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1rst Seminar Pulpal Diseases WORD

This document discusses diseases of the pulp, including classification, types of pulpitis, etiology, signs and symptoms, and diagnostic aids. It covers topics like focal reversible pulpitis, acute and chronic irreversible pulpitis, chronic ulcerative pulpitis, chronic hyperplastic pulpitis, pulp necrosis, internal resorption, and internal cervical resorption. Causes of pulpitis include bacterial, traumatic, iatrogenic and chemical factors. Pulpitis is classified based on morphology and examines features like true and false denticles.

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Nikita Kamat
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0% found this document useful (0 votes)
138 views15 pages

1rst Seminar Pulpal Diseases WORD

This document discusses diseases of the pulp, including classification, types of pulpitis, etiology, signs and symptoms, and diagnostic aids. It covers topics like focal reversible pulpitis, acute and chronic irreversible pulpitis, chronic ulcerative pulpitis, chronic hyperplastic pulpitis, pulp necrosis, internal resorption, and internal cervical resorption. Causes of pulpitis include bacterial, traumatic, iatrogenic and chemical factors. Pulpitis is classified based on morphology and examines features like true and false denticles.

Uploaded by

Nikita Kamat
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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DISEASES OF

PULP

CONTENTS
0 INTRODUCTION

1 DIAGNOSTIC AIDS

2 ETIOLOGY OF PULPAL DISEASES.

3 CLASSIFICATION

4 FOCAL REVERSIBLE PULPITIS

5 ACUTE AND CHRONIC IRREVERSIBLE


PULPITIS
6 CHRONIC ULCERATIVE PULPITIS

7 CHRONIC HYPERPLASTIC PULPITIS

8 PULP NECROSIS

9 INTERNAL RESORPTION

10 INTERNAL CERVICAL RESORPTION


11 CONCLUSION

12 REFERENCES

Introduction
How is pulp different
from other
tissues ????
why does the patient
feel pain ???????
13 Unbearable tooth ache caused by
stimulated A-delta fibers and irritating
dull pain caused by stimulated ‘C’ fibers
14 Low compliance pulp chamber
15 Limited space for inflammed pulp to
expand

WHAT WILL HAPPEN


IF LEFT
UNTREATED ???
signs and
symptoms
SUBJECTIVE
EXAMINATION

OBJECTIVE
EXAMINATION

ETIOLOGY OF PULPAL
DISEASE
BACTERIAL INGRESS
16 :
Coronal ingress
Etiology

17 RADICULAR INGRESS

18 CARIES

19RETROGENIC INFECTION-
PERIODONTAL ABSCESS OR
PERIODONTAL INFECTION
20 HEMATOGENIC INFECTION

ETIOLOGY
21 TRAUMATIC

ETIOLOGY
22 CHRONIC

ETIOLOGY
23 IATRAL
A. Cavity
24

preparation.
B. RESTORATION
C. Intentional
extirpation a
25 1. Heat of
preparation.
1.Insertion
D. Orthodontic
movement.
26 2. Depth of
preparation
2.Fracture
complete or
incomplete E.
Periodontal
curettage
27 3. Dehydration
3.Force of
cementing.
F. Electrosurgery
28 4. Pulp horn
extensions
4.Heat of
polishing.
G. Laser burn
29 5. Pulp
hemorrhage
H. Periradicular
curretage.
30 6.Pulp exposure
I. Rhinoplasty
31 7. Pin insertion
J. osteotomy
32 8. Impression
taking
k. Intubation for
GA.
etiology
33 CHEMICAL
34 A. Restorative materials B.
Disinfectacnts C.
Dessicants
35 1.cements 1.silver
nitrate 1.Alcohol
36 2.plastics 2.phenol
2. Ether.
37 3.Etching agents 3.sodium
fluoride.
38 4. Cavity liners
39 5.Dentin bonding agents.

BARODONTALGIA/AERODO
NTALGIA/ TOOTH SQUEEZ:
Barodontalgia is an oral (dental or non-
dental) pain caused by a change in
barometric pressure in an otherwise
asymptomatic organ.
TYPES OF PULPITIS
40

FOCAL
REVERSIBLE
PULPITIS
41 Referred – pulp hyperemia
C/F:
42Sensitive to thermal changes –
cold

43 Removal of stimuli – decrease in


pain
44 Tooth responds – vitality
45 Existsusually with deep carious
lesion/ large metallic restorations
BASED ON MORPHOLOGY
TRUE DENTICLES
46 Localised masses of calcified tissue that
resembles dentin.
47 Resembles more of secondary dentin.

48 More common in pulp chamber than in root


canal.
49 Seldom larger than a fraction of millimeter.

50 Usually located near apical foramen.

FALSE DENTICLES
51 DO not exhibit dentinal tubules.

52 Appear as lamelae deposited around a


central nidus.
53 Larger than true denticles.

54 May fill entire pulp chamber.

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