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pulpitis

Diseases of Pulpitis

Definition

 It is defined as Mild, transient, localized inflammatory response in the bulb cavity.



CLINICAL FEATURES:

*        Tooth is sensitive to thermal changes, especially cold.
*        Pain - short duration, disappears on withdrawal of thermal irritant.
*        Affected tooth responds to stimulation of electric pulp tester at lower level of current indicating low pain threshold.
*        Teeth usually show deep caries, metallic restoration with defective margins.
*        Dilation of pulp blood vessels.
*        Edema fluid collection due to damage of vessel wall.
*        Slowing of blood flow & hemoconcentration due to transudation can cause thrombosis.

  1. Diagnostic Evaluation

ü  History collectiopn
ü   Physical Examination
ü   Pulp vitality test indicats increased sensitivity at low level of current.
ü   X ray

TREATMENT & PROGNOSIS:

*        Pulpotomy & placing calcium hydroxide over entrance of root canal.
*        Root canal treatment.
*        Extraction of tooth.
*        Carious lesion should be excised & restored or defective filling is replaced.
*        If primary cause is not corrected, extensive pulpitis may result in death of pulp.
*        Drainage of abscess by opening pulp chamber or extraction



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