Monday, 20 January 2014

Diagnosis Of Pulpal Disease

21:52 , , , , , , , , 10 Comments

Classification of pulpal diseases
1) Within normal limit_asymptomatic or mild to moderate transient pain subside after the stimulus is removed.tooth is not tender on percussion.

2) Reversible pulpitis_quick, sharp, hypersensitive response to the stimulus.that subside after the removal of the stimulus.

3) Irreversible pulpitis_
a) asymptomatic- hyper plastic pulpit is /pulp polyp or internal resorption.

b) symptomatic- spontaneous, unprovoked, intermittent or continuous pain, lingering pain to thermal stimulus.
Radiographs can help in identifying the tooth involved or widening of PDL space in advance stages.

4) Pulpal  Necrosis-
a) partial necrosis-one or two canal is undergoing necrosis in a tooth with more than one canal. It can be symptomatic.
b) total necrosis- no symptoms , negative pulp vitality
It is a stage before it affects the periodontal ligament.


10 comments:

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