Changes

*Infection spreads from [[Enamel Organ#Pulp|pulp]] or from gingivitis to produce the periostitis.  

*Infection and inflammatory mediators usually spreads from [[Enamel Organ#Pulp|pulp]] to produce the periostitis.  

*This may then break out of the alveolus into the bone causing [[Osteomyelitis|osteomyelitis]].

*This may then affect the surrounding bone causing [[Osteomyelitis|osteomyelitis]].

**Seen in infection of carnassial teeth in dogs as chronic sinus discharging below eye. So called 'malar' abscess.  

**Sometimes seen when infection of carnassial teeth in dogs results in a chronic sinus discharging below eye. So called 'malar' abscess.  

*Only treated by removal of [[:Category:Teeth - Anatomy & Physiology|tooth]].  

*Only treated by removal of [[:Category:Teeth - Anatomy & Physiology|tooth]].  

*Hard to evaluate on [[Skull and Facial Muscles - Anatomy & Physiology#Mandible (mandibula)|mandible]], may produce fistula that also needs tooth removal.

*Hard to evaluate on [[Skull and Facial Muscles - Anatomy & Physiology#Mandible (mandibula)|mandible]], may produce fistula that also needs tooth removal.

[[Category:Teeth_-_Inflammatory_Pathology]]

[[Category:Teeth_-_Inflammatory_Pathology]]

[[Category:To_Do_-_Clinical]]

[[Category:To_Do_-_Clinical]]

[[Category:LisaM reviewing]]

[[Category:LisaM reviewing]]