Acute Apical PeriodontitisDental diagnosis
How does the dentist diagnose Acute Apical Periodontitis?
The following signs and symptoms are evaluated to determine an Acute Apical Periodontitis diagnosis:
|Sign or Symptom||Yes||No||Maybe|
|Sudden pain in an area of a long-term infection or recent injury||Yes|
|Tooth hurts when biting, chewing, or tapping on it||Yes|
|Gums appear healthy||Yes|
|The tooth is cracked||No|
|Foreign object in the gums||No|
|Severe spontaneous pain||Maybe|
|An X-ray image of the tooth shows changes||Maybe|
|The tooth moves slightly when pressed||Maybe|
|Drainage around the tooth1||Maybe|
|The lymph nodes beneath the jawline and in the neck are tender and enlarged, particularly on the affected side.2||Maybe|
(1) If drainage is present, the term “suppurative” is added to the diagnosis: Chronic apical suppurative periodontitis. Drainage from infections can produce a bad taste and bad breath (halitosis).
(2) Lymph nodes are where white blood cells that fight infection mature.
This page was last updated on November 24, 2017.