Академический Документы
Профессиональный Документы
Культура Документы
THE PULP
Prepared by:
Dr. Rea Corpuz
Pulp
UNTREATED
Death of pulp
traumatic accident
atrrition
abrasion
Causes of Pulpal
Inflammation
(2) Thermal Cause
uninsulated metallic
restoration
polishing
Causes of Pulpal
Inflammation
(3) Chemical Cause
or inappropriate use
of acidic dental material
Causes of Pulpal
Inflammation
(4) Bacterial Cause
Symptomatic (acute)
Aysptomatic (chronic)
Acute
• Abnormally responsive to cold
• Abnormally responsive to heat
(1) Based on Severity
of Inflammation
Chronic
• Asymptomatic with
pulp exposure
• Hyperplastic
• Internal resorption
(1) Based on Severity
of Inflammation
(3) Pulp Degeneration
Calcific
Focal or Subtotal or
Partial Pulpitis
Total or Generalized
Pulpitis
(2) According to
Involvement
Acute
Chronic
(2) According to
Involvement
Causes
agent capable of
injuring pulp like:
• trauma
• disturbed occlusal
relationship
• thermal shock
Reversible Pulpitis
Clinical Features
Clinical Features
Management
prevention
periodic care
removal of noxious
stimuli
Focal Reversible
Pulpitis
earliest form
excessive accumulation of
blood within pulp tissue
sensitive to thermal
changes
particularly to cold
teeth show:
removal of irritants
before the pulp is
severely damaged
Irreversible Pulpitis
persistent inflammatory
condition of pulp
may be symptomatic or
asymptomatic
Causes
bacteria involvement of
pulp through caries
chemical
thermal
mechanical injury
Irreversible Pulpitis
Clinical Features
Early Stage
paroxysm of pain
caused by:
• sudden temperature
changes like cold,
sweet, acid foodstuffs
Irreversible Pulpitis
Clinical Features
Early Stage
Clinical Features
Early Stage
pain
• sharp
• piercing
• shooting
• generally severe
Irreversible Pulpitis
Clinical Features
Early Stage
pain
Clinical Features
Late Stage
pain
Late Stage
pain
placement of intracanal
medicament
to act as disinfectant or
obtundent
• cresatin
• eugenol
• formocresol
Clinical Difference
Causes
defective restoration
where there has been
recurrent caries
Clinical Features
Clinical Features
may be continuous
Clinical Features
Clinical Features
pressure increases
because of lack of
escape of inflammatory
exudate
Management
Management
Clinical Features
Management
followed by crown
restoration
Chronic Hyperplastic
Pulpitis
also called as pulp polyp
or pulpitis aperta
essentially an excessive
exuberant proliferation
of chronically inflammed
dental pulp tissue
Chronic Hyperplastic
Pulpitis
pulpal inflammation due
to an extensive carious
exposure of a young pulp
development of granulation
tissue
slow progressive
exposure of pulp
bacterial infection
Chronic Hyperplastic
Pulpitis
Clinical Features
asymptomatic
• fleshy
• reddish pulpal mass filling
most of pulp chamber
or cavity
• or even extend beyond
confines of tooth
Chronic Hyperplastic
Pulpitis
Clinical Features
• sometimes, if mass is
large enough
• interferes with closure
of mouth
Chronic Hyperplastic
Pulpitis
Clinical Features
death of pulp
Causes
sequeala of inflammation
Types
Types
• soluble portion of
tissue is precipitated
• or converted into a solid
material
Necrosis
Types
proteins
fats
water
Necrosis
Types
Clinical Features
no painful symptoms
discoloration of tooth
Clinical Features
Management
preparation + obturation of
root canals
References:
Books
Cawson, R.A: Cawson’s Essentials of Oral
Oral Pathology and Oral Medicine,
8th Edition
• (page 60)
Ghom, Ali & Mhaske, Shubhangi: Textbook of
Oral Pathology
• (pages 420-425)