Oral Diagnosis Finals - PT.3

Symptomless, vital pulp which has been injured or involved by deep caries

• pulp capping

• pharmacotherapy and restorative rehabilitation

• extirpation and immediate root canal therapy

• intra canal medicament prior to the completion of root canal therapy

Pulps with a history of pain

• pulp capping

• pharmacotherapy and restorative rehabilitation

• extirpation and immediate root canal therapy

• intra canal medicament prior to the completion of root canal therapy

Infected pulps

• pulp capping

• pharmacotherapy and restorative rehabilitation

• extirpation and immediate root canal therapy

• intra canal medicament prior to the completion of root canal therapy

Infected and necrosed pulp

• pulp capping

• pharmacotherapy and restorative rehabilitation

• extirpation and immediate root canal therapy

• intra canal medicament prior to the completion of root canal therapy

Treatable without pulp extirpation and root canal therapy

• Intact , uninflamed pulp

• Transitional stage

• Acute pulpitis

• Chronic total pulpitis

• Total pulp necrosis

Untreatable without pulp extirpation and root canal therapy

• Intact , uninflamed pulp

• Transitional stage

• Acute pulpitis

• Chronic total pulpitis

• Total pulp necrosis

denotes a level of pulpal inflammation in which the tissue is capable of returning to a normal state of health if the noxious stimuli are removed.

• Reversible pulpitis

• Irreversible pulpitis

• Chronic hyperplastic pulpitis / pulp polyp

• Internal Resorption

• Pulp Degeneration

Causes

·         Trauma , disturbed occlusal relationship

·         Thermal shock

·         Excessive dehydration of a cavity

·         Irritation of exposed dentin

·         Placement of a fresh amalgam filling in contact with or occluding a cast restoration

·         Chemical stimulus , sweet or sour food stuffs

• Reversible pulpitis

• Irreversible pulpitis

• Chronic hyperplastic pulpitis / pulp polyp

• Internal Resorption

• Pulp Degeneration

Symptoms:

·         Sharp pain lasting but a moment

·         Brought on by cold stimuli

·         Does not occur when stimuli is removed

It does not occur spontaneously.

• Reversible pulpitis

• Irreversible pulpitis

• Chronic hyperplastic pulpitis / pulp polyp

• Internal Resorption

• Pulp Degeneration

Histopathology:

·         Reparative dentin formation

·         Disruption of odontoblastic layer

·         Dilated blood vessels

·         Acute and chronic inflammatory cells

• Reversible pulpitis

• Irreversible pulpitis

• Chronic hyperplastic pulpitis / pulp polyp

• Internal Resorption

• Pulp Degeneration