The Role of the Immune Response in Chronic Marginal and Apical Periodontitis

The immune response is a complex, dynamic and strongly individual biologic network that plays an essential role in the pathogenesis of chronic apical and marginal periodontitis. Recent research in the field of periodontology has indicated that the major determinant of susceptibility to disease is th...

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Main Authors: Teodora Karteva, Neshka Manchorova-Veleva
Format: Article
Language:English
Published: Pensoft Publishers 2020-06-01
Series:Folia Medica
Subjects:
Online Access:https://foliamedica.bg/article/39599/download/pdf/
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author Teodora Karteva
Neshka Manchorova-Veleva
author_facet Teodora Karteva
Neshka Manchorova-Veleva
author_sort Teodora Karteva
collection DOAJ
description The immune response is a complex, dynamic and strongly individual biologic network that plays an essential role in the pathogenesis of chronic apical and marginal periodontitis. Recent research in the field of periodontology has indicated that the major determinant of susceptibility to disease is the nature of the immunoinflammatory response as marginal periodontal tissue damage is thought to be primarily mediated by the host reaction. Whether the same rules apply for the development of apical periodontitis, however, remains largely unexplored. This review aims to draw parallels between the pathogenesis of chronic periodontitis of endodontic and marginal origin, outline the evidence for the destructive role of immune response in chronic marginal periodontitis and raise questions about its role in chronic apical periodontitis. It would be worthy to further explore the impact of the immune system on the characteristics and progress of these diseases and transfer some of the scientific models from the field of periodontology to the field of endodontics. Research in this area could lead to a more comprehensive understanding of the dynamics of apical and marginal periodontitis and lay the foundation of new personalized treatment strategies. 
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spelling doaj.art-6fd497b65a1a4b98853f3ab57c12a7da2022-12-21T23:12:43ZengPensoft PublishersFolia Medica1314-21432020-06-0162223824310.3897/folmed.62.e3959939599The Role of the Immune Response in Chronic Marginal and Apical PeriodontitisTeodora Karteva0Neshka Manchorova-Veleva1Operative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University - PlovdivOperative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University - PlovdivThe immune response is a complex, dynamic and strongly individual biologic network that plays an essential role in the pathogenesis of chronic apical and marginal periodontitis. Recent research in the field of periodontology has indicated that the major determinant of susceptibility to disease is the nature of the immunoinflammatory response as marginal periodontal tissue damage is thought to be primarily mediated by the host reaction. Whether the same rules apply for the development of apical periodontitis, however, remains largely unexplored. This review aims to draw parallels between the pathogenesis of chronic periodontitis of endodontic and marginal origin, outline the evidence for the destructive role of immune response in chronic marginal periodontitis and raise questions about its role in chronic apical periodontitis. It would be worthy to further explore the impact of the immune system on the characteristics and progress of these diseases and transfer some of the scientific models from the field of periodontology to the field of endodontics. Research in this area could lead to a more comprehensive understanding of the dynamics of apical and marginal periodontitis and lay the foundation of new personalized treatment strategies. https://foliamedica.bg/article/39599/download/pdf/asymptomatic apical periodontitischronic margina
spellingShingle Teodora Karteva
Neshka Manchorova-Veleva
The Role of the Immune Response in Chronic Marginal and Apical Periodontitis
Folia Medica
asymptomatic apical periodontitis
chronic margina
title The Role of the Immune Response in Chronic Marginal and Apical Periodontitis
title_full The Role of the Immune Response in Chronic Marginal and Apical Periodontitis
title_fullStr The Role of the Immune Response in Chronic Marginal and Apical Periodontitis
title_full_unstemmed The Role of the Immune Response in Chronic Marginal and Apical Periodontitis
title_short The Role of the Immune Response in Chronic Marginal and Apical Periodontitis
title_sort role of the immune response amp nbsp in chronic marginal and apical periodontitis
topic asymptomatic apical periodontitis
chronic margina
url https://foliamedica.bg/article/39599/download/pdf/
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