. Interpretation of dental & maxillary roentgenograms . ing a pre-ponderance of polymorphonuclear cells (Fig, 14), the morechronic types of infection showing few polymorphonu-clears but many small round cells (Fig. 15), while in casesof long standing, the cellular elements are few, and fibroustissue predominates (Fig. 16). Sometimes the granula-tion tissue breaks down, and is replaced by fluid puswhich fills the bone cavity {chronic abscess), or the con-tents may consist partially of pus and partially of granu-lation tissue (suppurating granuloma). Such lesions con-taining fluid pus, however,


. Interpretation of dental & maxillary roentgenograms . ing a pre-ponderance of polymorphonuclear cells (Fig, 14), the morechronic types of infection showing few polymorphonu-clears but many small round cells (Fig. 15), while in casesof long standing, the cellular elements are few, and fibroustissue predominates (Fig. 16). Sometimes the granula-tion tissue breaks down, and is replaced by fluid puswhich fills the bone cavity {chronic abscess), or the con-tents may consist partially of pus and partially of granu-lation tissue (suppurating granuloma). Such lesions con-taining fluid pus, however, are in a considerable minority,as compared to the solid or semisolid granuloma, and,therefore, the term chronic abscess is entirely inap-plicable in the great majority of cases of periapicalinfection. These areas of bone rarefaction and destruction varygreatly in size. The bone absorption is usually accom-panied by a slow detachment and destruction of the peri-dental membrane covering the cementum at the root end, PATHOLOGY AND DENTAL ROENTGENOLOGY 41. Fig. 16.—Case of long-standing periapical inflammation, showing fewer cells and preponderance of fibrous tissue.


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