examination and X-rays, is crucial for an accurate diagnosis. Periapical abscesses are often associated with specific signs such as swelling and pus drainage.

Viva Questions in Periapical Cyst