A new look to the classification of inflammatory diseases of the periapital tissues

The authors conducted a comparative analytical description of the classification (ICD-10) of periodontitis and periapical tooth tissues. The terms “apical periodontitis”, “destructive periodontitis”, traditionally used in the formulation of the diagnosis, do not reflect the pathology of the affected tissue. Mistakes made in the diagnosis using the above terms lead to an incorrect formulation of the diagnosis and the choice of treatment tactics. The obtained results led to the conclusion that the correct diagnosis of inflammatory and destructive diseases of the periapical tissues will significantly reduce the incidence of complications and increase the effectiveness of the treatment of periodontitis and diseases of the periapical tissues of the tooth. The results of a comprehensive study showed that a high percentage of diagnostic errors is associated with confusion in terminology. The terms “apical periodontitis”, “destructive periodontitis”, traditionally used in the formulation of the diagnosis, do not reflect the pathology of the affected tissue.